- Humana (Boise, ID)
- …a part of our caring community and help us put health first** The Medical /Financial Risk Evaluation Professional 2 / Analyst is responsible for supporting the ... implementation and monitoring of medical /financial risk. The Medical /Financial Risk Evaluation Professional / Analyst +...CMS and/or AHCA compliance + 2 or more years Claims experience + 2 or more years Audit and/or… more
- Prime Therapeutics (Boise, ID)
- …of potential risks. Analyzes forecasted drug sales trends, epidemiology data and health plan medical and pharmacy claims data to create a customized forecast for ... forecasted drug sales trends, epidemiology data and health plan medical and pharmacy claims data to create...apply research to decision making. + Experience working with medical or pharmacy claim datasets and analyzing… 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
- Quadient (Boise, ID)
- …connection between their customers and what matters most. From mortgage approvals, medical results, and insurance claims , to accounts receivables, invoices and ... The Global Analyst Relations Manager is responsible for managing and...the ranges listed._ **Our Benefits Overview** **:** Company subsidized Medical , Dental, and Vision Insurance + 401(k) Retirement Plan… more
- Intermountain Health (Boise, ID)
- **Job Description:** At SelectHealth, the Business Systems Configuration Analyst is responsible to analyze, design, configure, test, implement and support Facets ... apologize for the inconvenience. We will hire at the Analyst I or II level based on qualifications. **Job...systems or in healthcare, with a thorough understanding of claims processing and billing + Intermediate proficiency to demonstrate… 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
- 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
- Prime Therapeutics (Boise, ID)
- …and effective solutions to complex business problems. + Experience with healthcare medical and pharmacy claims data manipulation and analysis. + Master's ... drives every decision we make. **Job Posting Title** Senior Health Informatics Analyst - Remote **Job Description Summary** Design, document, develop and roll out… more
- Evolent Health (Boise, ID)
- …as we solve complex business problems. **Collaboration Opportunities:** The Analyst , Actuarial will produce reports to solve complex business challenges, ... develop analytical tools, and assist in medical expense forecasting. This role supports Evolent Primary Care...in a health actuarial setting **-Preferred** + Experience in claims -based healthcare analytics to drive decision making- **Preferred** .… more
- St. Luke's Health System (Boise, ID)
- …revenue, reimbursement, and Revenue Cycle Metric performance;and providing business analyst support through participating in and/or leading various process ... deferred revenue reports to support internal and external requirements. + Analyzes claims data to identify contractual underpayments and billing errors. + Other… 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