• Rating/ Claims System Senior Advisor

    Elevance Health (Indianapolis, IN)
    …systems. + Responsible for implementing and auditing benefit changes as related to claims processing. + Responsible for monitoring Medicare changes as they ... **Rating/ Claims System Senior Advisor** **Location:** This position will...of study and a minimum of 8 years systems analyst or business analyst experience; or any… more
    Elevance Health (05/08/24)
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  • Medical / Financial Risk Evaluation Analyst

    Humana (Indianapolis, IN)
    …database structure and design **Preferred Qualifications** + Direct experience working with Medicare claims + Working knowledge of CPT, ICD10 and HCPC ... put health first** The Medical/Financial Risk Evaluation Professional 2 / Analyst is responsible for supporting the development, implementation and...CMS and/or AHCA compliance + 2 or more years Claims experience + 2 or more years Audit and/or… more
    Humana (05/25/24)
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  • Health Research Analyst (Quantitative…

    Mathematica (Indianapolis, IN)
    …of Medicare or Medicaid policies and programs, and/or experience working with Medicare or Medicaid eligibility and claims data is a plus. * Candidates ... growth. *Example projects include:* * Evaluating the implementation and impact of Medicare and Medicaid innovation initiatives aimed at expanding access to care,… more
    Mathematica (05/17/24)
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  • Business Analyst II - Remote in…

    Prime Therapeutics (Indianapolis, IN)
    …our passion and drives every decision we make. **Job Posting Title** Business Analyst II - Remote in the California market **Job Description Summary** Serves as ... liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad hoc requests for support, reports and analysis.… more
    Prime Therapeutics (04/25/24)
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  • Provider Contract/Cost of Care Analyst Sr.

    Elevance Health (Indianapolis, IN)
    **Provider Contract/Cost of Care Analyst Sr.** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles ... one of our PulsePoint locations. The **Provider Contract, Cost of Care Analyst Sr** is responsible for analyzing, reporting, and developing recommendations on data… more
    Elevance Health (05/16/24)
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  • SCA Appeals Representative I

    Elevance Health (Indianapolis, IN)
    …member of Elevance Health's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services ... appeals by external accreditation and regulatory requirements, internal policies, and claims events requiring adaptation of written response in clear, understandable… more
    Elevance Health (05/08/24)
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