• Healthcare Claims Analyst

    TEKsystems (Indianapolis, IN)
    TEKsystems is looking to hire several REMOTE Healthcare Claims Analysts for a large healthcare company out of Indianapolis, IN! **if you have experience ... working with healthcare insurance claims , please send your most...first, rather than applicants here.** Description The Provider Enrollment Analyst will be responsible for initiating, processing, and completing… more
    TEKsystems (01/11/25)
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  • Senior Analyst , Client Analytics - 2+…

    Evolent (Indianapolis, IN)
    …**Required** + 2+ years of SAS, SQL Programming Experience with large amounts of healthcare claims and authorization data - **Required** + 2+ years of experience ... associated with Commercial, Medicare, and Medicaid lines of business. Healthcare claims : specifically, differences between institutional vs professional… more
    Evolent (12/05/24)
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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 ... using Excel and SQL or SAS is preferred + 2-5 years of healthcare -related experience is preferred **Technical Requirements:** We require that all employees have the… 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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  • 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 we're… more
    Elevance Health (01/08/25)
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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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  • 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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  • Analyst , Performance Suite Analytics

    Evolent (Indianapolis, IN)
    …quantifying and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations ... or a related field (preferred).** **1+ years of professional experience in claims -based healthcare analytics with a payer, provider, clinical vendor, managed… more
    Evolent (01/22/25)
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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 Data and Reporting Analyst - Remote

    Prime Therapeutics (Indianapolis, IN)
    …/ scrum leading experience + PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + Experience ... we make. **Job Posting Title** Sr Data and Reporting Analyst - Remote **Job Description** The Senior Data &...- Remote **Job Description** The Senior Data & Reporting Analyst is responsible for supporting the business in decision… more
    Prime Therapeutics (01/16/25)
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  • Senior Payment Integrity Analyst

    HealthEdge Software Inc (Indianapolis, IN)
    …combination with a bachelor's degree. + Minimum of 3 years of experience in healthcare payment integrity, content & policy, contracts, claims processing, or a ... play a key role in building and implementing proprietary healthcare edits that drive cost savings and accuracy in... edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for… more
    HealthEdge Software Inc (01/15/25)
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  • Provider Contract Cost of Care Analyst

    Elevance Health (Indianapolis, IN)
    **Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates will ... one of our Pulse Point locations. The **Provider Contract Cost of Care Analyst Senior** provides analytical support to the Cost of Care and/or Provider Contracting… more
    Elevance Health (01/17/25)
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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 50 ... miles of one of Elevance's Pulse Point locations. The **Business Information Analyst Sr.** is responsible for analyzing, reporting and developing recommendations on… more
    Elevance Health (01/11/25)
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  • Business Information Analyst II

    Elevance Health (Indianapolis, IN)
    **Business Information Analyst II** **Location:** This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of ... our Elevance Health PulsePoint locations. The **Business Information Analyst II** will be responsible for analyzing the business process, proposing solutions to… more
    Elevance Health (01/22/25)
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  • Business Information Consultant- HEDIS Research…

    Elevance Health (Indianapolis, IN)
    …PulsePoint sites used for collaboration, community, and connection The **HEDIS Research Analyst ** is responsible for serving as an expert in HEDIS data analysis, ... + Develops and analyzes business performance reports (eg for claims data, provider data, utilization data) and provides notations...dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with… more
    Elevance Health (01/07/25)
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  • Senior Health Informatics Analyst - Remote

    Prime Therapeutics (Indianapolis, IN)
    …Remote **Job Description** + Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and ... rolls out financial, clinical and utilization analyses using a variety of computing tools (eg SQL, Excel). + Performs ad hoc analyses that will vary in duration and complexity. + Participated in defining issues to be studied as well as the methodology to be… more
    Prime Therapeutics (01/15/25)
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  • SCA Appeals Rep I (US)

    Elevance Health (Indianapolis, IN)
    …appeals by external accreditation and regulatory requirements, internal policies, and claims events requiring adaptation of written response in clear, understandable ... and analyze the grievance and appeal issue(s) and pertinent claims and medical records to either approve or summarize...and regulatory standards and requirements. + As such, the analyst will strictly follow department guidelines and tools to… more
    Elevance Health (01/11/25)
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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 ... new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to… more
    Prime Therapeutics (01/08/25)
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  • Remote Medical Collections Specialist (Indiana…

    TEKsystems (Indianapolis, IN)
    TEKsystems is looking to hire several REMOTE Medical Collectors for a large healthcare company out of Indianapolis, IN! **Please only apply if you live in Indiana, ... If you have 3+ years of medical collections and healthcare call center experience, please submit your most updated...Description This department is in charge of turning around claims submitted in the billing process. Essentially, the PFS… more
    TEKsystems (01/15/25)
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