- Molina Healthcare (Meridian, ID)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Idaho Division of Human Resources (Boise, ID)
- Business Analyst - MED Posting Begin Date: 2025/03/11 Posting End Date: 2025/04/08 Category: Business Work Type: Full Time Remote: Flexible Hybrid Location: ... methods, and monitoring progress toward goals and project completion; OR Certification as a Business Analyst Associate; OR successful completion of Business … more
- City of Boise (Boise, ID)
- Risk Management Analyst Print (https://www.governmentjobs.com/careers/boiseid/jobs/newprint/4867172) Apply Risk Management Analyst Salary $21.41 - $25.42 ... Mountain + Description + Benefits + Questions Summary Statement Risk Management Analyst provides complex administrative and financial support to the city's Human… more
- Idaho Division of Human Resources (Idaho Falls, ID)
- Analyst - MED Posting Begin Date: 2025/03/06 Posting End Date: 2025/03/27 Category: Accounting and Finance Sub Category: Medical Billing & Coding Work Type: Full ... waste and abuse in the Medicaid program. As an analyst , you will play a crucial role in conducting...a crucial role in conducting preliminary investigations by reviewing claims data and medical records, reviewing provider billing practices,… more
- Evolent (Boise, ID)
- …selves to work. That's one reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ... **Senior Analyst , Healthcare Analytics Consultant** The Client Analytics team provides...team provides a unique opportunity to collaborate with key business , analytics, product, and operational leaders to deliver client-specific… more
- Humana (Boise, ID)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... work closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of… more
- Molina Healthcare (Idaho Falls, ID)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...methodology & processing is essential + Understanding on hospital claims processing and configuration works + Medicare fee schedule… more
- Molina Healthcare (Meridian, ID)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with… more
- Molina Healthcare (Nampa, ID)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...in contracts and benefits configuration. + Strong background in claims is required . + Experience working on… more
- Molina Healthcare (Meridian, ID)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... organizations. + Maintains SharePoint Sites as needed. **JOB QUALIFICATIONS** ** Required Education** Bachelor's Degree in Finance, Economics, Computer Science **… more
- Mass Markets (ID)
- …Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience ... POSITION OVERVIEW MCI is a leading Business Process Outsourcing (BPO) company that specializes in...We are looking for a proactive and detail-oriented Real-Time Analyst to join our workforce management team. This role… more
- Sedgwick (Boise, ID)
- …their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our ... Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Data Analyst **PRIMARY PURPOSE** : To create comprehensive reporting and analysis of… more
- Molina Healthcare (Caldwell, ID)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting, benefits,… more
- Molina Healthcare (Nampa, ID)
- …information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each ... Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network… more
- Highmark Health (Boise, ID)
- …**If the candidate lives within 50 miles of the Highmark footprint, they will be required to work in the office as needed by the team.** This job creates data-driven ... in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. **ESSENTIAL… more
- Highmark Health (Boise, ID)
- …patterns in varied and complex data; and articulates analytic findings, business implications, and recommendations to realize identified opportunities. This position ... strategic priorities, needs, plans and resources. + Serves as a strategic business partner to internal and external stakeholders as demonstrated by providing thought… more
- Molina Healthcare (ID)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... Analyzing Financial and Utilization Metrics of Healthcare. **JOB QUALIFICATIONS** ** Required Education** Bachelor's Degree in Finance, Economics, Computer Science **… more
- Molina Healthcare (Meridian, ID)
- …opportunities to support clinical savings initiatives. **KNOWLEDGE/SKILLS/ABILITIES** + Analyze claims and authorization data to identify trends or other issues ... exhibits and data visualizations to illustrate key trend drivers + Work with business owners to track performance indicators of medical interventions + Extract and… more
- Highmark Health (Boise, ID)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... lower level HMIG Underwriters. **ESSENTIAL RESPONSIBILITIES** + Responsible for a book of business of renewing accounts and writing new business at profitable… more