- Elevance Health (Meridian, ID)
- **Title: Utilization Management Representative I** **Virtual:** This role enables associates to work virtually full-time, with the exception of required ... unless an accommodation is granted as required by law._ The ** Utilization Management Representative I** will be responsible for coordinating cases… more
- Molina Healthcare (Meridian, ID)
- …physicians. Such meetings would occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct coding, for ... **JOB DESCRIPTION** **Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and… more
- Schnabel Engineering (Boise, ID)
- …Description:** Schnabel Engineering is currently seeking a Resident Project Representative for medium- to long-term heavy civil construction projects supporting ... States. **Job Responsibilities:** + Key member of the on-site Construction Management /Quality Assurance and Quality Control team. + Successfully interface with… more
- Highmark Health (Boise, ID)
- …terms through regular on-site audits. Apply an active role in network management , training, monitoring and enforcement of company policies and procedures while ... confidentiality agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees.… more
- CVS Health (Boise, ID)
- …with heart, each and every day. **Position Summary** Aetna's Medicaid Care Management Engagement Outreach Hub is a new initiative focused on prioritizing Medicaid ... is on the Hub's efficiency and productivity efforts whereby the Care Management Associates interact and engage telephonically with members. Through the successful… more
- CBRE (Boise, ID)
- …long-term occupancy forecasts (1-5 years) and "what-if" scenarios for space utilization , supporting strategic business decisions. + Execute detailed stacking and ... complex departmental and large-scale employee moves with Facilities and Project Management teams, minimizing operational disruption. + Maintain and audit the… more
- Ada County (Garden City, ID)
- …evaluations, policies and procedures, and recommendations for growth, modernization, and utilization of Ada County's property and facilities; + Advise the Ada ... needs, and policy recommendations; + Serve as the public-facing representative of Expo Idaho in media, public forums, and...public safety is provided for; Fiscal Oversight & Budget Management + Manages an enterprise fund with no tax… more
- GCG (Boise, ID)
- …Drive change management and user training to ensure effective system utilization across the organization + Monitor system performance and user feedback to ... Business Partners to support talent reviews, succession planning, and performance management , while managing and facilitating key development programs. You will… more
- Highmark Health (Boise, ID)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...+ Ability to visualize, articulate and solve complex problems representative of a broad range of service and claim… more
- Ryder System (Boise, ID)
- …vendors retained for investigations, cost containment, expert witnesses, and litigation management to ensure claims are being handled properly according to the ... is not available. Participates with Claim Manager in the selection and management of outside vendors for investigation, cost containment, audit functions, expert… more
- ASM Research, An Accenture Federal Services Company (Boise, ID)
- …tools used for data and application integration, transformation, and management . This role involves troubleshooting issues, ensuring performance, and maintaining ... on optimizing the performance of the Informatica server, including memory management , query performance, and job throughput. + Identify, troubleshoot, and resolve… more
- ASM Research, An Accenture Federal Services Company (Boise, ID)
- …as needed (aside from on-call rotation). + Optimize system operations and resource utilization as well as perform system capacity analysis and planning. + Utilize ... limited to software distribution, backups, performance measurement, tuning, license and asset management to allow automated as well as remote systems management … more
- Paylocity (Meridian, ID)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ... aligned with the clients' needs and expectations to ensure optimal utilization of system capabilities. + Collaborate with internal cross-functional teams, including… more
- Paylocity (Meridian, ID)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations ... aligned with the clients' needs and expectations to ensure optimal utilization of system capabilities. + Collaborate with internal cross-functional teams, including… more