- Trinity Health (Boise, ID)
- …Leadership:** + Lead the SAMG Provider Services Team, overseeing contracting , compensation, onboarding, and offboarding. + Provide comprehensive support to ... modeling + Experience in the health care industry with physician contracting and compensation modeling + In...+ In depth understanding of regulatory requirements related to provider contracting . + Strong project management skills… more
- 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
- HCA Healthcare (Idaho Falls, ID)
- …alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a Director of Physician Services I with East Falls Primary Care, you ... vary by location._** Come join our team as a Director of Physician Services I. We care...performance and practice key indicators + You will oversee physician recruiting and contracting in collaboration with… more
- Humana (Boise, ID)
- …Knowledge of both group and individual Medicare products + Experience working with physician groups, provider contracting , market operations, and Medicare ... Director , Market Finance will be accountable for and provide direct leadership to a team of associates in...a team of associates in the areas of value-based provider contracting , provider network analysis… more
- Trinity Health (Boise, ID)
- …and ensuring network providers and internal colleagues understand payer and physician participation requirements. Assists the Regional Director and President ... necessary for resolution of questions regarding claims, fee schedules, network contracting , provider credentials verification, payer enrollment, and network… more
- Molina Healthcare (Nampa, ID)
- …**I** **E** **N** **C** **E:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, Medicaid, ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Evolent (Boise, ID)
- …Three (3) years of provider relations, account management, and/or provider contracting , claims/reimbursement experience * Knowledge of healthcare, managed ... own the opportunity. **What you will be doing:** Reporting to the National Provider Engagement Director -Oncology, you will be responsible for building and… more
- Molina Healthcare (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