- CVS Health (Indianapolis, IN)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Indianapolis, IN)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- CVS Health (Indianapolis, IN)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- RxBenefits (Indianapolis, IN)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Turner & Townsend (Indianapolis, IN)
- …around the world. **Job Description** **Turner & Townsend** are seeking an experienced ** Senior ** **Project Controls Manager ** to join our team. The ideal ... a significant minority interest. Turner & Townsend and CBRE work together to provide clients with the premier programme, project and cost management offering in… more
- RTX Corporation (Indianapolis, IN)
- …that create a safer, more secure world. We have an exciting opportunity for a Senior Manager , Supply Chain (SC) Legal Advisor, who will report to the Associate ... terms & conditions, software licenses, and other agreements that provide the best protection and benefit to the company....Review and advise SC on performance issues such as claims and insolvency. + Assist the organization in writing… more
- Elevance Health (Indianapolis, IN)
- …of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. **How ... **Nurse Audit Senior - Payment Integrity Complex and Clinical Audit**...fraud and over-utilization by performing medical reviews via prepayment claims review and post payment auditing + Correlates review… more
- Elevance Health (Indianapolis, IN)
- ** Senior Health Economist - Managed Care** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... and business leaders passionate about transforming American healthcare delivery. The ** Senior Health Economist (** Advanced Analytics Analyst Senior ) measures… 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 ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… 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 ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Cardinal Health (Indianapolis, IN)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- Fujifilm (Indianapolis, IN)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- Cardinal Health (Indianapolis, IN)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- CenterWell (Indianapolis, IN)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex… more
- Elevance Health (Indianapolis, IN)
- …insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting. + Develops and ... healthcare fraud in order to recover corporate and client funds paid on fraudulent claims . **Primary duties may include, but are not limited to:** + Claim reviews… 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 ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- CenterWell (Indianapolis, IN)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... The primary function of the **Branch Coordinator** is to provide clerical support for the branch medical records and...to ensure other billing requirements are satisfied to release claims timely. + Adhere to and participate in Agency's… more
- Elevance Health (Indianapolis, IN)
- …for the peer role on the team in preparation for advancement to the senior level. Within the case management role will within the scope of licensure assess, ... care management treatment plans. + Assists in problem solving with providers, claims or service issues. + Assists with development of utilization/care management… more