Remote Encounter Data Analyst for Medicaid/Medicare
1 week ago
A leading healthcare company is seeking an Encounter Data Management Professional to ensure accurate submission and reconciliation of encounter data for Medicare/Medicaid. This remote position requires a Bachelor's degree or relevant claims experience. Key responsibilities include developing submission processes, ensuring compliance, and identifying discrepancies in data. Candidates should possess strong analytical skills and proficiency in Microsoft Office. The job offers a competitive salary and benefits package, including health coverage from day one.#J-18808-Ljbffr
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Remote Insurance Compliance Lead – Medicare
1 week ago
Boise, United States Humana Inc Full timeA leading healthcare provider is seeking an Insurance Product Compliance Lead to ensure compliance with insurance regulations. The role involves researching and analyzing risk, consulting on regulatory guidance, and partnering with stakeholders to maintain compliant insurance products. Ideal candidates will have experience with Medicare Advantage and...
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Remote Insurance Compliance Lead – Medicare
1 week ago
Boise, United States Humana Inc Full timeA leading healthcare provider is seeking an Insurance Product Compliance Lead to ensure compliance with insurance regulations. The role involves researching and analyzing risk, consulting on regulatory guidance, and partnering with stakeholders to maintain compliant insurance products. Ideal candidates will have experience with Medicare Advantage and...
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Claims Process Executive
3 days ago
Boise, United States Remote Staffing Full timeClaims Processing - HybridJoin our team as a Claims Processing Executive in the healthcare sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims. This remote position offers the flexibility of working from home during day shifts allowing you to balance work and personal commitments effectively. Your...
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Remote VP, Medicare
2 weeks ago
Boise, United States Prime Therapeutics Full timeA health care provider is seeking a Vice President of Government Programs to drive the development and execution of strategic plans in the Medicare space. This role involves leadership oversight, collaboration with executive teams, and financial management to enhance product growth in Medicare and Medicaid. Qualified candidates should possess a bachelor's...
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Remote VP, Medicare
1 week ago
Boise, United States Prime Therapeutics Full timeA health care provider is seeking a Vice President of Government Programs to drive the development and execution of strategic plans in the Medicare space. This role involves leadership oversight, collaboration with executive teams, and financial management to enhance product growth in Medicare and Medicaid. Qualified candidates should possess a bachelor's...
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Manager, Medical Economics
6 days ago
Boise, United States Idaho Staffing Full timeManager, Medical EconomicsThe Manager, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard reports to monitor health plan performance and identify the root causes of medical...
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Remote Cloud
1 week ago
Boise, United States NTT DATA, Inc. Full timeA leading technology services provider in Boise, Idaho is seeking a System Integration Technical Advisor Platform and Cloud Architect to oversee the design and implementation of cloud solutions for Medicaid modernization. The ideal candidate should have substantial experience with large-scale healthcare projects and be proficient with cloud platforms....
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Remote Cloud
1 week ago
Boise, United States NTT DATA, Inc. Full timeA leading technology services provider in Boise, Idaho is seeking a System Integration Technical Advisor Platform and Cloud Architect to oversee the design and implementation of cloud solutions for Medicaid modernization. The ideal candidate should have substantial experience with large-scale healthcare projects and be proficient with cloud platforms....
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Medicaid Reconciliation Professional II
4 weeks ago
Boise, United States Idaho Staffing Full timeMedicaid Process Improvement Professional 2Become a part of our caring community and help us put health first. The Medicaid Process Improvement Professional 2 is responsible for analyzing and evaluating the effectiveness of existing Medicaid business processes, with a focus on eligibility, enrollment, claims, and compliance workflows. This role develops...
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Medicaid Policy Program Analyst
4 weeks ago
Boise, United States Idaho Staffing Full timeMedicaid Program Policy AnalystDedicated to strengthening the health, safety, and independence of Idahoans. Applications will be accepted through 4:59 PM MST on the posting end date. Do you have an analytical mind? Do you enjoy research and learning new things? Would you like to work Monday through Friday with holidays off and be afforded the opportunity to...