- Baylor Scott & White Health (Boise, ID)
- …of Experience in Healthcare Analytics + 2 years working with ACA and Medical Claims , MMR, MOR, MAO-002, MAO-004 and RAPs/EDS data + Experience with ... + **JOB SUMMARY** The Risk Adjustment Analyst Sr is responsible for monitoring and oversight...outbound encounter process. + Monitors and oversees the end-to-end claims encounter management workflow. + Identifies and interprets encounter… more
- St. Luke's Health System (Boise, ID)
- …data-driven insights and actionable analytics. **Senior Population Health Analyst :** Support network performance, value-based contracts, and operational improvement ... and population health initiatives. Using SQL and enterprise data platforms, the analyst develops models, dashboards, and reports to monitor performance and deliver… more
- Evolent (Boise, ID)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Senior Analyst , Client Analytics The Client Analytics team provides a unique opportunity to ... of our specialty programs and administrative platform. **Role Overview** The Senior Analyst role on Client Analytics will support both internal teams (EAS,… more
- CVS Health (Boise, ID)
- …R, Alteryx, Trifacta, Linux OS, GCP/ AWS/ Azure * Experience working with medical and/or pharmacy claims data * Experience in healthcare industry, including ... our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health...a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and… 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 ... IT, the pricing software vendor, CIS BSS, Medicaid operations, claims operations, and other business teams involved in the...methodologies that utilize MS-DRG, APR-DRG, APC or EAPG + 2 + years of experience with Optum Rate Manager +… more
- Molina Healthcare (Meridian, ID)
- …pricing, forecasting, and accrual processes. The candidate will summarize and analyze claim and utilization in support of these processes. This is a non-traditional ... role that blends standard actuarial modeling, medical economics, and financial reporting and analytics. **KNOWLEDGE/SKILLS/ABILITIES** + Collaborate with Actuarial… more
- R1 RCM (Boise, ID)
- …closely with the billing and collections teams to ensure timely follow-up on unresolved claims . *The Senior Analyst will utilize Lean & Six-Sigma frameworks to ... **Essential Responsibilities** * The Revenue Cycle Senior Analyst plays a critical role in optimizing financial performance by reviewing and analyzing open… more