- Humana (Indianapolis, IN)
- …understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Indianapolis, IN)
- … relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex issues where ... The Medical Director 's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records,… more
- United Therapeutics (Indianapolis, IN)
- …orphan diseases. **How you'll contribute** The Associate Analytics, Insights and Operations Director , Market Access will lead data support across all functions of ... Access data analytic dashboard and automate reports where applicable + Build complex models as required for pipeline strategy and analytics to support decisions… more
- Humana (Indianapolis, IN)
- …The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director works on problems of diverse scope and ... complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Merck (Indianapolis, IN)
- **Job Description** The Associate Director Data Science will be responsible for developing and communicating data-driven and actionable insights that drive greater ... analyze data leveraging advanced analytical/statistical techniques from disparate databases/sources ( claims data/EMR Data and other sources) to drive optimization… more
- Evolent (Indianapolis, IN)
- …health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek ... health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek… more
- Lilly (Indianapolis, IN)
- …reimbursement, the Anti-kickback Statute and its safe harbors, the False Claims Act, antitrust, commercial law, and business transactions. In this role, ... labeling and promotional matters (eg global BRIX assessment of claims strategy, MLR claims and tactic escalation...written communication skills with a shown ability to present complex information accurately and concisely to influence others at… more
- Zurich NA (Indianapolis, IN)
- …+ Understands, analyzes, and applies the component parts of an insurance policy for complex claims . + Ability to follow reserving process for indemnity and ... expense in analyzing the potential exposure of complex claims . + Ability to determine the...Remote Work (US) Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-LC1 #LI- DIRECTOR … more
- Zurich NA (Indianapolis, IN)
- …claims specific to your Line of Business. + Develop strategies for resolving complex claims , ensuring proper and timely reserving. + Work with external ... + Represent Zurich in medical bill dispute hearings. + Review and assess complex claim documents, including complaints, answers, motions to dismiss, and other legal… more
- Prime Therapeutics (Indianapolis, IN)
- …or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses, and provide consultation and analytic insight to ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Prime Therapeutics (Indianapolis, IN)
- …new product development. **Responsibilities** + Analyze or produce reports of varied claims data to assess Prime's products and/or programs; utilize analytics to ... based upon large data sets and/or experience working with complex queries + 3 years of experience with dashboard...+ Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Army National Guard Units (Indianapolis, IN)
- …in third-party proceedings under the Federal Labor-Management Relations Statute. Serves as claims officer for the State. Prepares claims reports for the ... processing of claims by the appropriate claims office. Upon designation by the State Adjutant General, participates as Staff Judge Advocate to the Convening… more
- Zurich NA (Indianapolis, IN)
- …Liability Underwriter, (Sr. Level III or AVP Level IV) you will handle complex new and renewal domestic Construction Professional Liability accounts and serve as a ... Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate… more
- Prime Therapeutics (Indianapolis, IN)
- …with high-complexity pricing analyses. **Responsibilities** + Analyze and produce pharmacy claims data reporting of varying complexity to assess competitiveness & ... accuracy of Prime's financial pricing programs against adjudicated claims to identify trends and draw insights to provide...accuracy + Demonstrated ability to problem solve and interpret complex data + Ability to work independently and meet… more
- Mathematica (Indianapolis, IN)
- …data pipelines and analyses involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs and ... and Mathematica's contractual and regulatory requirements. * Act as Project Director on select awarded projects, ensuring successful execution from kickoff through… more
- Prime Therapeutics (Indianapolis, IN)
- …Evaluates the utilization and financial experience of customers and prospects + Performs claims re-pricing analyses of moderately complex external claims ... and ability to adjust focus **Reporting Structure** + Reports to Manager or Director in the Finance Department Potential pay for this position ranges from $59,000.00… more
- Zurich NA (Indianapolis, IN)
- …Surety Regional Leader 113231 Zurich is currently looking for a VP, Territory Director for our Commercial Surety Group in the Central Region. The Central region ... 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
- J&J Family of Companies (Indianapolis, IN)
- …Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less ... processes such as eligibility and benefit verification, pre-authorization, billing, coding, claims , and appeals / grievances; practice management, as well as… more
- BMWC Constructors, Inc. (Indianapolis, IN)
- …and supplier contracts. + Support the legal team in managing disputes, claims , and litigation. + Coordinate with project managers, engineers, and other stakeholders ... customers. + Assist with drafting shareholder and board of director meeting notice, minutes and consents as needed. +...skills and attention to detail. + Ability to present complex data in clear, concise text. + Ability to… more
- Prime Therapeutics (Indianapolis, IN)
- …is responsible for managing, analyzing, and delivering Treasury reporting, including complex liquidity reporting and claim payment process reporting for a variety ... Team and guidance to the Accounting, Finance, Information Technology and Claims operation functions. **Responsibilities** : + Develop, manage, and advance monthly… more