• Medical Director -- Claims

    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 ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (10/29/24)
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  • General Liability Claims Manager,…

    Providence (ID)
    …focus / specialty: + General Liability Claims Processing + General Liability Claims Management + General Liability Legal Experience (EG Paralegal, Etc.) + ... action plans, and claims status in the claims data management software + Coordinate with...work; and to assist the Group Vice President and Director of Risk & Claims as needed… more
    Providence (10/05/24)
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  • Medical Director - Florida

    Humana (Boise, ID)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (10/29/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Boise, ID)
    …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
    Humana (10/29/24)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Boise, ID)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
    Takeda Pharmaceuticals (10/16/24)
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  • Operations Supervisor - Move Management

    HomeSafe Alliance (Boise, ID)
    **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
    HomeSafe Alliance (10/02/24)
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  • Data Scientist- REMOTE

    Prime Therapeutics (Boise, ID)
    …and program impact measurement using eligibility, medical , and pharmacy administrative claims and external data, (eg, care management , disease management ... advanced scientific model design, including advanced predictive modeling, with health claims data, applying statistical theories and methods to solve complex… more
    Prime Therapeutics (11/01/24)
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  • Physician Compensation Analyst

    Intermountain Health (Boise, ID)
    Director of Physician Compensation, Manager of Physician Compensation, Medical Group, region/market, service line, Provider Recruiting, Professional Staff ... of compensation programs and performs other duties as assigned by the Director - Physician Compensation and/or Physician Compensation Manager. **Skills** + Attention… more
    Intermountain Health (11/05/24)
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  • Principal Architect

    R1 RCM (Boise, ID)
    … at the Director + level. + Previous experience with revenue cycle management or adjacent concepts such as claims processing is desirable For this ... fault-tolerant, and secure systems to support our revenue cycle management platform. **Responsibilities:** + Design and architect highly scalable, fault-tolerant,… more
    R1 RCM (09/12/24)
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  • Sales Account Coordinator Senior

    Intermountain Health (Boise, ID)
    …a liaison in order to facilitate the prompt resolution of complex benefit, claims or enrollment issues for external, internal and team contacts. Handles service ... the task resolution process in Salesforce by utilizing task management with other departments and complaint tasks to seek...Assists in the design of marketing literature for unique medical and dental plans. SALES SYSTEMS: Is committed to… more
    Intermountain Health (10/31/24)
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  • Senior Compliance Specialist

    Fujifilm (Boise, ID)
    …limited management oversight. The position will report to the Director of Corporate Compliance. **Duties and responsibilities** + Develop and implement elements ... needs of healthcare across prevention, diagnosis, and treatment. Fujifilm's medical imaging portfolio includes solutions for digital radiography, mammography,… more
    Fujifilm (10/09/24)
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