- St. Luke's Health System (Boise, ID)
- **Overview** The Manager, Payer Contracting is a key role for St. Luke's Health Partners accountable for the payer contract portfolio, to include oversight of ... the timely drafting, negotiation, and execution of payer agreements, ensuring contracts are completed within required timeframes and stored appropriately for easy… more
- R1 RCM (Boise, ID)
- …AI, intelligent automation, and workflow orchestration. As our R37 GenAI Lab Senior Process Analyst in the Perfect Claim pillar, you will play a key role in both ... product platform. **Here's what you will experience working as a Senior Process Analyst :** + Analyze and optimize current edits in claim scrubbers to improve claim… more
- Intermountain Health (Boise, ID)
- …and deployment of data analytics at Intermountain Health supporting Finance, Accounting, Payer Contracting, and related areas. As a Consultant Data Analyst , ... Provides expert support for management level leadership in Finance, Accounting, Payer Contracting, and Data Services. Develops a comprehensive understanding of… more
- Intermountain Health (Boise, ID)
- …and deployment of data analytics at Intermountain Health supporting Finance, Accounting, Payer Contracting, and related areas. As a Senior Data Analyst , ... Provides advanced support for management level leadership in Finance, Accounting, Payer Contracting, and Data Services. Develops a deep understanding of customer… more
- Cognizant (Boise, ID)
- …world. Together, we're improving everyday life. **Job Title** **: Facets/QA System Analyst ** **Location** **:** **Remote** **Job ID** **: SO# 63757471** **Role and ... guide development and QA teams. . Leverage knowledge of US Healthcare payer operations. . Participate in Systems/Integration Testing and support User Acceptance… more
- Intermountain Health (Boise, ID)
- …the patient's account within Intermountain's policies and procedures. Revenue Integrity Analyst II 1.Analyze data, develop reports, review trends, and recommend ... aligned with procedure performed, and charges/coding are consistent with Federal, State, and payer guidelines. 9. Acts as a subject matter resource to team and… more
- Highmark Health (Boise, ID)
- …remain up to date on industry trends and patterns.Collaborate with Lead Analyst on his/her meetings with Government Affairs and key internal/external stakeholders to ... control frameworks, and assessment methodologies, particularly as applied to healthcare ( payer and provider) business processes + Knowledge of relevant regulatory… more
- St. Luke's Health System (Boise, ID)
- **Overview** **Position Summary:** The Epic Tapestry Analyst - Health Plan AP Claims is responsible for supporting the build, configuration, maintenance, and ... and managed care operations. + Experience working in a **health plan or payer ** environment with knowledge of claims lifecycle and provider payment methodologies. +… more
- Molina Healthcare (Caldwell, ID)
- …acceptable. **REQUIRED EXPERIENCE:** + 1-3 years of experience in Healthcare ( payer experience), Vendor Management, Data Analytics, Contract Terms and Conditions, ... Procurement, Project Management, or Account Management + Demonstrates familiarity in a variety of concepts, practices, and procedures applicable to job-related subject areas. + Proficient with Microsoft Office Suite, databases, advanced spreadsheets, pivot… more
- Highmark Health (Boise, ID)
- …data + 3 years of project leadership in a complex, matrixed environment ( payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, ... administrative, operational and financial stakeholders **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Demonstrated record of data-driven discovery, intense intellectual curiosity, and a passion for… more
- Evolent (Boise, ID)
- …years of professional experience in claims-based healthcare analytics with a payer , provider, clinical vendor, managed care, or related healthcare consulting entity ... + Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs + Exceptionally strong analytical abilities, with track record of identifying and communicating insights from… more
- Cardinal Health (Boise, ID)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more
- Norstella (Boise, ID)
- …and Senior Analysts), particularly on clinical content & guidance, and oversee analyst workstream progress to ensure project timelines are met, and provide feedback ... clinical oncology landscape (eg, health systems, cancer centers, practices, VA system, payer organizations, pathways, and EMR / data vendors). + Analyze clinical… more