• Medical Claim Review Nurse (RN)

    Molina Healthcare (Idaho Falls, ID)
    …of experience in Claims Auditing, Medical Necessity Review and Coding experience + Familiar with state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ... Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience . **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Certified Clinical… more
    Molina Healthcare (01/25/25)
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  • Director of Physician Services I

    HCA Healthcare (Idaho Falls, ID)
    …determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The ... with East Falls Primary Care, you can be a manager in an organization that is devoted to giving!...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program more
    HCA Healthcare (12/24/24)
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  • Data Scientist

    Battelle Energy Alliance dba Idaho National Laboratory (Idaho Falls, ID)
    ….. * Experience in data science, data analysis, and software development. * Experience with Python and Coding . * This position requires the ability to obtain ... and effectively. * You will report to the Department Manager . *Minimum Requirements: * * Level 3: Bachelor of...intelligence(AI), or related technical discipline and 5 years relevant experience , or Masters in the same and 2 years… more
    Battelle Energy Alliance dba Idaho National Laboratory (02/17/25)
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  • Clinical Appeals Nurse (RN): Texas and New Mexico…

    Molina Healthcare (Idaho Falls, ID)
    …Utilization Review, Medical Claims Review, Long Term Service and Support, or other specific program experience as needed or equivalent experience (such as ... specialties in: surgical, Ob/Gyn, home health, pharmacy, etc.). + Experience demonstrating knowledge of ICD-9, CPT coding and HCPC. + Experience more
    Molina Healthcare (02/09/25)
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  • Reg Mgr, Value-Based Prgms

    Molina Healthcare (Idaho Falls, ID)
    …**Required Experience ** + 4+ years managed care experience + Experience participating in value-based program & contract design and implementation for ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role...marketplace, Medicaid and/or Medicare + Experience in a complex healthcare delivery environment, specifically with… more
    Molina Healthcare (03/13/25)
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