Top 56 Risk analyst Jobs in Idaho

Risk Adjustment Analyst - Health Plan
St. Luke's Health System —Boise, ID
- Full-time
- 6 years
- SQL
- Bachelor's degree
Quick Apply
Expense Fraud Analyst
Deloitte —Boise, ID
- $63,000 - $105,000 a year
- Full-time
- Microsoft Outlook
- Mid-level
- Finance
10d
Project Cost Controls Analyst (Remote)
SOLV Energy, LLC —Boise, ID
- $77,866 - $97,333 a year
- Full-time
- Remote
- Engineering
- Finance
- SQL
- Paid holidays
- Disability insurance
Quick Apply
University Risk Analyst
University of Idaho —Moscow, ID
- From $65,000 a year
- Online Application
- Background check
- Research
- Mid-level
IT Risk Analyst II
First Interstate Bank —Boise, ID
- Full-time
- Research
- Mid-level
- Office
- Paid holidays
- Paid time off
Insight Analyst- Fire
City of Boise, ID —Boise, ID
- $68,203.20 - $80,996.24 a year
- 8 hour shift
- Hybrid work
- Background check
- Computer science
- Microsoft Access
- Commuter assistance
- Paid parental leave
Claims Analyst - REMOTE
Ryder System —Boise, ID
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Commercial Credit Analyst/Underwriter II
Washington Trust Bank —Boise, ID
- $59,209 - $88,814 a year
- Mid-level
- Office
- Finance
Quick Apply
3d
Implementation Analyst
Clearwater Analytics —Boise, ID
- Full-time
- Basic math
- Mid-level
- SQL
- Employee stock purchase plan
- Health insurance
Quick Apply
AI Governance Analyst
Simplot —Boise, ID
- Full-time
- Research
- Mid-level
- Office
13d
Brownfields Analyst 3
State of Idaho —Coeur d'Alene, ID
- $32.00 - $34.50 an hour
- Full-time
- Pass drug screening
- Public speaking
- Research
- Paid holidays
- Health insurance
Reconciliation Implementation Analyst
Clearwater Analytics, LLC —Boise, ID
- Full-time
- Writing skills
- Research
- Mid-level
Quick Apply
IT Data Analyst
Ericsson —Boise, ID
- 8 hour shift
- Hybrid work
- Computer science
- Computer Science
- Mid-level
- Paid parental leave
- Health savings account
2d
Consumer Compliance Analyst
Idaho Central Credit Union —Chubbuck, ID
- Microsoft Excel
- Office
- Finance
- Wellness program
- Paid holidays
Quick Apply
Member Service Centers Analyst
Idaho Central Credit Union —Chubbuck, ID
- Mid-level
- Finance
- Analysis skills
- Wellness program
- Paid holidays
Quick Apply
Warehouse Mgmt. Systems (WMS) Analyst II
DHL —Boise, ID
- $55,000 - $90,000 a year
- Full-time
- Mid-level
- SQL
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
Senior Actuarial Analyst
Centene —Idaho
- $70,100 - $126,200 a year
- Full-time
- Remote
- Mid-level
- SQL
- Math
- Paid holidays
- Health insurance
Senior Healthcare Data Analyst - St. Luke's Health Plan
St. Luke's Health System —Boise, ID
- Full-time
- SQL
- Bachelor's degree
- Experience equivalent to degree accepted
Quick Apply
Business Analyst - Quality Assurance and Compliance
State of Idaho —Boise, ID
- $33 - $36 an hour
- Full-time
- Mid-level
- 3 years
- Project management
- Paid parental leave
- Paid holidays
Financial Analyst
Micron —Boise, ID
- Part-time
- Mid-level
- Finance
- SQL
- Employee stock purchase plan
- Paid holidays
12d

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risk analyst jobs near idaho

Risk Adjustment Analyst - Health Plan

St. Luke's Health System -
Boise, ID

Quick Apply

Job Details

Full-time

Qualifications

Affordable Care Act (ACA)
Data integrity assurance
Operational analysis
6 years
Medicare
Requirements design
Data validation techniques
SQL
Data quality management
Bachelor's degree
Health insurance knowledge
Clinical performance metrics
Utilization management
Health information data integrity
Decision making
Requirements analysis
Clinical program data analysis
Vendor relationship management
Vendor communication
Leading team collaboration initiatives
Data-driven problem-solving
Business requirements
Senior level
Clinical data analysis
Project leadership
Healthcare performance metrics analysis
Cross-functional communication
HEDIS
Database software proficiency

Full Job Description

The Risk Adjustment Analyst serves as a strategic partner to the business segments within the St. Luke’s Health Plan. In alignment with identified strategies and tactics, leads the development of business processes and delivery of insights and health insurance data analysis, while working with cross-functional stakeholders.

This role is specifically for a Risk Adjustment Analyst to bring their knowledge, technical skills, and experience in risk adjustment for QHP/ACA and Medicare Advantage to the St. Luke’s Health Plan.

What You Can Expect:

Analyzes and interprets health insurance data, including eligibility, premium, medical, and pharmacy claims data. Subject matter expert on available health insurance data. A creative problem solver in applying that data to identify, escalate, and resolve operational issues.
Understands and interprets operational processes and business context to translate technical, clinical, financial, and operational problems into analysis, which yield insights and information to support decision making.
Expertise with health insurance regulatory programs and requirements, as well as associated data, including HEDIS/quality programs, risk adjustment, and utilization management.
Performs high value health insurance data analysis, interpretation of key business metrics, and presents insights to business leaders and key stakeholders to aid decision making and operational planning.
Challenges and supports business decisions with analytical rigor, insights, and judgments to drive better decisions.
Partners with internal Data & Analytics team to define scope, requirements, data validation, and provide prioritization input on requests and needs. Collaborates with vendors and other external parties to develop data requirements and ensures appropriate data validation and integrity.
Works with and contributes to data management and data governance to understand and help define data policies and standards to ensure high quality data and analytics.
Develops and maintains a high degree of functional, analytical, and technical acumen. Builds successful partnerships with key internal customers and cross functional teams.
Responsible for and performs all but the most complex assignments and work requiring independent judgment and decision making. Serves as a subject matter expert for colleagues in other functions.
Leads special projects and participates on workgroups and teams, as assigned.
Completes other duties and responsibilities as assigned.

Qualifications:

Education: Bachelor’s degree or experience in lieu of degree
Experience: Six (6) years' relevant experience

Preferred Qualifications:

Experience in QHP/ACA and Medicare Advantage Risk Adjustment Analytics
Experience in MA Encounter Data Submission
Experience in EDGE Server Data Submission
Strong skills in SQL
Knowledge of HEDIS and Stars a plus

Quick Apply

Refine Your Search

risk analyst jobs in idaho

Risk Adjustment Analyst - Health Plan

Expense Fraud Analyst

Project Cost Controls Analyst (Remote)

University Risk Analyst

IT Risk Analyst II

Insight Analyst- Fire

Claims Analyst - REMOTE

Commercial Credit Analyst/Underwriter II

Implementation Analyst

AI Governance Analyst

Brownfields Analyst 3

Reconciliation Implementation Analyst

IT Data Analyst

Consumer Compliance Analyst

Member Service Centers Analyst

Warehouse Mgmt. Systems (WMS) Analyst II

Senior Actuarial Analyst

Senior Healthcare Data Analyst - St. Luke's Health Plan

Business Analyst - Quality Assurance and Compliance

Financial Analyst

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