- Lincoln Financial Group (Indianapolis, IN)
- …will oversee and ensure the fair, ethical and timely management of complex claims . **What you'll be doing** + Maintains knowledge on current and emerging ... + Directs the processing and administration of all aspects of LTD complex claims ensuring accurate and timely claim management. + Develops and executes claim… more
- Humana (Indianapolis, IN)
- …first** The Medical Director relies on medical background and reviews health claims . The Medical Director (Staff Geriatrician or Physician with Ten (10) ... (10) Years of Clinical Practice with Older Adults (Medical Director ) is dedicated full time to the Indiana Pathways...complex needs and care of older adults. The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (Indianapolis, IN)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- State of Indiana (Indianapolis, IN)
- Assistant Director of Healthcare Cost Oversight Date Posted: May 7, 2024 Requisition ID: 439393 Location: Indianapolis, IN, US, 46204 Work for Indiana Grow your ... dedicated to healthcare costs oversight and transparency. The Assistant Director works independently following executive orders, statutes, rules, regulations, and… more
- Travelers Insurance Company (Indianapolis, IN)
- …travel, including International travel? If so, consider this broad-based Director opportunity within the Home Office International Actuarial and Analytics ... and Bond and Specialty Insurance including exposure to senior leadership. The Director , Actuarial and Analytics is an analytic leadership role that is responsible… more
- Elevance Health (Indianapolis, IN)
- **Sr. Director , IT and Engineering** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one ... IN; Chicago, IL; Manchester, NH; Boston, MA.** The **Sr. Director , IT and Engineering** will be responsible for developing...work with global teams to support and maintain a claims processing and adjudication system. This role will be… more
- J&J Family of Companies (Indianapolis, IN)
- Associate Director , Immunology Medical Affairs Data Analytics - 2406185361W **Description** Johnson and Johnson Inc. is hiring an Associate Director , Immunology ... a case-by-case basis and if approved by the Company. The Associate Director , Immunology Medical Affairs Data Analytics role is responsible for generating,… more
- Sumitomo Pharma (Indianapolis, IN)
- …qualified, highly motivated, experienced individual for the position of **Regional Sales Director , Prostate Cancer.** The position reports to the Senior Area Sales ... Director . **The location of the position is field based...Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and… more
- Zurich NA (Indianapolis, IN)
- VP, Territory Director , Commercial Surety, Central Region 113231 Zurich is currently looking for a VP, Territory Director for our Commercial Surety Group in the ... and oversight on strategic underwriting practices. The VP, Territory Director , Commercial Surety is responsible for: + Managing a...Degree with 20 or more years of experience in Claims or Underwriting Support area within the Commercial Insurance… more
- Humana (Indianapolis, IN)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- Travelers Insurance Company (Indianapolis, IN)
- …Business Intelligence & Analytics organization has an exciting opportunity for a Director of Business Delivery in Analytic Strategy Development. As a director ... business forward. A key focus of this position is to increase insights into claims on areas that may include medical, severity, legal, or other insurance related… more
- Travelers Insurance Company (Indianapolis, IN)
- …a team dedicated to developing and implementing Generative AI techniques to insurance claims handling. We need someone who can be hands-on in building AI models ... by using advanced statistical techniques and machine learning algorithms. As a Sr. Director & Data Scientist, you will lead a team responsible for challenging… more
- Elevance Health (Indianapolis, IN)
- …remote work and 1-2 days in office per week. The **PBM Pricing Strategy Director ** is responsible for the analysis and development of the Pharmacy Benefits Manager ... Maintains pricing and rebate models used to evaluate pricing position, assists with claims analysis and ensures proper language is covered in request for proposals… more
- Option Care Health (Indianapolis, IN)
- …developing, and retaining a diverse workforce. **Job Description Summary:** The Director , Compliance Investigations is responsible for developing and maintaining a ... including but not limited to HIPAA, Stark Law, Anti-Kickback Statute, and False Claims Act, and ensure that investigative practices remain current and compliant. +… more
- Sedgwick (Indianapolis, IN)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director Paid Media **PRIMARY PURPOSE** **:** Directs data-driven digital and social ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more… more
- Prime Therapeutics (Indianapolis, IN)
- …fuels our passion and drives every decision we make. **Job Posting Title** Director , Clinical Account Services - Remote Nevada **Job Description Summary** Plays a ... responsibility of the Vendor. Requirements: + Extensive knowledge of Medicaid and NMAP claims processing and pharmacy benefits management. + At least three (3) years… more
- Lilly (Indianapolis, IN)
- …to make life better for people around the world. The Associate Director , EPCM Procurement Process Owner in the Development & Manufacturing Procurement organization ... & category strategy alignment, sourcing & contracting execution, contract & claims management, project & risk management practices, and supplier relationship… more
- Trustmark (Indianapolis, IN)
- …sales and underwriting requirements, premium billing and administration, and eligibility and claims . Brand: Trustmark Come join a team at Trustmark that will not ... only utilize your current skills but will enhance them as well. Trustmark benefits include health/dental/vision, life insurance, FSA and HSA, 401(k) plan, Employee Assistant Program, Back-up Care for Children, Adults and Elders and many health and wellness… more
- Highmark Health (Indianapolis, IN)
- …a customer's financial experience - member and patient billing, benefits and claims , cost transparency, and health & spending accounts. Accountable for leading a ... team of product managers and product analysts focused on research & insights, problem/opportunity management, product strategy, roadmap management, and value case development. Partners across the Living Health organization and the Enterprise to engage key… more
- Prime Therapeutics (Indianapolis, IN)
- …+ Develop financial pricing models to monitor performance against pharmacy claims data and identify financial pricing opportunities to drive savings and/or ... 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare, and/or related field + Must be...to adjust focus **Reporting Structure** + Reports to Manager, Director , or Senior Director in the Network… more