- Humana (Boise, ID)
- …part of our caring community and help us put health first** The Manager , Utilization Management Behavioral Health utilizes behavioral health knowledge and skills ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Behavioral Health works within specific… more
- Magellan Health Services (Boise, ID)
- …Collects and analyzes utilization data. Assists with discharge planning and care coordination . Provides member assistance with mental health and substance ... other members of the clinical team, authorizes and reviews utilization of mental health and substance abuse services provided...Maintains an active work load in accordance with National Care Manager performance standards. + Works with… more
- Molina Healthcare (Meridian, ID)
- …Oversees Interdisciplinary Care Team meetings. + Functions as hands-on manager responsible for supervision and coordination of daily integrated healthcare ... integrated) performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity,… more
- Molina Healthcare (Meridian, ID)
- …collaboration to enhance the continuity of care + Functions as hands-on manager responsible for supervision and coordination of enterprise clinical policy to ... more years in one or more of the following areas: utilization management, case management, care transition and/or disease management. + Minimum 2 years of… more
- Cardinal Health (Boise, ID)
- …with the program business rules and HIPAA regulations. This role involves care coordination , insurance verification and navigation, patient advocacy, program ... healthcare providers, including physicians, pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary… more
- Sanofi Group (Boise, ID)
- **Job title** : Strategic Account Manager - Neurology, Multiple Sclerosis - Salt Lake City/ID/MT/WY **Location** : Remote, Multiple **About the Job** Sanofi ... family, supportive environment while also achieving results. The Strategic Account Manager (SAM) is responsible for developing and maintaining relationships with Key… more
- GAF (Meridian, ID)
- …this roof, we protect what matters most. **Team Summary** The Maintenance Excellence Manager is a key member of the Corporate Reliability & Maintenance team and ... activities as needed, and to execute PM and PdM programs developed for asset care programs. This is a remote-based position with travel requirements to support plant… more
- Cardinal Health (Boise, ID)
- …company connecting patients, providers, payers, pharmacists and manufacturers for integrated care coordination and better patient management. Backed by nearly ... + Support/recommend reporting, query and analysis tools ensuring efficient SAP/database utilization + Diagnosis of problems and resolution for SAP systems +… more
- Evolent (Boise, ID)
- …and measuring progress and outcomes * Integrating key ACO priorities including care management, utilization management, risk adjustment, annual wellness visit, ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Merck (Boise, ID)
- …**Strategic Planning and Project Management** + Responsible for the direction, coordination , implementation, control, and execution of HSO strategy while remaining ... resource development plan by HSO PASL and coordinates the utilization of resources to assist with the HSO MAD...medical affairs strategy experience + 3+ years of front-line manager experience, in Medical Affairs, health systems or equivalent… more
- JB Hunt Transport (Boise, ID)
- …for our LTL business accounts to maximize profitability and efficient utilization of company resources. This position requires less supervision, more responsibility, ... complex bids would not be submitted without being reviewed by a manager . **Job Description:** **Key Responsibilities:** + Determine pricing consistent with company… more