- Trinity Health (Boise, ID)
- …Models/Strategy + Partner with the Director of Physician Contracting in the development and implementation of provider compensation strategies and ... for primary care, specialists, and advanced practice providers. + Provide analysis and monitoring of provider productivity...junior level business partners on the Physician Contracting team. + Support the Provider Financial… more
- Molina Healthcare (Caldwell, ID)
- …live in the United States _** **Job Description** **Job Summary** Molina's Provider Contracting function provides guidance, signature support services, standards ... Network Mgmt & Operations with an emphasis on value based provider contracting . **Required License, Certification, Association** N/A **Preferred Education**… more
- Highmark Health (Boise, ID)
- …large cross organizational programs. + 5 years Familiarity with health plan and provider contracting or revenue management + 3 years Experience working in ... to drive adoption and close gaps. Critical partners include Advanced Analytics, Contracting and Provider Relations, Actuary, Finance, Highmark Health Solutions,… more
- St. Luke's Health System (Boise, ID)
- …and oversight of the critical functions of medical staff credentialing, privileging, contracting , provider enrollment and peer review for the health system. ... An innovative and strategic leader, the Senior Director will drive quality business outcomes through continual monitoring and improvement of operational… more
- Molina Healthcare (Caldwell, ID)
- …etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Sumitomo Pharma (Boise, ID)
- …highly motivated, and experienced individual for the position of **Senior Director , Commercial Strategy and Launch Lead, Heme/Onc.** **Job Duties and ... conduct market research to understand current treatment journey and identify customer ( physician , payer and patient) needs to support enzomenib adoption + Provide… more
- Travelers Insurance Company (Boise, ID)
- …Do?** + Provide overall program leadership as the organization's lead physician . Serve as the key enabler and facilitator for the Travelers medical strategies ... professional relations contact on a local and national level. + May provide input and support medical vendor strategies including vendor selection, negotiation and… more
- St. Luke's Health System (Boise, ID)
- …notification requirements. + Serve as the focal point to coordinate system-level physician contracting . + Perform other duties and responsibilities as assigned. ... You Can Expect:** This position will report to the Director , System Contracting . The Manager System ...the healthcare sector. This position will interact with and provide reimbursement guidance to each facility's executive leadership team.… more
- Molina Healthcare (Caldwell, ID)
- …request/ provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of ... phone, fax, and mail according to Molina operational timeframes. + Contacts physician offices according to Department guidelines to request missing information from… more