- Trinity Health (Boise, ID)
- …Saint Alphonsus is seeking a physician leader to become our Medical Director of Documentation and Utilization Excellence. This position will be ... annually by the Saint Alphonsus Chief Clinical Officer. The Medical Director of Documentation and Utilization Excellence (MDDUE) is the lead provider for… more
- Humana (Boise, ID)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management… more
- Marriott (Boise, ID)
- …Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director of Privileged Access Management (PAM) leads and executes the company's ... access within the organization's IT infrastructure and business applications. The Director will work closely with other departments to implement best practices,… more
- Evolent Health (Boise, ID)
- …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office...support. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Prime Therapeutics (Boise, ID)
- …utilization management decisions. + On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability ... GI- REMOTE **Job Description Summary** Key member of the utilization management team, and provides timely medical ...as well as URAC and NCQA guidelines. + Ensures documentation of all communications with medical office… more
- Evolent Health (Boise, ID)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... Reviewer you will be a key member of the utilization management team. We can offer you a meaningful...as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …the facility Chief Financial Officer (CFO) and serves as a financial advisor to the Medical Center Director , Associate Director , Chief of Staff, and Chief of ... as the Assistant Chief of the Fiscal Office VA Medical Center Boise. The Boise VAMC has five Community...execution for assigned programs, Recommending ways to improve the utilization of funds; Reviews and analyzes automated financial and… more
- Prime Therapeutics (Boise, ID)
- …value based contracts, provider accountable care organization pharmacy metrics, medical policy, utilization management, medication adherence, and medication ... learning, predictive modeling, and reporting for complex pharmacy and medical health insurance clinical programs and services (eg, pharmaceutical manufacturer… more
- Takeda Pharmaceuticals (Boise, ID)
- …privileges on all managed and supporting systems. You will report to the Director , IT Business Partner. **How you will contribute:** + Focus on OT Hosting ... recovery solutions. + Monitor the virtualization infrastructure for capacity utilization /planning and issues. + Develop/implement security hardening standards based… more