- Molina Healthcare (ID)
- …reporting solutions, and educate users on how to use reports. + Assist Quality Data Analytics Leaders in Predictive Intervention Strategy Analytics along ... as well as Reporting modules related to Quality/HEDIS for Medicaid , Marketplace and Medicare/MMP. + Analysis and reporting related...analyses for any logic and source code changes for data analytics and reporting module keeping other… more
- Molina Healthcare (Idaho Falls, ID)
- …financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical Management, Network, and ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key… more
- Molina Healthcare (Nampa, ID)
- …updates with Medicaid regional actuarial teams, FP&A (Finance, Planning and Analytics ), and Finance. + Produce reporting and ad hoc analyses of enterprise ... rates, financial analysis and reporting. Extracts, analyzes, and synthesizes data from various sources to identify risks as well...as well as packaging and delivering the results to senior leadership. **Job Duties** + Manage the development and… more
- Molina Healthcare (ID)
- … data , reports, and improvement opportunities based on analyses + Provide data driven analytics to Clinical COE, Finance, Claims, Medical Management, Network, ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...Healthcare products. Understands and assess critical UM and CM data and designs / develops reports to monitor UM… more
- Molina Healthcare (Boise, ID)
- **JOB DESCRIPTION** **Job Summary** This Sr. Analyst, Healthcare Analytics role will be responsible for work around Program Valuation on Molina's Risk Adjustment ... Actuarial team. Responsibilities include research, analysis and modeling of complex healthcare claims data , pharmacy data , lab data , and Risk Adjustment… more
- NTT America, Inc. (Boise, ID)
- … data protection and privacy laws. + Experience with Medicaid /Medicare systems processing, including Claims, Provider, and Member Eligibility. Managed Care, ... Qualifications and Certifications:** + Bachelor's degree or equivalent in Data Science, Business Analytics , Mathematics, Economics, Statistics, Engineering,… more
- Cardinal Health (Boise, ID)
- …work and progress the patient journey. Consistently leverage CRM reporting tools and data analytics to make strategic decisions while prioritizing patient and ... ability to embrace change and thrive in dynamic environments. + Proficiency in managing data and analytics tools is a plus. + Bi-lingual; Spanish language skills… more
- Humana (Boise, ID)
- …Humana's technology and analytics . The Humana Enterprise Operations Enablement (EOE) - Data & Analytics - BI (Business Intelligence) team is a high ... data science supporting Humana's Service Operations. The Data & Analytics team is seeking a...drive strategic direction + Proficiency in understanding Healthcare related data + Proficiency in verbal/written communication to senior… more
- Humana (Boise, ID)
- … Analytics /Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational ... an in-depth evaluation of variable factors. The Associate Actuary, Analytics /Forecasting ensures data integrity by developing and...Excel and Power Point + Experience with presentations to senior leaders + Ability to work in a fast-paced… more
- CenterWell (Boise, ID)
- …the markets and divisions to foster consistent, compliant workflows. + Partner with Analytics teams to address data outages and communicate remediation plan to ... develop programs to improve clinical documentation. + Partner with MRA Strategy and Analytics teams to establish risk adjustment analytics to identify coding… more
- Humana (Boise, ID)
- …and help us put health first** The Director, Strategy Advancement provides data -based strategic direction to identify and address business issues and opportunities. ... across the function or segment. The Director, Strategy Advancement provides data -based strategic direction to identify and address business issues and opportunities.… more
- Public Consulting Group (Boise, ID)
- …off-shoring, and international technology operations, as appropriate. + Data -intensive warehousing experience (collection, cleansing, export/import, analytics ). ... PCG's Health Practice Area provides proprietary software platforms to state Medicaid agencies and other publicly focused healthcare programs and services. Our… more
- Prime Therapeutics (Boise, ID)
- …of client presentations + Collaborate with underwriters, other areas of Prime, and senior management on pricing initiatives, data analyses, and the RFP process ... support for all Prime's lines of business (commercial, Medicare and Medicaid ). **Responsibilities** + Build, support, and maintain financial and actuarial models… more