- Elevance Health (Meridian, ID)
- **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... 8 hour shift between 11:30am - 8pm EST Monday - Friday. The ** Utilization Management Representative I** will be responsible for coordinating cases for… more
- Medtronic (Boise, ID)
- …product and therapy technical support and service, + including consultation at strategic management and analysis of sales trends, + utilization of appropriate ... **A Day in the Life** At Medtronic, the Sales Representative II, Pain Interventions is a Senior level role...to a District Sales Manager, partners with other Sales Representative peers as well as with a Clinical Specialist… more
- Ryder System (Boise, ID)
- …Manages multiple and complex Supply Chain projects. Regularly interacts with Senior Management and/or customer(s). + Lead the development and execution of strategy, ... fast-paced environment + Capable of multi-tasking, highly organized, with excellent time management skills + Builds, manages and develops effective teams + System… more
- CBRE (Boise, ID)
- …a region, line of business or large, complex client. Includes the management of such functions as budgeting, forecasting, financial reporting, strategic planning and ... management reporting processes and work product. This position can...and approval. Plans and monitors appropriate staffing levels and utilization of labor, including overtime. Prepares and delivers performance… more
- Magellan Health Services (Boise, ID)
- …Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management , quality assurance, home or facility care, community ... care plan team which may include member, caregivers, member`s legal representative , physician, care providers, and ancillary support services to address care… more
- CBRE (Boise, ID)
- …Service line GWS Segment Role type Full-time Areas of Interest Engineering/Maintenance, Facilities Management Location(s) Remote - US - Remote - US - United States ... and skill development. **Job Summary** Responsible for the overall asset management , work planning, training, and spare part inventory using EAM software.… more
- Guardian Life (Boise, ID)
- …attitude. You can collaborate with stakeholders to provide effective case management within the boundaries of contractual definitions. **You will:** + Assess ... providers to formulate viable return to gainful work plans. Cost effective utilization of vendors to provide rehabilitative services to support program goal.… more
- HealthEdge Software Inc (Boise, ID)
- …support people need, when and where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management solutions for care ... ; ideally with a variety of experience in primary care, chronic disease management and/or public health + Prior experience in **clinical program design** ,… more
- Guardian Life (Boise, ID)
- …is responsible for educating and supporting Guardian's Sales and Client Management partners with local market network insights, changes in competitive positioning, ... position is meant to serve as the liaison between Distribution and Network Management , collaborating with both field leadership as well as sales representatives and… more
- Sharecare, Inc. (Boise, ID)
- …other members of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality ... the participants and their Primary Care Provider according to the disease management program intervention guidelines. An RN is supervised by an Operations Manager… more
- HealthEdge Software Inc (Boise, ID)
- …of HealthEdge customers. The Delivery Executive works closely with Account Management , Sales and customers to understand customer needs and assembles ... customer stakeholders to monitor overall project health including schedule, margin, utilization , and achievement of both customer and HealthEdge business objectives… more
- Sutherland Global Services (Boise, ID)
- …of Benefits Requests + Authorizations + Status Inquiries + Denial Rationale + Utilization Management Appeals + Prior Authorization Verification + Eligibility and ... a high-volume call center environment as a customer service representative + Effective verbal and written communication skills +...skills with a strong attention to detail + Time Management skills + Sufficient Internet speeds while connected to… more
- Guardian Life (Boise, ID)
- …negotiation skills. + The ability to accelerate impact and lead change. + Time management skills. **You will** + Manage PPO and DHMO recruitment efforts within your ... using market data to negotiate fee schedules and increasing utilization . + Speak to dentists/decision makers on the value...+ Complimentary 1:1 financial guidance with a licensed Fidelity representative **Time Off and Remote Work** + Flexible work… more
- Trinity Health (Nampa, ID)
- …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Care Management / Utilization Review personnel, as needed. + Obtains and ... routine payer or provider issues and escalates to Lead Patient Financial Services Representative . + Acts as a point of contact for assigned payers. + Maintains… more