- Wolters Kluwer (Indianapolis, IN)
- …in data analysis tools (eg, SQL, Excel, Tableau). + Recent experience with healthcare claims software (eg, Epic, Cerner, or equivalent). **Preferred Skills** + ... Analyst to join the Mediregs team focusing on claims processing and the RCM process. The ideal candidate...claims processes. + Stay updated on changes in healthcare regulations and reimbursement policies. + Collaborate with cross-functional… more
- 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
- Prime Therapeutics (Indianapolis, IN)
- …to determine work assignments within project + Educate and advance business systems analyst practice within the Claims IT team and across the organization ... and drives every decision we make. **Job Posting Title** Sr. IT Business Systems Analyst Remote **Job Description** The Business Systems Analyst (BSA) Lead IT is… more
- 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
- Elevance Health (Indianapolis, IN)
- **Title: Grievance/Appeals Analyst I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of ... our PulsePoint locations. The **Grievance/Appeals Analyst I** is an entry level position in the...with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear,… more
- Prime Therapeutics (Indianapolis, IN)
- …passion and drives every decision we make. **Job Posting Title** IT Business Systems Analyst - REMOTE **Job Description** The Business Systems Analyst (BSA) IT is ... document the requirements and technical solutions for changes to Prime's claims systems. **Responsibilities** + Ensure understanding of business requirements and IT… more
- Evolent (Indianapolis, IN)
- …mathematics, computer science, or engineering) - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership ... Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst… more
- Elevance Health (Indianapolis, IN)
- **Business Information Analyst Sr. - Cost of Care** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must ... 50 miles of one of Elevance's Pulse Point locations. **The Business Information Analyst Sr. - Cost of Care** is responsible for providing utilization management… more
- 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
- 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
- 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
- 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
- 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
- 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
- Prime Therapeutics (Indianapolis, IN)
- …and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Regulatory Complaints & Inquires) - Remote **Job Description** The Regulatory ... Inquiry & Complaints Senior Compliance Analyst assists in the implementation of Prime's compliance programs and may lead some initiatives within their designated… more
- Prime Therapeutics (Indianapolis, IN)
- …our passion and drives every decision we make. **Job Posting Title** Health Data Analyst Sr- REMOTE **Job Description** The Senior Health Data Analyst provides ... of experience in pharmacy benefits management, reporting & analytics, benefits consulting, healthcare , financial services or related field + Must be eligible to work… more
- Elevance Health (Indianapolis, IN)
- **JR141602 Business Analyst II** Responsible for translating basic business needs into application software requirements. **How will you make an impact:** + Analyzes ... an equivalent background. **Preferred Skills, Capabilities, and Experiences:** + Pharmacy Claims Audit is strongly preferred. + PBM (Pharmacy Benefit Management)… more
- Elevance Health (Indianapolis, IN)
- …PulsePoint sites used for collaboration, community, and connection. The **Actuarial Analyst II** is responsible for completing projects and performing complex ... and models data including risk reporting and forecasting. + Calculates monthly claims liability reserves, develops merit rating factors and prepares Department of… more
- 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
- Baylor Scott & White Health (Indianapolis, IN)
- …analytics to support our organization. We seek a stakeholder-facing statistical analyst that will be responsible for the extraction, analysis and interpretation ... analyze data from a variety of sources, including electronic health records, and claims data + **25%** : Provide observations and recommendations based on analysis… more