- Prime Therapeutics (Boise, ID)
- …our passion and drives every decision we make. **Job Posting Title** Senior Medical Pharmacy Analyst - Remote **Job Description Summary** Responsible for leading ... solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Understanding of CPT and… more
- Humana (Boise, ID)
- …a part of our caring community and help us put health first** The Medical /Financial Risk Evaluation Professional 2 / Analyst is responsible for supporting the ... implementation and monitoring of medical /financial risk. The Medical /Financial Risk Evaluation Professional / Analyst +...CMS and/or AHCA compliance + 2 or more years Claims experience + 2 or more years Audit and/or… more
- R1 RCM (Boise, ID)
- …a Denials Senior Analyst :** + You will be investigating and analyzing claims to identify hospital denial reasons. + Drafting of complex and contractual appeals ... transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise… more
- R1 RCM (Boise, ID)
- As our Revenue Recovery Analyst II, you will help R1 clients by analyzing claims information so that they can resolve complex accounts. Every day you will ... to craft appeal letters to resolve any insurance company medical denial. To thrive in this role, you must...Prior Denials or AR experience in Hospital or Physician claims and experience working in a production-based environment is… more
- R1 RCM (Boise, ID)
- …transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise ... automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing... I, you will help R1 clients by analyzing claims information so that they can resolve complex accounts.… more
- Simplot (Boise, ID)
- Insurance Risk Management Analyst / Senior Risk Management Analyst Location: Boise, ID, US, 83702-6924 The JR Simplot Company is a diverse, privately held ... commercial insurance underwriting, brokerage, or risk management career. The Risk Analyst play a key role securing global insurance programs mitigating risk.… more
- Providence (ID)
- …enhance accuracy and efficiency. + Monitor and analyze emerging trends in claims , legal environment, and medical advancements, and proactively provide insights ... we must empower them._** **Providence Health Plan is calling a Senior Actuarial Analyst , Valuation who will:** + Analyze and interpret historical data, claim … more
- R1 RCM (Boise, ID)
- As our Underpayments Analyst you have the primary role of validating and reviewing hospital accounts which are believed to have additional revenue opportunity. Every ... day you will confirm claim reimbursement, ensure there are no additional variables impacting...color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation,… more
- St. Luke's Health System (Boise, ID)
- …revenue, reimbursement, and Revenue Cycle Metric performance;and providing business analyst support through participating in and/or leading various process ... deferred revenue reports to support internal and external requirements. + Analyzes claims data to identify contractual underpayments and billing errors. + Other… more
- Sedgwick (Boise, ID)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Data Analyst Sr **PRIMARY PURPOSE** : To create comprehensive reporting and analysis of ... _. A comprehensive benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and life insurance, employee… more
- Public Partnerships LLC (Boise, ID)
- …research using database queries and spreadsheet analysis. . Prepares and re-submits corrected claims or invoices as needed. . Interacts with clients and staff to ... and achieve overall goals. . Establishes improved systems functionality to ensure claims are properly reconciled to the payroll accounting system. . Performs… more
- Highmark Health (Boise, ID)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... participation percentage, type of industry, characteristics of employee groups, or past claim experience to determine what benefits can be offered and to set… more
- Providence (ID)
- …Manage certified Coding Policy Analysts and all coding-related reviews, work queues, and analyst metrics + Ensure appropriate review and payment of coding related ... claims in a timely fashion across all lines of...including oversight of the coding policy edits in the claim editing system to ensure consistent and accurate adjudication… more
- Idaho Division of Human Resources (Boise, ID)
- …Labor, Research and Analysis team has an exciting opportunity for a Research Analyst , Principal, to support the data needs both within and outside the organization ... and the accompanying presentation. + Develop reports using unemployment insurance claims and transactional data available through department data. + Familiarity… more