Healthcare Claim Analyst Jobs

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..

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..

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 ..

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, ..

... 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..

Job Information Humana Medical Director - S. Florida in Indianapolis Indiana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

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 UM Medical Director - Conviva in Indianapolis Indiana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

Job Information Humana Medical Director of Trend Analytics in Indianapolis Indiana Description Humana's ECM organization is seeking a Medical Director of Trend Analytics. As a clinical trend leader you will support ..

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 ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..

Job Information Humana Medical Director - Texas in Indianapolis Indiana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to ..

Job Information Humana Market Network Operations Lead (Behavioral Health) - KY Medicaid in Indianapolis Indiana Description The Behavioral Health Network Operations Lead will be our Subject Matter Expert on Kentucky Medicaid ..

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 ..

Job Information Humana Market Development Advisor - Medicaid Provider Service Operations in Indianapolis Indiana Description The Market Development Advisor - Medicaid Provider Service Operations provides support to assigned health plan and/or ..

... Qualifications Bachelor's degree in a healthcare field or equivalent experience. 5 ... years of experience in managed healthcare analysis, preferably as a Business ... analysis, preferably as a Business..

Description Humana Healthy Horizons in Indiana is seeking a Director, Provider Services (Director, Provider Engagement) who will lead a team that is accountable for growing positive, long-term relationships with network providers ..

Job Information Humana VBP Data & Reporting Lead in Indianapolis Indiana Description The Data and Reporting Lead generates ad hoc reports and regular datasets or report information for end-users using system ..

Job Information Humana Medical Director - Florida Medicaid in Indianapolis Indiana Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex ..

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 ..

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Indianapolis Indiana Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be responsible ..