- Elevance Health (Indianapolis, IN)
- …healthcare analytics, and/or financial services highly preferred. + Comprehensive understanding of medical claims data. + Intermediate to Advanced expertise with ... **Advanced Analytics Analyst Senior - Medical Economics** **Location:**...This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while… more
- Baylor Scott & White Health (Indianapolis, IN)
- …of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter… more
- Elevance Health (Indianapolis, IN)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… more
- Evolent (Indianapolis, IN)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Client Analytics The Client Analytics team provides a unique opportunity to ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS,… more
- CVS Health (Indianapolis, IN)
- …heart, each and every day. **Position Summary** As a Healthcare Encounter Senior Analyst for claim reconciliation in the State Medicaid Encounters department, ... professional work experience in a healthcare finance setting. - 2 or more years of experience using Excel in...our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company… more
- CVS Health (Indianapolis, IN)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including ... our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… more
- Humana (Indianapolis, IN)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the...methodologies that utilize MS-DRG, APR-DRG, APC or EAPG + 2 + years of experience with Optum Rate Manager +… more
- Elevance Health (Indianapolis, IN)
- **Business Information Analyst II** **Location:** This role requires associates to be in-office 1- 2 days per week, fostering collaboration and connectivity, ... an accommodation is granted as required by law. The **Business Information Analyst II** is responsible for analyzing, reporting, and developing recommendations on… more
- CVS Health (Indianapolis, IN)
- …do it all with heart, each and every day. **Position Summary** The Senior Analyst , Plan Sponsor will be responsible for functioning as an Account Management and Plan ... cases (1,000 life). **Key Responsibilities** + Researches, and resolves eligibility and claims inquiries for an assigned book of business. + Consults with… more