- Trinity Health (Boise, ID)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** SENIOR PROVIDER QUALITY and PERFORMANCE ANALYST** Come Join us! This is a great ... background in quality or risk adjustment performance . **SUMMARY:** The Senior Provider Quality and Performance Analyst is the primary owner of… more
- Molina Healthcare (Boise, ID)
- **Job Description** **Job Summary** The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... experience in Statistical Analysis and forecasting of trends in HEDIS rates to provide analytic support for quality , finance, and health plan functions **PHY**… more
- CVS Health (Boise, ID)
- …to internal stakeholders, executives, and network providers. + Monitors and evaluates provider performance metrics, such as quality indicators, patient ... Implements Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute resolution processes, and… more
- CVS Health (Boise, ID)
- …initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager, accounts receivable Diagnostics, will ... at home or hybrid, dependent on where the candidate lives.**_** The Provider Experience, Interoperability, Digital Solutions & Provider Operations organization… more
- Molina Healthcare (Boise, ID)
- …accurate generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with ... **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider … more
- Molina Healthcare (Boise, ID)
- …data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance . * Supports VBC network throughout the ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the...strategy and development with respect to financial and operational performance , in alignment with Molina Healthcare's overall mission, core… more
- Humana (Boise, ID)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- Humana (Boise, ID)
- …our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business ... and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to evolve and… more
- Micron Technology, Inc. (Boise, ID)
- …ensure the supplier meets all requirements and does not impact the company's performance to our customers. + Maintaining Quality Assurance business processes ... IQC and play a crucial role in achieving flawless quality in our brand-new engineering processes! This is a...Micron benefits are designed to help you stay well, provide peace of mind and help you prepare for… more
- Merck (Boise, ID)
- …saving lives around the world. Our Research & Development Division QA Clinical Quality (CQ) provide independent assurance that our Company ensures the safety, ... **Job Description** Our Research & Development Division Quality Assurance (QA) is an independent organization that provides quality focus at each critical stage… more
- Humana (Boise, ID)
- …reductions in total cost of care. + Scorecard creation and reconciliation of provider performance based on contractual terms. + Analyzes utilization data to ... model support or similar reimbursement model designs including analyzing provider performance , reporting, and scorecard/reconciliation reporting. + Understanding… more
- Humana (Boise, ID)
- …Strategy team. The Primary Care Organization is Humana's senior -focused healthcare provider . Our national primary care centers provide value-based care and ... is in the midst of significant growth. As a Senior Marketing Associate (internally known as a Senior... business leaders, driving strategic planning, thoughtful socialization, and performance analysis throughout the customer journey + Lead the… more
- Humana (Boise, ID)
- … Senior Network Optimization Professional oversees various efforts involving provider network processes and governance to support state specific network adequacy ... requirements. The Senior Network Optimization Professional works assignments involving moderately complex...and data integrity as required in the Ohio Medicaid Provider Agreement and internal reporting compliance. This role will… more
- Capital One (Boise, ID)
- Senior Operations Coach (Work from Home) **As a Senior Operations Coach - Principal Associate in the Enterprise Data Discrepancy Team, you will lead a team of ... and support department objectives and customer care to meet service level, quality , and customer experience goals. You will have opportunities to engage in… more
- ASM Research, An Accenture Federal Services Company (Boise, ID)
- … Tracking and Metrics: + Define and track test metrics, including code coverage, quality , and performance . + Scheduling and Estimation: + Determine and meet time ... The Senior Test Engineer will be responsible for the...across the Electronic Health Record (EHR) workflows. **Role Responsibilities** Quality Assurance and Testing Standards: + Drive quality… more
- Copeland (Boise, ID)
- …our team and start your journey today! **JOB DESCRIPTION:** If you are a Senior Software Engineer with an interest in greenfield development in the IoT space, ... Copeland has an exciting opportunity for you! **AS A Senior Agile Engineer - Software, YOU WILL:** + Design...+ Use serverless computing on Azure to optimize scalability, performance , and cost-efficiency. + Build modern software applications using… more
- Molina Healthcare (Boise, ID)
- …although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that ... change management (training, SOPs, job aids, communications). + Risk, Compliance & Quality : Ensure alignment to CMS, HIPAA, state regulations, and audit readiness.… more
- Humana (Boise, ID)
- …expert, you will contribute to Communities of Practice, guide transformation practices, and provide strategic consultation to senior leaders. Serve as a ... community and help us put health first** As a Senior Enterprise Transformation Professional - Process Engineer within Humana's...with business areas and leadership to improve member and provider experiences. + Provide leadership and guidance… more
- CAI (Boise, ID)
- …of the technical roles on a ServiceNow team, including: system administrator, quality assurance tester, implementer, and developer. The Senior Technical ... Senior ServiceNow ITOM and ITAM Technical Consultant **Req...consultants to align technical work with process goals + Provide technical oversight and guidance to the implementation team… more
- Humana (Boise, ID)
- …a part of our caring community and help us put health first** The Senior Payment Integrity Professional uses technology and data mining, detects anomalies in data to ... to the investigations of fraud waste and our financial recovery. The Senior Payment Integrity Professional work assignments involve moderately complex to complex… more