- Prime Therapeutics (Boise, ID)
- …our passion and drives every decision we make. **Job Posting Title** Senior Medical Pharmacy Analyst - Remote **Job Description** Design, document, develop and ... solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Understanding of CPT and… 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
- Humana (Boise, ID)
- …of our caring community and help us put health first** The Actuarial Analyst 2 will support financial reporting for the company's insurance businesses, primarily ... focused on claim reserves and other balance sheet liabilities. The Actuarial Analyst 2 will support financial reporting for the company's insurance businesses,… 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
- Idaho Division of Human Resources (ID)
- …over other applicants. + Demonstrated experience analyzing health-related data such as medical claims data, Rx data, hospital discharge data, public health ... Research Analyst Senior - Medicaid Posting Begin Date: 2024/04/19...The data that will be analyzed will include Medicaid claims data, including claims for healthcare encounters… more
- Idaho Division of Human Resources (Boise, ID)
- … analyst to join our dynamic team of professionals. Experience with medical language, paying carriers claims , reviewing marketing ads and/or rates experience ... Insurance Analyst - R&F Posting Begin Date: 2024/04/11 Posting...analyzing health and disability insurance contracts and coverages (ie claims , underwriting, etc.); OR at least two (2) courses… more
- Verint Systems, Inc. (Boise, ID)
- …Learn more at www.verint.com . **Overview of Job Function:** The Senior Benefits Analyst will be responsible for the day-to-day initiatives of all annual projects ... WAPAL, etc.) + Effectively respond to escalations regarding benefit programs or claims issues. + Process Worker's Compensation-related claims , respond to… 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
- St. Luke's Health System (Boise, ID)
- **Overview** St. Luke's Health System is currently seeking a **Revenue Cycle Analyst ** to join our team in **Boise** under the direction of our **Revenue Cycle ... revenue, reimbursement, and Revenue Cycle Metric performance;and providing business analyst support through participating in and/or leading various process… 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
- Sedgwick (Boise, ID)
- …for project completion; and to provide guidance and training to other analyst /programmers. **ARE YOU AN IDEAL CANDIDATE?** We are looking for enthusiastic candidates ... with all aspects of the application, including reports, parameters, claims management, intake services, carrier/client interfaces and vendor/business partner… more