• Claims Business Analyst

    Cognizant (Boise, ID)
    …and IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge ... you on our team. **Purpose:** This position is responsible for working with business partners within one business function to align technology solutions with… more
    Cognizant (05/20/25)
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  • Lead Analyst , Configuration Information…

    Molina Healthcare (Boise, 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 (05/18/25)
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  • Sr. Market Pricing Analyst - REMOTE

    Prime Therapeutics (Boise, ID)
    …passion and drives every decision we make. **Job Posting Title** Sr. Market Pricing Analyst - REMOTE **Job Description** The Senior Market Pricing Analyst ... new and revised financial pricing strategies based on analysis of pharmacy claims data, average wholesale drug prices (AWP), health plan margin target guidelines… more
    Prime Therapeutics (05/22/25)
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  • Sr. Applied Stars and Quality Analytics…

    Prime Therapeutics (Boise, ID)
    …every decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst ... the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor...Experience conducting complex analysis on large sets of pharmacy, claims , medical, and/or financial data + Intermediate SAS or… more
    Prime Therapeutics (05/24/25)
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  • Senior Analyst , Risk & Quality Reporting…

    Molina Healthcare (ID)
    **Job Description** **Job Summary** The Sr Analyst , Risk and Quality Reporting role supports Molina's Risk and Quality Health Plan team. Designs and develops custom ... plan reports related to managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates + Assists and...for the assigned state + Works in an agile business environment to derive meaningful information out of complex… more
    Molina Healthcare (05/31/25)
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  • Sr Analyst , Config Info Mgmt…

    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 ... 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 (04/25/25)
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  • Sr Analyst , Specialty Performance…

    Evolent (Boise, ID)
    …mission. Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote ** Evolent is seeking a Senior ... Analyst , Performance Analytics to join our Performance Suite business unit. Our mission is to improve and innovate Evolent's capabilities driving growth,… more
    Evolent (05/22/25)
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  • Medicaid Provider Hospital Reimbursement…

    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
    Humana (05/29/25)
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  • Facets/QA Analyst

    Cognizant (Boise, ID)
    …world. Together, we're improving everyday life. **Job Title** **: Facets/QA System Analyst ** **Location** **:** ** Remote ** **Job ID** **: SO# 63757471** **Role ... is one of the world's leading professional services companies, transforming clients' business , operating, and technology models for the digital era. Our unique… more
    Cognizant (06/03/25)
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  • Provider/Benefit Configuration Analyst

    Cognizant (Boise, ID)
    …Together, we're improving everyday life. **Job Title** **: Provider/Benefit Configuration Analyst ** **Location** **:** ** Remote ** **Job ID** **: SO# ... is one of the world's leading professional services companies, transforming clients' business , operating, and technology models for the digital era. Our unique… more
    Cognizant (05/20/25)
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  • Reimbursement Sr Analyst

    Intermountain Health (Boise, ID)
    …centralized office function. and other projects as assigned. **This is a 100% remote position** **however, currently we are unable to consider candidates for ... remote opportunities in the following states: California, Hawaii, Illinois,...and budgeted contractual allowances and variances, monitoring of individual claims (logs), etc.). Interacts with HIM, PAS, and hospital… more
    Intermountain Health (05/28/25)
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  • Manager, Medical Economics (Pop Health/Clinical…

    Molina Healthcare (Caldwell, ID)
    …meet data analysis and database development needs. + Reviews, evaluates, and improved business logic and data sources. + Resource to staff for mentoring, coaching, ... and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. +...leadership experience + 10 years' work experience preferable with claims data and/or healthcare environment + Strong knowledge of… more
    Molina Healthcare (04/17/25)
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