- Molina Healthcare (Caldwell, ID)
- …Operations teams + Interprets, communicates, and presents, clear in-depth analysis of claims research results, root cause analysis, remediation plans and fixes, ... **Job Description** **Job Summary** Serves as claims subject matter expert. Assist the business teams...Molina. Identifies the root cause of processing errors through research and analysis, coordinates and engages with appropriate departments,… more
- Molina Healthcare (Caldwell, ID)
- …of audiences. We are seeking a detail-oriented, highly skilled senior data analyst with healthcare data background who feels comfortable in a fast-paced environment. ... in patient care. **KNOWLEDGE/SKILLS/ABILITIES** + With limited supervision, the Sr. Analyst , Data is responsible for data compilation, data management, data… more
- Cognizant (Boise, ID)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... systems and capabilities in order to participate in project activities and research requests on an ongoing basis; Assist in obtaining consensus by facilitating… more
- Idaho Division of Human Resources (Boise, ID)
- Research Analyst Principal - MED Posting Begin Date: 2025/04/08 Posting End Date: 2025/05/06 Category: Research Sub Category: Business Work Type: Full Time ... Health and Welfare, Division of Medicaid has an exciting opportunity for aResearch Analyst Principalon our data analytics team. This position will support the data… more
- Molina Healthcare (Caldwell, ID)
- **Molina Healthcare is hiring a Sr Business Analyst , Appeals & Grievances** and experience in data reporting. **Highly Qualified Candidates Will Have The Following ... + Solid understanding of the full Appeals & Grievances process + Experience working with claims and claims processing + High level of knowledge working with the… more
- Evolent (Boise, ID)
- …models and approaches aimed at quantifying and articulating our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy ... contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to… more
- Norstella (Boise, ID)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Apr 4, 2025 Employment Type: Full Time Job ID: R-1070 **Description** **Why MMIT?** At ... market faster and support patients in need. We are seeking a Senior Medical Analyst to join our team and drive data-driven healthcare initiatives. In this role, you… more
- Intermountain Health (Boise, ID)
- …reimbursement, compliance initiatives, regulatory legislation, and billing practices. This analyst reviews claims and monitors provider appeals including ... **Job Description:** The Coding Analyst I for SelectHealth provides general expertise in...sending correspondence to providers. **Essential Functions** + Reviewing claims (pre-payment) to monitor billing practices and ensure accurate… more
- Evolent (Boise, ID)
- …Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and develops analytic ... as well as Product Development efforts. **What You'll Be Doing:** + Analyse claims and authorization data to identify trends, calculate cost of care, and identify… more
- Molina Healthcare (Caldwell, ID)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... of assigned reports, document reporting processes and procedures. + Assist with research , development and completion of special projects as requested by various… more
- Molina Healthcare (Caldwell, ID)
- …tables through the user interface. + Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- Highmark Health (Boise, ID)
- …subject matter expert in strategy development for new strategic programs. + Research and analyze claims processing problems, perform initial problem ... and scalability and reusability of benefit configurations. Develop and execute claims testing plan, scenarios, documentation and defect management to ensure minimal… more
- Molina Healthcare (Caldwell, ID)
- …ability to work independently, self-navigate organizational and technical challenges. Performs research and analysis of healthcare claims data, pharmacy data, ... for Patient Liability and Medicaid processes. **KEY RESPONSIBILITIES** + Perform research and analysis for inquiries and requests, utilizing technical tools as… more
- Evolent (Boise, ID)
- …fostering expertise and cooperation. + Extract, manage, and analyze claims and operational data using industry-standard metrics. **Qualifications Required and ... preferably with a quantitative major (eg actuarial, statistics, operations research , mathematics, economics) or healthcare focus (health administration, epidemiology,… more
- Molina Healthcare (Caldwell, ID)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... of assigned reports, document reporting processes and procedures. + Assist with research , development and completion of special projects as requested by various… more
- Molina Healthcare (Caldwell, ID)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization ... and cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL… more
- Evolent (Boise, ID)
- …requirements for Evolent's Data Platform based on stakeholder input and research + Translate business requirements into user stories with acceptance criteria ... related field is preferred + 2+ years' experience in healthcare, IT business analyst , and/or product management + Experience working with FHIR - based solutions in… more