- 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)
- …-expense spending. The **Business Consultant** is a member of our **Carelon Payment Integrity 's Data Mining Team** , where we utilize advanced analytics to ... in uncovering claims overpayments and guiding clients through implementation of data -driven insights. This individual will be data mining, finding anomalies… more
- Elevance Health (Indianapolis, IN)
- …-expense spending. The **Business Analyst III** is a member of our **Carelon Payment Integrity 's Data Mining Team** , where we utilize advanced analytics to ... accommodation is granted as required by law._ **Carelon Payment Integrity ** is a proud member of the Elevance Health...claims overpayments and guiding clients through implementation of data -driven insights. This individual will be data … 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
- 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
- Cognizant (Indianapolis, IN)
- … Quality & Governance Developer, you will make an impact by ensuring the integrity , accuracy, and compliance of healthcare data across enterprise systems. You ... will be a valued member of the Healthcare Data Engineering team and work collaboratively with cross-functional stakeholders...in developing audit controls and automated reporting for healthcare claims and payment systems. + Expertise in SQL, Hive,… more
- Norstella (Indianapolis, IN)
- …* 3-5 years in Product Marketing or Product Management; experience with real-world data ( claims , labs, EMR/EHR, Rx, hub/specialty pharmacy) strongly preferred. * ... Product Marketing Manager, Real-World Data (RWD) Company: Norstella Location: Remote, United States...success at Norstella:** 01: Bold, Passionate, and Mission-First 02: Integrity , Truth, and Reality 03: Kindness, Empathy, and Grace… more
- Robert Half Management Resources (Indianapolis, IN)
- …and maximizes reimbursement. Claims Review and Denial Prevention: Regularly analyze claims data to identify trends in denials and missed reimbursements; ... implement proactive solutions to reduce denial rates and appeal claims as necessary. Coding Audit Integrity : Conduct...years of experience in healthcare revenue cycle processes, including medical billing and claims . * Proficiency in… 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
- 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 (Indianapolis, 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 thirdparty insurance claims rescanning illegible images alerting patients to inventory that is out… 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
- CVS Health (Indianapolis, IN)
- …inquiries and complaints. + Monitor and reconcile system activity to ensure data integrity and financial accuracy. **Required Qualifications** + 1-2+ years ... continuous improvement of work processes that impact customer satisfaction, medical cost management, and operational efficiency. The specialist collaborates… more
- CDM Smith (Indianapolis, IN)
- …claims . This role is critical in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, ... investigations to identify discrepancies, detect potential fraud, and ensure the integrity and fairness of claim settlements. By applying advanced accounting,… more
- Walmart (Plainfield, IN)
- …+ Supports facility with reporting and paperwork to ensure productivity and pharmaceutical integrity by entering and modifying pharmaceutical data on system and ... + Supports facility with reporting and paperwork to ensure productivity and pharmaceutical integrity by entering and modifying pharmaceutical data on system and… more
- Otsuka America Pharmaceutical Inc. (Indianapolis, IN)
- …of clinical medicine and/or clinical pharmacology and associated disciplines (eg biostatistics, data management, medical writing). + An advanced understanding of ... drug development programs, including: + Understanding pharmacology of drugs and unmet medical needs. + Formulating a rationale to develop the drug in accordance… more
- Walmart (Plainfield, IN)
- …for inventoriesSupports facility with reporting to ensure productivity and pharmaceutical integrity by entering and modifying pharmaceutical data on systems ... in the pharmacy by monitoring testing recording and reacting on data pertaining toproductsproduction and processesquality producing accurate results and anticipating… more
- Walmart (Indianapolis, 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… more
- Sumitomo Pharma (Indianapolis, IN)
- …company's new and established programs. This position reports to the Chief Medical Officer. **Job Duties and Responsibilities** + Strategic thought partner including ... and operational leadership to the Marketing Brand Teams, Legal, Medical Affairs and Clinical Research in the development of...review in order to ensure the quality and scientific integrity of documents submitted to regulatory authorities + In… more