- Idaho Division of Human Resources (Boise, ID)
- Medicaid Utilization Review Analyst - DMS Posting Begin Date: 2024/09/27 Posting End Date: 2024/10/20 Category: Accounting and Finance Sub Category: ... you. The Division of Management Services is hiring aMedicaid Utilization Review Analystat ourBoiselocation.This position is instrumental...identify and deter fraud, waste and abuse in the Medicaid program. As an analyst , you will… more
- Humana (Boise, ID)
- …provide best estimate utilization /PMPMs for the month close process + Refresh Medicaid Front End Review tool monthly and communicate results + Prepare ... estimates admit count and spend for each of Humana's Medicaid states. The analyst calculates inpatient trends, exercises actuarial judgement to determine which… more