- Intermountain Health (Boise, ID)
- **Job Description:** The Coding Analyst I for SelectHealth provides general expertise in the areas of all areas of coding (professional, facility (inpatient ... reimbursement, compliance initiatives, regulatory legislation, and billing practices. This analyst reviews claims and monitors provider appeals including sending… more
- R1 RCM (Boise, ID)
- …reducing operating costs and enhancing the patient experience. As a Revenue Cycle Analyst , you will execute audits and conduct reimbursement research for a regional ... + Build and maintain expertise in Medicare and Managed Care billing, coding , and reimbursement policies. + Support algorithm research, development, and maintenance… more
- R1 RCM (Boise, ID)
- …while reducing operating costs and enhancing the patient experience. As our Hospital CDM Analyst / RIS Analyst you will ensure accurate and optimal revenue ... To thrive in this role you must have a coding certification and experience working in revenue cycle. **Key...that hospital policies and procedures related to billing and coding are followed by all relevant departments. + Analyzing… more
- R1 RCM (Boise, ID)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. The **Integration Analyst II** will be the lead technical resource assigned to R1's ... end user workflows to enable R1's Technology solution. Additionally, the Integration Analyst will lead all functional integration testing and issue resolution to… more
- Humana (Boise, ID)
- …our caring community and help us put health first** We are seeking an Actuarial Analyst 2 to join our Medicare Dental & Vision forecasting team. The Actuarial ... Analyst 2 analyzes and forecasts financial, economic, and other...continuously improving consumer experiences **Preferred Qualifications** + Familiarity with coding language such as SQL, SAS, R, Python, etc.… more
- Datavant (Boise, ID)
- …a dynamic, high-growth environment and accelerate their development. **As an Operational Analyst , you will:** + Analyze operating variances and derive insights to ... issues in a clear and concise way across customer operations and coding operations + Own operations models, including capacity planning, throughput analyses,… more
- Highmark Health (Boise, ID)
- …a big impact for those we serve. This job performs highly complex benefit coding , new client and group installation, as well as set-up of network structures (eg ... processes and business rules. **ESSENTIAL RESPONSIBILITIES** + Perform highly complex benefit coding , new client and group installation, as well as set-up of network… more
- CVS Health (Boise, ID)
- …all with heart, each and every day. **Position Summary** The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 ... call handling history. + Strong mathematical skills. **Preferred Qualifications** + Coding experience, CMS, and/or CPC Certification. + Strong verbal and written… more
- Molina Healthcare (Idaho Falls, ID)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts… more
- Molina Healthcare (ID)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and ... standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding /billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts… more
- Highmark Health (Boise, ID)
- …and studies of progressive scope and complexity + 7 years with coding languages, analytical software, systems, tools and processes using claims, clinical, enrollment ... that drive the Quadruple Aim + Strong working knowledge of coding languages, relational databases, quantitative and qualitative analytic methodologies, advanced… more
- Molina Healthcare (Meridian, ID)
- …requirements and converting these terms to configuration parameters. + Handles coding , updating and maintaining benefit plans, provider contracts, fee schedules and ... various system tables through the user interface. + Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary. + Works with fluctuating volumes of work and is able to prioritize work… more
- Prime Therapeutics (Boise, ID)
- …and application of intermediate level benefit plan design requirements. A successful Analyst will ensure a high level of quality and accuracy through benefit ... as a subject matter expert on benefits and claim adjudication system coding setup. **Responsibilities** + Analyzes new business requirements for benefit design… more
- Deloitte (Boise, ID)
- …a collaborative environment? As an experienced Infrastructure Engineer - Project Delivery Senior Analyst you will have the ability to share new ideas and collaborate ... or continuous integration/delivery in Google Cloud. + 3+ years of experience coding in one or more general purpose scripting languages (eg, Python, PowerShell,… more