• Medical Director

    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
    Trinity Health (10/14/24)
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  • Reviewing Medical Director

    Conviva (Boise, ID)
    …of Physician Leadership in Population Health Strategy at Primary Care Organization. The Medical Director conducts Utilization Management of the care received ... caring community and help us put health first** The Medical Director relies on medical ...insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management… more
    Conviva (12/11/24)
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  • Field Medical Director , Cardiology

    Evolent (Boise, ID)
    …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key...National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office… more
    Evolent (11/15/24)
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  • Medical Director - Florida

    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 relies on medical ...insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management… more
    Humana (12/14/24)
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  • Medical Director - South Central

    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
    Humana (11/08/24)
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  • Field Medical Director -General…

    Evolent (Boise, ID)
    …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... the culture. **What You'll Be Doing:** As a Field Medical Director , you will be a key...as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office… more
    Evolent (12/09/24)
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  • Associate Director , Postmarketing PV Case…

    United Therapeutics (Boise, ID)
    …with superior financial performance and our communities with earth-sensitive energy utilization . Our company was founded by an entrepreneur whose daughter was ... other orphan diseases. **How you'll contribute** The Associate Global PV Case Management Director plays a key role in management and oversight of end-to-end case… more
    United Therapeutics (12/14/24)
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  • Manager, Transitional Care Management Pop Health

    Trinity Health (Boise, ID)
    Director of Quality and Population Health and in collaboration with the Executive/ Medical Director of Population Health, this position leads a highly skilled ... with planning processes lead by SAMG Senior Leadership. In collaboration with Executive Medical Director , develops short- and long-range plans to support the… more
    Trinity Health (11/20/24)
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  • Care Management Associate

    CVS Health (Boise, ID)
    …and arranges for health care service delivery under the direction of nurse or medical director in the most appropriate setting at the most appropriate expense ... Arizona Time zone. The Care Management Associate (CMA) supports comprehensive coordination of medical services that include intake and outgoing calls for medical more
    CVS Health (12/21/24)
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