- 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)
- **Job Description:** The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... ensure regulatory compliance and revenue optimization for assigned service line(s). **Revenue Integrity Analyst I** Schedule: Monday - Friday from 8 AM - 5 PM (with… 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
- Molina Healthcare (Nampa, 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)
- …provider data + Project leadership in a complex, matrixed environment ( payer and/or provider preferred) + Providing analytical consultation to clinical, ... administrative, operational and financial stakeholders **Preferred** + Data analytics, SQL, R or Python, Tableau or R Shiny **SKILLS** + Demonstrated record of data-driven discovery, intense intellectual curiosity, and a passion for working with data to answer… 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
- Highmark Health (Boise, ID)
- …data + 5 years of project leadership in a complex, matrixed environment ( payer and/or provider preferred) + 5 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
- 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