• Senior Claims Specialist

    Idaho Division of Human Resources (Boise, ID)
    …State of Idaho employees must apply through their internal Luma account. Summary: The Senior Claims Specialist (TRS2) will work in the Claims and Benefits ... multiple assignments. The incumbent will become an expert in Electronic Data Interchange ( EDI ) Claims , capable of assisting claim reporters in proper filing,… more
    Idaho Division of Human Resources (01/13/26)
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  • National Contracting Director (Large Hospital…

    Molina Healthcare (Idaho Falls, ID)
    …network adequacy for Medicare and Medicaid services. * Develops strategies to improve EDI /MASS rates. * Educates and works with assigned state Health Plans on any ... analyses of national contracts/benefits to support accurate configuration for claims payment); Provider/Member Inquiry Research and Resolution; and Provider/Member… more
    Molina Healthcare (01/11/26)
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