- Norstella (Indianapolis, IN)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Nov 20, 2025 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- CVS Health (Indianapolis, IN)
- …Excel and Microsoft Word **Preferred Qualifications** -2-4 years experience as a medical assistant, office assistant or claim processor -MedCompass, CEC, or ... Summary** **Position Summary** Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and… more
- Elevance Health (Indianapolis, IN)
- …not eligible for employment based sponsorship. **Ensures accurate adjudication of claims , by translating medical policies, reimbursement policies, and clinical ... into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS… more
- Public Consulting Group (Indianapolis, IN)
- … claim issue research. Additional this position will assist in performing claims processing, medical record audits for all implemented agencies, and assist ... and denied claim research results, final remittance advice processing, and medical record reviews that will include discussion with internal management to ensure… more
- Elevance Health (Indianapolis, IN)
- …make an impact:** + Reviews and evaluates accident or incident reports, individual claims , medical , legal or other documents relating to subrogation. + Responds ... **Subrogation Analyst ** **Locations:** Wisconsin, Indiana, Kentucky **Virtual:** This role...to inquiries regarding claim recovery issues. + Identify, monitor and evaluate … more
- Elevance Health (Indianapolis, IN)
- …to conduct extensive research and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to ... **Title: Grievance/Appeals Analyst I** **Virtual:** This role enables associates to...Demonstrated business writing proficiency, understanding of provider networks, the medical management process, claims process, the company's… more
- Elevance Health (Indianapolis, IN)
- **Cost of Care/Provider Contracting Data Analyst ** **Location** : This role requires associates to be in-office 1-2 days per week, fostering collaboration and ... is granted as required by law. The **Cost of Care/Provider Contracting Data Analyst ** is responsible for provides analytical support to the Cost of Care and/or… more
- CVS Health (Indianapolis, IN)
- …skills, with experience in healthcare fraud detection. + Proficiency in interpreting claims data, medical coding, and regulatory frameworks. + Excellent ... it all with heart, each and every day. **Position Summary** The Senior Analyst , Investigations at Aetna International plays a pivotal role in safeguarding the… more
- Prime Therapeutics (Indianapolis, IN)
- …analyst in producing reports, scorecards, or other data using Pharmacy and/or Medical claims data to support projects and initiatives throughout the ... build the future of pharmacy with us. **Job Posting Title** Clinical Research Analyst , Senior - Remote **Job Description** The Senior Clinical Research Analyst … more
- CVS Health (Indianapolis, IN)
- …Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning ... metrics **Required Qualifications** + 3-5 years of experience in a medical claim background with demonstrated ability and strong understanding of benchmarking… more
- Elevance Health (Indianapolis, IN)
- …Possibilities. Make an Extraordinary Impact.** **Title** : Performance Quality Analyst I **Location(s):** Indianapolis, IN **Virtual:** This role enables associates ... is granted as required by law._** The **Performance Quality Analyst I** is responsible for driving service quality excellence...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- CGI Technologies and Solutions, Inc. (Indianapolis, IN)
- **Quality Analyst ** **Category:** Testing/Quality Assurance **Main location:** United States, Indiana, Indianapolis **Position ID:** J0825-0830 **Employment Type:** ... **Position Description:** CGI is looking for a skilled Quality Analyst for data testing across insurance platforms like Applied...automated testing solutions to validate large volumes of policy, claims , billing, and customer data in real time. *… more
- Evolent (Indianapolis, IN)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Lead Analyst , Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products. This… more
- Elevance Health (Indianapolis, IN)
- **Actuarial Analyst II** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing ... unless an accommodation is granted as required by law. The **Actuarial Analyst II** completes projects and performs complex actuarial studies. **How You Will… more
- Humana (Indianapolis, IN)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more
- Evolent (Indianapolis, IN)
- …team at Evolent. This individual will be primarily focused on distilling medical economics insights from product strategy analyses and translating them to complex ... fostering trust, expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. + Process and validate… more
- CVS Health (Indianapolis, IN)
- …analysis to estimate future healthcare costs, revenue, and profitability. + Analyzes claims data to assess patterns, trends, and cost drivers and identifies ... opportunities for cost containment, fraud detection, and quality improvement in claims processing and reimbursement. + Assesses impacts of new risk-sharing… more
- CVS Health (Indianapolis, IN)
- …tasks and assignments of operational/financial activities in support of revenue or claim information. + Performs general data gathering and analysis in support of ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (Indianapolis, IN)
- …and security requirements. **Required Qualifications** + 1 year minimum of claims processing experience + Experience with system testing and post go-live ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- CVS Health (Indianapolis, IN)
- …data interpretation and analysis experience. + Healthcare background. + Experience with internal claims data and healthcare coding. + Must be able to travel to ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more