Index Analytics is seeking a Technical Analyst II to support the Independent Dispute Resolution (IDR) process. This role is responsible for reviewing medical and billing documentation, conducting comprehensive case analyses, and collaborating with stakeholders to facilitate the timely and accurate resolution of disputes. The ideal candidate will bring expertise in medical records review, healthcare billing and analytical problem-solving while working effectively within a multidisciplinary team environment.
KEY RESPONSIBILITIES
- Review and evaluate disputes submitted through the Federal IDR Portal to determine eligibility and support dispute resolution activities.
- Apply healthcare billing and medical record review expertise to analyze case files using multiple government systems, IDRE platforms and databases.
- Collaborate with fellow analysts and cross-functional teams to achieve productivity, quality and timeliness objectives for dispute intake, triage, and resolution.
- Conduct detailed case assessments and provide recommendations to support eligibility determinations and other dispute-related decisions.
- Identify gaps, inconsistencies, or missing documentation and communicate requirements necessary for efficient case processing and resolution.
- Recommend process improvements to enhance business operations, workflows, case intake procedures and case management practices.
- Research regulatory guidance, industry standards and operational requirements to develop training materials, job aids, policies, and other reference resources.
- Collect, validate and analyze data from a variety of sources, including web-based resources, client databases, government systems and internal repositories.
- Maintain accurate and comprehensive documentation of case reviews, findings and recommendations.
- US citizen or Authorized to Work and lived in the US for 3 of the last 5 years. Must be able to obtain a U.S. Federal government client badge and pass a government Public Trust.
- 2–4 years of relevant experience in case management, benefits or eligibility processing, health program operations, or similar high-volume, process-driven environments; bachelor’s degree preferred but not required, with relevant experience considered in lieu of a degree
- Strong attention to detail with ability to manage moderate to high case volumes
- Experience with case management systems, CRM platforms, or similar data tools
- Ability to follow structured workflows while exercising sound judgment
- Clear and professional written and verbal communication skills
- Authorized to work in the U.S. with ability to obtain a Public Trust clearance
Preferred
- Experience supporting federal or state health programs (e.g., CMS, Medicaid, Medicare)
- Familiarity with HIPAA and federal data handling requirements
- Experience working in regulated, audit-driven environments
Attention Candidates
We're dedicated to ensuring a safe and transparent recruitment process for all candidates and have implemented robust measures to protect your personal information. Please be aware that all employment-related communications will originate from a secure portal ([email protected]) or a corporate email address ([email protected]). If you have any concerns, please don't hesitate to reach out to us at [email protected].
If you are selected for an interview, please be advised that Index Analytics LLC reserves the right to prohibit the use of artificial intelligence (AI) tools, including but not limited to AI-generated responses, real-time transcription, or automated assistance during the interview process. We value authentic interactions and the opportunity to engage directly with candidates. Any unauthorized use of AI may result in disqualification from consideration.
The salary range provided represents the estimated compensation for new hires in this position, applicable across all locations. Actual offers may vary based on factors such as the candidate's skills, qualifications, experience, and market conditions. Index complements its base salary offering with a competitive package that includes health and retirement benefits, discretionary bonuses, and reimbursement for professional development opportunities.
Index Analytics provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Skills Required
- 2-4 years of relevant experience in case management, benefits or eligibility processing, health program operations, or similar high-volume, process-driven environments
- U.S. citizenship or authorization to work in the United States
- Lived in the United States for 3 of the last 5 years
- Ability to obtain a U.S. federal government client badge
- Ability to obtain a Public Trust clearance
- Strong attention to detail and ability to manage moderate to high case volumes
- Experience with case management systems, CRM platforms, or similar data tools
- Ability to follow structured workflows while exercising sound judgment
- Clear and professional written and verbal communication skills
- Bachelor's degree
- Experience supporting federal or state health programs, such as CMS, Medicaid, or Medicare
- Familiarity with HIPAA and federal data handling requirements
- Experience working in regulated, audit-driven environments
What We Do
Index Analytics is a data integration, data visualization, and CRM company.
