- Trinity Health (Boise, ID)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** ** SENIOR PROVIDER QUALITY and PERFORMANCE ANALYST** Come Join us! This is a great ... background in quality or risk adjustment performance . **SUMMARY:** The Senior Provider Quality and Performance Analyst is the primary owner of… more
- Molina Healthcare (ID)
- …accurate generation and distribution of required reports that support continuous quality improvement of the provider database, compliance with ... **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider … more
- Battelle Energy Alliance dba Idaho National Laboratory (Idaho Falls, ID)
- …*Responsibilities Include:* * Provide strategic direction and oversight for performance assurance programs, managing senior program managers and guiding the ... Idaho National Laboratory is hiring a* Senior Manager - Performance Assurance*to work...Performance Assurance expectations of program(s) as well as provide the process, tools, training, and program support to… more
- Humana (Boise, ID)
- …of health plan/ provider relationship across such areas as financial performance , incentive programs, quality and clinical management, population health, data ... systems in order to support and improve financial and quality performance within the contracted working relationship...operational improvements and other areas as they relate to provider performance , member experience, market growth, … more
- Humana (Boise, ID)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- Humana (Boise, ID)
- …our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business ... and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to evolve and… more
- Datavant (Boise, ID)
- …Datavant's Provider division business, product, and operations functions. The Senior Manager will also own the integration of privacy considerations into ... training, quality , and product development in the Provider ...**Governance & Policy:** Develop, maintain, and present key privacy performance indicators and metrics to senior leadership,… more
- Micron Technology, Inc. (Boise, ID)
- …ensure the supplier meets all requirements and does not impact the company's performance to our customers. + Maintaining Quality Assurance business processes ... IQC and play a crucial role in achieving flawless quality in our brand-new engineering processes! This is a...Micron benefits are designed to help you stay well, provide peace of mind and help you prepare for… more
- Humana (Boise, ID)
- … education delivery. An ideal candidate will also have the ability to look at provider performance metrics and be able identify where the risk adjustment gaps ... caring community and help us put health first** The Senior Coding Educator will work closely with providers to...operations, finance, and clinical team to effectively influence a provider to adopt best practices in the risk adjustment… more
- Datavant (Boise, ID)
- …to realize our bold vision for healthcare. **What We're Looking For:** The Provider Practice Coding Consultant role is an opportunity to make a significant impact ... in the field of medical coding. You will provide essential consulting services and educational support, guiding healthcare professionals on improved coding… more