- PharmaCord (Jeffersonville, IN)
- …internally by our team of engineers, system architects, coding professionals and data scientists. We are PharmaCord, a purpose-driven organization on a rapid growth ... work environment. We seek problem solvers who are compassionate, have high integrity and demonstrate grit. Our colleagues are enthusiastic team members who love… more
- PharmaCord (Jeffersonville, IN)
- …in scope of service and/or efficiency in the delivery of service Evaluates data and providing actionable insights that drive the Program forward consistent with ... the preparation of client business review meetings with operational metrics and data insights Point of contact for program/operational queries and issue resolution… more
- PharmaCord (Jeffersonville, IN)
- …internally by our team of engineers, system architects, coding professionals and data scientists. We are PharmaCord, a purpose-driven organization on a rapid growth ... We seek problem solvers who are compassionate, have high integrity and demonstrate grit. Our colleagues are enthusiastic team...focusing on the accuracy of the details of their medical records and your mastery of the program requirements,… more
- PharmaCord (Jeffersonville, IN)
- …in scope of service and/or efficiency in the delivery of service Evaluates data and providing actionable insights that drive the Program forward consistent with ... the preparation of client business review meetings with operational metrics and data insights Point of contact for program/operational queries and issue resolution… more
- PharmaCord (Jeffersonville, IN)
- …internally by our team of engineers, system architects, coding professionals and data scientists. We are PharmaCord, a purpose-driven organization on a rapid growth ... We seek problem solvers who are compassionate, have high integrity and demonstrate grit. Our colleagues are enthusiastic team...focusing on the accuracy of the details of their medical records and your mastery of the program requirements,… more
- Elevance Health (Indianapolis, IN)
- ** Medical Claims Data Integrity Consultant** **Location:** Atlanta, GA; Norfolk, VA; Indianapolis, IN; Chicago, IL; Louisville, KY (preferred). This role ... position is not eligible for current or future visa sponsorship._ The ** Medical Claims Data Integrity Consultant** (Business Information Developer… more
- Elevance Health (Indianapolis, IN)
- …fraud and abuse prevention and control. + Review and conducts analysis of claims and medical records prior to payment. Researches new healthcare-related ... **Clinical Fraud Investigator II - Registered Nurse and CPC - Calrelon Payment Integrity SIU** **Location:** This role requires associates to be in-office 1 - 2 days… more
- Centene Corporation (Indianapolis, IN)
- …training, assigning work and managing performance preferred. Knowledge of Microsoft Excel, medical coding, claims processing, and data mining preferred. ... with all Federal and State Laws and Regulations related to program integrity and disclosure requirements. Develop, implement and manage strategic fraud, waste and… more
- Elevance Health (Indianapolis, IN)
- …background. **Preferred Skills, Capabilities, and Experiences:** + Healthcare experience preferred; medical claims experience a plus. + Extensive hands-on ... **Application Architect Senior - Payment Integrity ** The **Application Architect Senior** creates architectural solutions that articulate the business context,… more
- Humana (Indianapolis, IN)
- …and reporting. Identify cost drivers, utilization patterns, and anomalies in Medicaid medical claims data . Maintain dashboards to communicate key ... trends to stakeholders. The Actuary, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of… more
- Otsuka America Pharmaceutical Inc. (Indianapolis, IN)
- …Commercial third-party data assets, including Xponent Plantrak, DDD, HCOS, Claims Data , Specialty pharma, omnichannel data , SalesForce/Veeva ... **Job Summary** The Associate Director (AD), Commercial Data Management (CDM) within Data Enablement (DE) for Business Analysis (BA) is accountable for… more
- USAA (Indianapolis, IN)
- …families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity , loyalty and service - define how we treat each other and our members. ... responsible for the investigation, negotiation, evaluation and appraisal of vehicle damage claims for both repairable and total loss vehicles to ensure estimate… more
- Elevance Health (Indianapolis, IN)
- … medical guidance across multiple enterprise transformation initiatives, including: + ** Medical Cost Management** + **HealthOS and enterprise data platforms** ... payer, managed care, or healthcare leadership preferred. + Experience advising medical cost management, utilization management, payment integrity , or provider… more
- Norstella (Indianapolis, IN)
- …querying and analyzing a wide range of healthcare data sources, including claims , lab results, electronic medical records (EMR), and other real-world data ... Norstella's newest service offerings leveraging Norstella's unified Real World Data asset, a combination of claims , lab,...data into structured formats suitable for analysis, ensuring data quality and integrity throughout the process… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- …migrations, and integrate testing into CI/CD pipelines. If you're passionate about data integrity , regulatory compliance, and driving quality across underwriting ... automated testing solutions to validate large volumes of policy, claims , billing, and customer data in real...testing documentation is always current. * Assist in maintaining data integrity for compliance with NAIC, HIPAA,… more
- Walmart (Columbus, IN)
- …area in accordance with company policies and procedures by properly handling claims and returns utilizing equipment to perform a variety of merchandising functions ... fulfillment process when necessary by processing information for third-party insurance claims rescanning illegible images alerting patients to inventory that is out… more
- Elevance Health (Indianapolis, IN)
- …and Experiences:** + **Operating room and/or auditing experience highly preferred.** + ** Medical claims review with prior health care fraud audit/investigation ... accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health...impact:** + Investigates potential fraud and over-utilization by performing medical reviews via prepayment claims review and… more
- Norstella (Indianapolis, IN)
- …the demand for Norstella's newest service offerings leveraging Norstella's unified Real World Data asset, NorstellaLinQ, a combination of claims , lab, SDOH and ... databases, ensuring data accuracy and quality. *Perform in-depth analyses on healthcare data sources, including claims , lab, EMR/EHR, and SDOH data , to… more
- Otsuka America Pharmaceutical Inc. (Indianapolis, IN)
- …lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity . The leader will be responsible for providing a compelling ... authorities, facilitating Clinical and PV inspections and addressing any findings. + ** Data Integrity :** Ensure the accuracy, consistency, and reliability of… more
- Elevance Health (Indianapolis, IN)
- **Investigator Senior** **Supports the Payment Integrity line of business** **Hybrid 1** : This role requires associates to be in-office **1-2** days per week, ... employment, unless an accommodation is granted as required by law._ Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon… more
