• Healthcare Claims - Business

    Wolters Kluwer (Indianapolis, IN)
    …Location:_** Riverwoods, IL (USA) **About the Role:** We are seeking a highly skilled Business Analyst to join the Mediregs team focusing on claims ... contribute to software maintenance and final acceptance testing. The Business Analyst works closely with a cross-functional...tools (eg, SQL, Excel, Tableau). + Recent experience with healthcare claims software (eg, Epic, Cerner, or… more
    Wolters Kluwer (01/11/25)
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  • Senior Analyst , Client Analytics - 2+…

    Evolent (Indianapolis, IN)
    …reimbursement structures associated with Commercial, Medicare, and Medicaid lines of business . Healthcare claims : specifically, differences between ... **Required** + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of experience… more
    Evolent (12/05/24)
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  • Clinical Content Analyst

    Elevance Health (Indianapolis, IN)
    …preferred. + Scaled Agile Framework Training strongly preferred. + 5+ years of claims editing experience with healthcare payers and/or claims editing ... **Clinical Content Analyst ** **Location:** This position will work a hybrid...CMS, CPT/AMA and other major payer policies based on healthcare correct coding and regulatory requirements. **How you will… more
    Elevance Health (12/21/24)
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  • Business Information Analyst Sr.

    Elevance Health (Indianapolis, IN)
    ** Business Information Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within ... 50 miles of one of Elevance's Pulse Point locations. **The Business Information Analyst Sr.** is responsible for providing utilization management services, and… more
    Elevance Health (01/08/25)
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  • Senior Analyst , Strategic…

    Evolent (Indianapolis, IN)
    …Excel, SAS, SQL, or similar analytical software to analyze clinical authorization and healthcare claims data + Using analytical tools to integrate various data ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...SQL or SAS is preferred + 2-5 years of healthcare -related experience is preferred **Technical Requirements:** We require that… more
    Evolent (11/27/24)
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  • Pricing Analyst - Remote

    Prime Therapeutics (Indianapolis, IN)
    …analysis to include 1 year of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... our passion and drives every decision we make. **Job Posting Title** Pricing Analyst - Remote **Job Description** The Pricing Analyst maintains, provides… more
    Prime Therapeutics (01/09/25)
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  • Subrogation Analyst - Third Part Liability

    Elevance Health (Indianapolis, IN)
    Job Description **Subrogation Analyst ** _Location: Virtual with the ideal candidate living 50 miles from the Louisville, KY, Waukesha, WI, or Indianapolis, IN ... care cost containment company offering subrogation recovery services. The **Subrogation Analyst ** is responsible for handling complex Third Party Liability and other… more
    Elevance Health (01/09/25)
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  • Analyst , Medicaid Rebates

    Sumitomo Pharma (Indianapolis, IN)
    …and to clean up historical utilization that is routinely submitted with Medicaid claims . In addition, the analyst will load Medicaid claim information into ... dynamic, highly motivated, and experienced individual for the position of ** Analyst , Medicaid Rebates.** This individual contributor role is responsible for… more
    Sumitomo Pharma (11/07/24)
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  • Sr. Pricing Analyst - Pharmacy Network…

    Prime Therapeutics (Indianapolis, IN)
    …complex queries to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to ... every decision we make. **Job Posting Title** Sr. Pricing Analyst - Pharmacy Network - Remote **Job Description** The...revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other… more
    Prime Therapeutics (01/08/25)
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  • Bus Info Analyst Sr.

    Elevance Health (Indianapolis, IN)
    ** Business Information Analyst Sr.** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live within ... miles of one of Elevance's Pulse Point locations. The ** Business Information Analyst Sr.** is responsible for...performance using summary statistical procedures. * Develops and analyzes business performance reports (eg for claims data,… more
    Elevance Health (01/11/25)
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  • Provider Contract/CofC Analyst Sr.

    Elevance Health (Indianapolis, IN)
    **Provider Contract/CofC Analyst Sr.** **Location:** This position will work a hybrid model (remote and in-office, 1 - 2 days per week). Candidates must live within ... miles of one of Elevance's Pulse Point locations. The **Provider Contract/Cost of Care Analyst Sr.** is responsible for analytical support to the Cost of Care and/or… more
    Elevance Health (01/11/25)
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  • Sr. Applied Stars and Quality Analytics…

    Prime Therapeutics (Indianapolis, IN)
    …decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... as a champion of the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor or train junior level… more
    Prime Therapeutics (12/24/24)
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  • HEDIS Research Analyst

    Elevance Health (Indianapolis, IN)
    …and summarizes performance using summary statistical procedures. + Develops and analyzes business performance reports (eg for claims data, provider data, ... PulsePoint sites used for collaboration, community, and connection The **HEDIS Research Analyst ** is responsible for serving as an expert in HEDIS data analysis,… more
    Elevance Health (01/07/25)
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  • PBM Sr Business Intelligence Data Visual…

    Prime Therapeutics (Indianapolis, IN)
    …consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience ... passion and drives every decision we make. **Job Posting Title** PBM Sr Business Intelligence Data Visual Consultant - Remote **Job Description** The Senior Data… more
    Prime Therapeutics (01/08/25)
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  • Senior Implementation Specialist

    Elevance Health (Indianapolis, IN)
    …Computer Science or related field of study and a minimum of 6 years systems analyst or business analyst experience; or any combination of education and ... **Preferred Skills, Capabilities, and Experiences:** + Master's degree in Business Administration, Computer Science, Healthcare Administration, or related… more
    Elevance Health (12/21/24)
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  • SCA Appeals Rep I (US)

    Elevance Health (Indianapolis, IN)
    … writing proficiency, understanding of provider networks, the medical management process, claims process, all of the company's internal business processes, and ... and begins on March 10th, lasts 12-16 weeks, and occurs during business hours, Monday through Friday. **National Government Services** is a proud member… more
    Elevance Health (01/11/25)
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  • Analytics Developer I, Medical Trends

    Baylor Scott & White Health (Indianapolis, IN)
    …capacities. We have over 1 million lives across multiple blocks of business and industry-leading analytics to support our organization. We seek a stakeholder-facing ... statistical analyst that will be responsible for the extraction, analysis...a variety of sources, including electronic health records, and claims data + **25%** : Provide observations and recommendations… more
    Baylor Scott & White Health (01/11/25)
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