- Trinity Health (Boise, ID)
- …on exceptional service and the highest quality of care. As a Patient Service Representative , you will work in conjunction with physicians and clinical staff to take ... a positive experience for patients. **Position Purpose:** As a Patient Service Representative , you will work in conjunction with physicians and clinical staff to… more
- Evolent Health (Boise, ID)
- …related to client PBM systems and processes. Specifically related to drug utilization management , drug prior authorization and pharmacy claim adjudication. + ... for the mission. Stay for the culture. **What You'll Be Doing:** Our Representative , Customer Service II candidates can anticipate a role that plays a pivotal… more
- Elevance Health (Meridian, ID)
- …documents to convey the determination. + Responsibilities exclude conducting any utilization or medical management review activities which require the ... serve as a liaison between grievances & appeals and /or medical management , legal, and/or service operations and other internal departments. **Minimum Requirements**… more
- Ryder System (Boise, ID)
- …CI Manager or Sr. CI Manager and is closely aligned with Operations Management . **Essential Functions** + Collects data and performs statistical analysis. Maps and ... Identify and support Automation projects. Regularly interacts with operations management and/or customer(s). + Develop and demonstrate competency in wide… more
- St. Luke's Health System (Mountain Home, ID)
- …collaboration with facility leadership and is the senior in-house administrative representative after hours for the medical center. The Administrative Supervisor ... assist with daily operations, collaborates with leadership, crisis management , staffing issues, and more. + Provides day-to-day oversight. Is a resource and… more
- Sysco (Post Falls, ID)
- …district. JOB SUMMARY The District Sales Manager (DSM) role requires exceptional management of sale performance among Sales Consultants (SCs). This position is ... the SC + Fully leverages our CRM in the management of SC's sales planning, prospecting, and daily customer...planning, prospecting, and daily customer engagement and expects productive utilization of Sysco 360 among all SC's. + Successfully… more
- Guardian Life (Boise, ID)
- …attitude. You can collaborate with stakeholders to provide effective case management within the boundaries of contractual definitions. **You will:** + Assess ... providers to formulate viable return to gainful work plans. Cost effective utilization of vendors to provide rehabilitative services to support program goal.… more
- HUB International (Twin Falls, ID)
- …independent judgment + Proficient in Microsoft Word, Excel, Outlook, and internet utilization + Applied Agency Management System (Epic) experience preferred but ... disputes + Reviews for accuracy change received or downloaded into the agency management system + Participates in the renewal preparation being sure that all… more
- HealthEdge Software Inc (Boise, ID)
- …Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC ( Utilization Review Accreditation Commission) and other State regulatory bodies. The ideal ... where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- CBRE (Boise, ID)
- …20-Aug-2024 Service line GWS Segment Role type Full-time Areas of Interest Construction, Project Management Location(s) Remote - US - Remote - US - United States of ... leadership on project updates and important issues. + Create a risk management /mitigation plan, including the Disaster Recovery and Business Continuity plans. +… more
- CBRE (Boise, ID)
- …13-Aug-2024 Service line GWS Segment Role type Full-time Areas of Interest Project Management Location(s) Phoenix - Arizona - United States of America, Remote - US ... healthcare vernacular. **What you'll do** Leads all facets of project management (budget, schedule, procurement, quality & risk) for individual healthcare projects… more
- Magellan Health Services (Pocatello, ID)
- …Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management , quality assurance, home or facility care, community ... care plan team which may include member, caregivers, member`s legal representative , physician, care providers, and ancillary support services to address care… more
- Guardian Life (Boise, ID)
- …negotiation skills. + The ability to accelerate impact and lead change. + Time management skills. You will + Manage PPO and DHMO recruitment efforts within your ... using market data to negotiate fee schedules and increasing utilization . + Speak to dentists/decision makers on the value...+ Complimentary 1:1 financial guidance with a licensed Fidelity representative **Time Off and Remote Work** + Flexible work… more
- Trinity Health (Nampa, ID)
- …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Care Management / Utilization Review personnel, as needed. + Obtains and ... routine payer or provider issues and escalates to Lead Patient Financial Services Representative . + Acts as a point of contact for assigned payers. + Maintains… more