- Centene Corporation (Indianapolis, IN)
- …and provide immediate feedback on findings including high dollar claims , coaching for quality review claims and internal audits. Create ODS reports of ... assure a smooth and timely work flow. + Manage the Claims Quality Analysts to perform quality review of completed high risk claims and provide… more
- CVS Health (Indianapolis, IN)
- …elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable Diagnostics, will leverage existing & new methodologies to ... help review , understand, and identify process improvements across key provider...across key provider journeys including self-service / digital transactions, claims management, dispute resolution, and more. They will directly… more
- Ryder System (Indianapolis, IN)
- …position leads an internal staff of approximately 40; this consists of professional Claims Managers, Supervisors, Senior Office Manager , Claims Analysts, and ... _Job Seekers can review the Job Applicant Privacy Policy by clicking...all aspects of the operations + Leads and directs claims managers, office manager , and supervisors as… more
- Otsuka America Pharmaceutical Inc. (Indianapolis, IN)
- …global regulatory guidelines **Medical Information Content Generation** + Develop, review , and maintain high- quality , scientifically accurate medical information ... The Manager , Medical Core Content is a team-level operational...operational role responsible for the development, maintenance, and day-to-day quality assurance of all core scientific and medical content… more
- Otsuka America Pharmaceutical Inc. (Indianapolis, IN)
- …+ Track study progress, budgets, milestones, and ensure adherence to SOPs and quality standards + Facilitate internal review of study proposals and publications, ... The Manager , Evidence Generation, IME & Sponsorship Payments is...+ Manage the end-to-end IME grant process, including receipt, review , approval, contracting, and post-activity reconciliation + Coordinate with… more
- Bausch + Lomb (Indianapolis, IN)
- …of eye health in the future. Bausch + Lomb is seeking a ** Manager , Pharmaceutical Marketing Operations** that will be a PRC Lead/Editor responsible for leading ... and managing the Promotional Review Committee (PRC) process for the business unit in...PRC process leadership with editorial oversight to ensure compliance, quality , and timeliness across all materials reviewed through the… more
- Prime Therapeutics (Indianapolis, IN)
- …pharmacy claims , healthcare and/or benefits data + Experience implementing quality process improvement efforts + Experience in agile Every employee must ... career? Come build the future of pharmacy with us. **Job Posting Title** Manager Reporting & Analytics - Remote **Job Description** The Manager Reporting… more
- Walgreens (Indianapolis, IN)
- …others accountable for efficient workflow. + At the direction of the Pharmacy Manager or pharmacist, prepares, and files reports and records required by the company ... maintenance of pharmacy department equipment. In collaboration with Pharmacy Manager , responsible for recordkeeping and ensuring security safeguards are in-place.… more
- Turner & Townsend (Indianapolis, IN)
- …+ Review construction progress and approve recovery plans. + Review the claims resolutions recommendations. + Collaborate with appropriate internal ... **Job Description** **Turner & Townsend** are seeking an experienced **Senior** **Project Controls Manager ** to join our team. The ideal candidate has a proven track… more
- Walgreens (Indianapolis, IN)
- …to Company policies and procedures relating to prescription incidents and the Quality Improvement Program. + Assures accurate and timely reporting of inventory for ... payment rejections. Resolves third party rejection problems promptly, and resubmits rejected claims for payment on a timely basis. + Manages and controls… more
- Kelly Services (Whiteland, IN)
- …information flow between 3PL and claims teams * Assisting with transportation claims and communicating supplier defects to quality teams **This job might be ... ** Quality Assurance Analyst** **Location:** Whiteland, IN (Onsite) **Schedule:**...with 3PL for in-house defects (reporting to the QA Manager ) * Acquiring and reviewing "Right First Time" pass… more
- Ryder System (Indianapolis, IN)
- … claims ; advanced level. experience in completing detailed and quality internal reports. Adhering to all reporting requirements.; advanced level. experience ... _Job Seekers can review the Job Applicant Privacy Policy by clicking...: **SUMMARY** This position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling… more
- Elevance Health (Indianapolis, IN)
- …CODING AUDITOR** is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all ... issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending...AA/AS or minimum of 5 years of experience in claims auditing, quality assurance, or recovery auditing.… more
- Elevance Health (Indianapolis, IN)
- …HMO, POS, PPO, EPO, CDHP, and indemnity) related to clinical and non clinical services, quality of service, and quality of care issues to include executive and ... with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable… more
- Otsuka America Pharmaceutical Inc. (Indianapolis, IN)
- …ensuring the Manager of Core Content develops and maintains a high- quality , scientifically rigorous, and compliant content repository for the field team + Manage ... plan. This position provides guidance, coaching, and oversight to the Manager , Medical Core Content, ensuring all materials are developed with scientific… more
- State of Indiana (Indianapolis, IN)
- …program manuals/documents. + Think critically and serve as a 'sounding board' for manager /team ideas. + Assist Managers with claims resolution in collaboration ... in order to build an Indiana with a sustainable quality of life for all Hoosiers in the community...IHCDA. The Fiscal Monitor will also work with program Manager (s) and the Program Accounting department to track required… more
- Walgreens (Indianapolis, IN)
- …Walgreen Co. Pharmacy Code of Conduct. Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems ... to Company policies and procedures in relation to pharmacy errors and the Quality Improvement Program. Strictly adheres to the Walgreen Co. policy regarding Good… more
- CenterWell (Indianapolis, IN)
- …Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex ... factors. The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex… more
- Elevance Health (Indianapolis, IN)
- …for building, scaling, and maintaining platforms for: + Medical Cost Management ( claims review , payment integrity, utilization management, risk adjustment). + ... for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable Elevance… more
- Walgreens (Indianapolis, IN)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... and procedures in relation to pharmacy errors and the Quality Improvement Program. + Strictly adheres to the Walgreen...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more