Healthcare Claim Analyst Jobs in Indianapolis

Actuarial Analyst II,III - Any Anthem Office ... filled as either an Actuarial Analyst II or an Actuarial Analyst III depending on experience and ... at the managers discretion. Actuarial..

Description The Senior Claims Research & Resolution Professional works with operational teams, vendors, providers, and members in the processing of claims. Strong analytical skills focusing on accuracy and attention to detail. ..

13,738 Job Information Deloitte Healthcare Data Analytics & Visualization Consultant ... Visualization Consultant in Indianapolis Indiana Healthcare Data Analytics and Visualization Consultant ... expertise on Medicare (preferably Claims) Healthcare Analytics..

Description The Claims Review Representative 4 (formerly Team lead), Financial Recovery Overpayment Team makes appropriate claim decision based on strong knowledge of claims procedures, contract provisions, and state and federal legislation. ..

... aspects related to reviewing pharmacy claim submissions for accuracy and appropriateness. ... tone and standard for pharmacy claim review. The Pharmacy Claims Professional ... pharmacies, make determination of appropriate..

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Indianapolis Indiana Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

Description Responsibilities The Claims Quality Audit Professional 1 works with the Resolution Quality Audit leadership team to support efficiency and day to day operations. Requires in-depth knowledge of Microsoft products Excel, ..

Job Information Humana Senior Financial Analyst - Remote in Indianapolis Indiana ... vision is to improve member healthcare through innovative analytics and actionable ... is seeking a Senior Financial Analyst..

Job Information Humana Pharmacy Claims Specialist, Remote in Indianapolis Indiana Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Description The Senior Finance Analyst collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness. The Senior Finance Analyst work assignments involve moderately complex to complex ..

Job Information Humana Senior Risk Management Professional - Pharmacy claims in Indianapolis Indiana Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior ..

Job Information Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI in Indianapolis Indiana Description The Senior Consumer Service Operations Professional is responsible for the daily activities across multiple service ..

... Humana Lead Product Manager - Healthcare API in Indianapolis Indiana Description ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..

Job Information Humana Senior Financial Analyst - Remote Nationwide in Indianapolis ... Indiana Description The Senior Financial Analyst for Humana's Direct Contracting Entity, ... operational effectiveness. The Senior Financial Analyst..

Description The Project Manager II manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Manager II work assignments ..

Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Lead works on problems of ..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

Corporate Healthcare Associate The candidate should have 3 +years of corporate and healthcare transactional experience. Must have M&A, contracts, regulatory, and corporate governance experience within the healthcare field. Experience with licensure ..

Job Information Humana Senior Process Improvement Professional/HGB (TRICARE Benefits, Claims processing exp.) Remote Nationwide in Indianapolis Indiana Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business ..

Description The Senior Business Intelligence Analyst (Claims Strategy) solves complex business ... decision-makers. The Senior Business Intelligence Analyst work assignments involve moderately complex ... In The Senior Business Intelligence Analyst..

16,436 Job Information Deloitte Federal Healthcare Data Analytics and Visualization Analyst in Indianapolis Indiana Federal Healthcare Data Analytics and Visualization Analyst Are you a Federal Data ... expertise on Medicare..