- Magellan Health Services (Boise, ID)
- …supervision. Project management skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer Grade 25 Work Experience - ... and external reporting. Interacts with multiple stakeholders internally and externally. Provides clinical reviews of Quality of Care (QOC) and Critical/Adverse… more
- Trinity Health (Boise, ID)
- …delivery of services for a select group of patients. To help achieve quality clinical and cost outcomes, incorporates real-time contacts with physicians, ... virtues, we pride ourselves on exceptional service and the highest quality of care. **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management/utilization… more
- J&J Family of Companies (Boise, ID)
- …determination of pathology diagnosis and act as a signatory to primary and peer review pathology reports. + Develops a goal-oriented clinical development team. + ... Practices and regulatory requirements for the conduct of high quality oncology clinical trials is required. *...review , oversight of study conduct, running trials, data quality and safety are strongly preferred. * Working knowledge… more
- ThermoFisher Scientific (Boise, ID)
- … clinical research portfolio, our work spans laboratory, digital and decentralized clinical trial services. Your determination to deliver quality and accuracy ... commercial and government contracts. Together, we help clients define and develop clinical programs, minimize delays, and execute high- quality , cost-efficient … more
- HealthEdge Software Inc (Boise, ID)
- …user experience, client needs and organizational and business priorities, while maintaining the clinical quality and standards of our product. Because you will ... or clinical improvement opportunities. + Lead the clinical review of existing clinical ...author corresponding surveys & alerts that leverage evidence-based guidelines, clinical best practices and key quality improvement… more
- Prime Therapeutics (Boise, ID)
- … clinical research and analytics that improve medical cost savings and provide clinical quality initiatives + Manages current clients in all Medical Pharmacy ... drives every decision we make. **Job Posting Title** Director, Specialty Clinical Solutions -RPH/PharmD required- REMOTE **Job Description Summary** Responsible for… more
- Lincoln Financial Group (Boise, ID)
- …Clinical QA Consultant to our organization. **What you'll be doing** * Completes quality audits of clinical files using knowledge of disability management and ... and sends audit reports that provide an accurate assessment of the clinical work completed and identifies corrective action appropriately. * Participates in… more
- Prime Therapeutics (Boise, ID)
- …fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer - GI- REMOTE **Job Description Summary** Key member of the ... clinical determinations cannot be made by the Initial Clinical Reviewer . + Discusses determinations with requesting...as needed to discuss cases and problems. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- Evolent Health (Boise, ID)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer you will be a key member of the utilization management team. ... provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD… more
- Evolent Health (Boise, ID)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Physician Clinical Reviewer you will be a key member of the utilization management ... when available, within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the… more
- Prime Therapeutics (Boise, ID)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Pharmacist Reviewer - REMOTE **Job Description Summary** Facilitates efforts in ... the development of medical pharmacy solutions programs. Supports drug utilization review (DUR) efforts by reviewing physician prescribing patterns, consulting with… more
- J&J Family of Companies (Boise, ID)
- …peers through review of deliverables to minimize delays during the quality review process; + Interface between Clinical R&D, IT and Quality including ... Senior Clinical Data Analyst - 2406185694W **Description** At Johnson...eTMF and other relevant platforms (as assigned); + Create, review and facilitate approval of system deliverables and facilitate… more
- Prime Therapeutics (Boise, ID)
- …accurately and on time. **Responsibilities** + 7+ years of experience in clinical operations, quality , network, pharmacy or project management. + Project ... our passion and drives every decision we make. **Job Posting Title** Manager, Clinical Pharmacy Programs- REMOTE **Job Description Summary** Plays a key role in… more
- Magellan Health Services (Boise, ID)
- …that address performance gaps. + Analyzes performance and develop, in consultation with clinical and quality management, improvements in clinical processes. ... staff on policies, standards, computer systems, service delivery expectations, quality monitoring and regulation and accreditation specifics. Collaborates with COE… more
- St. Luke's Health System (Boise, ID)
- …in this position. Must be able to manage and organize their own day to include quality audits and chart review . The position is Hybrid (50 on site /50 remote) ... on the patient's unique learning style. + Will measure, improve and maintain quality outcomes ( clinical , financial, and functional) for individual patients and… more
- Prime Therapeutics (Boise, ID)
- …and Therapeutics (P&T) Committee. **Responsibilities** + 3-5 years' experience in clinical operations, quality , network, pharmacy or project management OR ... in various multi-functional projects critical to the company in achieving its clinical and operational goals and objectives. Develops, implements and monitors … more
- Kaniksu Community Health (Sandpoint, ID)
- …diabetes by 20%. + We rank in the top 10% of CHC's in the country for clinical quality . + We report the highest level of control in the state for our ... dental, and behavioral health. From pediatric to geriatrics, we believe that quality healthcare should be accessible, approachable and affordable for everyone. We… more
- Sedgwick (Boise, ID)
- …Western Region.** **PRIMARY PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to ... place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be able to work the PST time… more
- HCA Healthcare (Idaho Falls, ID)
- …care in accordance with established policies/procedures and holds staff accountable for quality and clinical outcomes in support of facility objectives. **What ... continue to learn! **Job Summary and Qualifications** The Manager ensures high quality , patient-centered care through oversight of the overall daily function and… more
- Vyaire Medical (Boise, ID)
- Medical Device Clinical Specialist - Ventilation **Help the World Breathe Easier by Collaborating with Innovative Vyaire Employees Around the World** As a global ... **The Impact You'll Make in this Role** As a(n) Clinical Specialist, you will have the opportunity to tap...within and across functional groups. Communicate information related to quality management system efficiency. + Directly support the timely… more