- Ryder System (Indianapolis, IN)
- …of assigned staff. Assists Director with other staff as directed. Work with Director and other management team to develop tactics and strategies to achieve ... staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues....annual metrics and other KPI's + Participates with the Director in the selection and management of… more
- Humana (Indianapolis, IN)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- Humana (Indianapolis, IN)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- Merck (Indianapolis, IN)
- **Job Description** The Hematology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, or PharmD) therapeutic and disease expert who ... engages in scientific exchange with leaders in the external medical and scientific community. Scientific exchange does not include promotional claims about any… more
- Lilly (Indianapolis, IN)
- …bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and ... this position is $162,000 - $237,600 **Purpose:** The purpose of the Senior Director , Global Regulatory Affairs, Global Regulatory Lead (GRL) role is to develop and… more
- Mass Markets (IN)
- …Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, ... the industry. We are seeking a seasoned and driven Director of Sales to join our team. The ideal...Exceptional attention to detail. + Strong organizational and time management skills to thrive in a fast-paced environment. +… more
- Prime Therapeutics (Indianapolis, IN)
- …our passion and drives every decision we make. **Job Posting Title** Senior Director of Underwriting - REMOTE **Job Description** The Sr. Director Underwriting ... for prospective clients and new customer acquisitions. **Responsibilities** + Analyze claims data and develop cost-of-care projections for existing customer renewals… more
- Sedgwick (Indianapolis, IN)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Marketing Analytics Director **PRIMARY PURPOSE OF THE ROLE:** The Marketing Analytics Director ... growth opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401K, PTO and more Work environment requirements for… more
- Mass Markets (IN)
- …Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, ... will be a results-driven leader with extensive experience inBPO operations management , strong problem-solving abilities, and a commitment to customer satisfaction.… more
- Trustmark (Indianapolis, IN)
- …+ Collaborate with the sales leadership teams of VP of Sales & Client Management , Senior Directors' Sales, and the whole sales team to maximize opportunities. + ... accounting of activities and sales. + Collaborate with and support the Client Management team to assure persistency goals are being achieved. + Review national… more
- CVS Health (Indianapolis, IN)
- …and arranges for health care service delivery under the direction of nurse or medical director in the most appropriate setting at the most appropriate expense ... communication, both internally and externally to enhance effectiveness of medical management services (eg, health care providers,...+ May assist in the research and resolution of claims payment issues + Supports the administration of the… more
- McLaren Health Care (Indianapolis, IN)
- …for identification of high risk, and under and overuse of services. Collaborates with Medical Director and senior management on complex cases and special ... One (1) year previous experience in Managed Care Utilization Management , Medical Management , Case ...TPA, PHO and Managed Care functions including understanding of claims administration, including CPT-4 codes, revenue codes, HCPCS codes,… more
- Community Health Systems (Valparaiso, IN)
- …in Healthcare Risk Management preferred **What we offer:** Competitive Pay - Medical , Dental, Vision, & Life Insurance - Generous Paid Time Off (PTO) - Extended ... **Job Summary** The Manager, Risk Management oversees operational and personnel functions within the...compliance. + Oversees the investigation, processing, and defense of claims and suits against the facility, ensuring timely and… more
- Community Health Systems (Peru, IN)
- **Job Summary:** The Manager of Risk Management oversees departmental operations and personnel, ensuring the effective implementation of risk mitigation strategies ... identifying and addressing operational variances to maintain compliance with risk management and quality standards. + Develop, implement, and monitor policies,… more
- Intermountain Health (Indianapolis, IN)
- …on-going credentialing / privileging process and other administrative functions for the Medical Staff, Medical Director , Administration, and Allied Health ... assistant- + Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) within four (4) years of… more
- Lakeshore Bone & Joint Institute (Chesterton, IN)
- …part of the spine billing team. This position is responsible for high dollar medical billing and debt collection. The Spine Billing Analyst will report directly to ... the spine billing director . Essential Job Functions: + Understand the difference between...+ Manage daily work queue to prioritize high dollar claims . + Provide patient with cost estimates when asked.… more
- UIC Government Services and the Bowhead Family of Companies (Crane, IN)
- …include: + Logisticians (multiple levels) + Technical Writers (multiple levels) + Management Analyst (multiple levels) + Operations Analyst (multiple levels) + Data ... levels) + Database Administrators (muliple levels) + Audio Visual Director /Producer + Program Manager **Qualifications** + Education, experience and certificates… more
- Evolent (Indianapolis, IN)
- …to both members and providers + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director . ... necessary/required. + Participates in continuing education initiatives. + Collaborates with Claims , Quality Management and Provider Relations Departments as… more
- Healthfirst (IN)
- …productivity and quality for each Specialist against expectations + Prepare cases for Medical Director Review ensuring that all pertinent information (ie case ... + Experience in clinical practice with experience in appeals & grievances, claims processing, utilization review or utilization management /case management .… more