- Norstella (Boise, ID)
- Sr. Medical Analyst Company: MMIT Location: Remote, United States Date Posted: Jul 17, 2025 Employment Type: Full Time Job ID: R-1344 **Description** **Why ... support patients in need. We are seeking a Senior Medical Analyst to join our team and...extract meaningful insights from real-world data (RWD) sources, including claims , laboratory results, billing codes, and electronic health records… more
- Molina Healthcare (Meridian, ID)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... of provider reimbursement changes + Provide data driven analytics to Finance, Claims , Medical Management, Network, and other departments to enable critical… more
- CVS Health (Boise, ID)
- …+ Determines coverage, verifies eligibility, benefits, identifies discrepancies, and applies all Medical Claim Management policies and procedures to assist in ... accurately and efficiently. + Customer service experience + Knowledge of Medical Terminology **Preferred Qualifications** + Claims processing experience +… more
- CVS Health (Boise, ID)
- …including Excel and Microsoft Word **Preferred Qualifications** -2-4 years experience as a medical assistant, office assistant or claim processor -ATV, HRP, or ... day. **Position Summary** -Responsible for initial review and triage of claims tasked for review. -Determines coverage, verifies eligibility, identifies and… more
- Molina Healthcare (Boise, ID)
- …sources. + Resource to staff for mentoring, coaching, and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + ... strategic analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise,… more
- Molina Healthcare (Boise, ID)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... + Experience with Medicare, Medicaid and Marketplace is required. + Medical coding experience is highly preferred. **JOB QUALIFICATIONS** **Required Education**… more
- R1 RCM (Boise, ID)
- …process. To thrive you must have experience with data mining, trending and auditing claims . **Responsibilities** + The Senior Analyst must be highly efficient in ... an escalation point and resource for effectively researching complex claim issues. + The Senior Analyst will...Hospital Revenue Cycle and an understanding and knowledge of medical terminology, claims billing, and inpatient and… more
- CVS Health (Boise, ID)
- …all with heart, each and every day. **Position Summary** The **PBM Data Analyst ** performs prescription claim and accumulator audits, verifies policy coverage, ... person contributes to the efficient and accurate handling of prescription claims for reimbursement through knowledge of prescription benefits and effective… 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
- R1 RCM (Boise, ID)
- …analytics, AI, intelligent automation, and workflow orchestration. As our R37 GenAI Lab Process Analyst in the Perfect Claim pillar, you will play a key role ... experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines...Analyst :** + Analyze and optimize current edits in claim scrubbers to improve claim processing accuracy… 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 ... specialized focus on the Health Plan Accounts Payable (AP) Claims functionality. This role ensures the integrity and efficiency...team feels supported in their benefits beyond the typical medical , dental, and vision offerings. We care about you… more
- Cognizant (Boise, ID)
- **About the role** As a QNXT Config Analyst , you will make an impact by conducting requirements using QNXT configuration. You will be a valued member of the ... side with client team to add PBPs. + Troubleshoot and remediate/workaround for claim pend issues. + QNXT Configuration for different State implementation + Ability… more
- Evolent (Boise, ID)
- …the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Healthcare Analytics Consultant The Client Analytics team provides a unique opportunity ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS, Specialty… more
- Evolent (Boise, ID)
- …science, or engineering) - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare ... Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst… more
- Eliassen Group (Boise, ID)
- **Sr Guidewire Business Analyst ** **Anywhere** **Type:** Contract **Category:** Business Analysis **Industry:** Insurance **Workplace Type:** Remote **Reference ... Insurance client is looking to bring on a Business Analyst for a long-term contract.The project is working on...consultants, we offer a great benefits package that includes Medical , Dental, and Vision benefits, 401k with company matching,… 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
- Elevance Health (Meridian, ID)
- **Grievance/Appeals Analyst Senior** **Virtual:** This role enables associates to work virtually full-time, with the exception of required in-person training ... skill development. Shift hours: 8:00am - 4:30pm EST** The **Grievance/Appeals Analyst Senior** is responsible for reviewing, analyzing, and processing complex pre… more
- Molina Healthcare (Meridian, ID)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst , Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... team. Responsibilities include research, analysis and modeling of complex healthcare claims data, pharmacy data, lab data, and Risk Adjustment submissions data… more
- Prime Therapeutics (Boise, ID)
- …or STARS experience + Experience conducting complex analysis on large sets of pharmacy, claims , medical , and/or financial data + Intermediate SAS or SQL coding ... decision we make. **Job Posting Title** Sr. Applied Stars and Quality Analytics Analyst - Remote **Job Description** The Senior Health Data Analyst provides… more
- Humana (Boise, ID)
- …and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... closely with IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the administration of Medicaid… more