- 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
- Intermountain Health (Boise, ID)
- **Job Description:** The Pharmacy Services Operations Director is responsible for providing leadership for pharmacy services throughout Intermountain Health, ... of pharmacy services throughout Intermountain Health. As the Pharmacy Services Operations Director , you will: + Set the strategic vision, goals, and initiatives… more
- Evolent (Boise, ID)
- …providing better health outcomes. **Collaboration Opportunities:** + Works with the physician reviewer to monitor the adverse determination process and ensure ... determination decisions against criteria and policy, escalating questions to the physician reviewer, and creating letters that meet regulatory and Plain Language… more
- Molina Healthcare (Meridian, 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