- St. Luke's Health System (Boise, ID)
- …**Position can be remote from the states of Idaho, Oregon, Utah and Arizona only.** The Director , Managed Care Analytics is responsible for the creation ... financial metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for financial performance, identifying areas for… more
- Humana (Boise, ID)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Humana (Boise, ID)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Boise, ID)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...to a Lead Medical Director . The Medical Director conducts post-service, inpatient care reviews for… more
- Humana (Boise, ID)
- …management, or similar activities **Preferred Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or ... community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare...staff to provide Humana members with optimal value based care in accordance with Medicare and Humana policy. All… more
- Prime Therapeutics (Boise, ID)
- …is located + 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a ... of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account ...clinical and/or managed care setting Must be eligible to… more
- Humana (Boise, ID)
- …of our caring community and help us put health first** The Associate Director of Cloud Infrastructure Operations is responsible for leading Humana's enterprise cloud ... at the intersection of operations, technology, and AI innovation. The Associate Director of Cloud Infrastructure Operations will drive the evolution of Humana's… more
- Highmark Health (Boise, ID)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... to drive adoption and ROI realization. Critical partners include Advanced Analytics , Contracting, Market and Provider support teams, Actuary, Finance, Highmark… more
- Molina Healthcare (Caldwell, ID)
- …new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review experience. * Certified ... for both members and providers and ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide… more
- Merck (Boise, ID)
- …or high influence customers in Public Health, Large Group Practices, Hospitals/Systems, or Managed Care Organizations + Ability to build and develop customer ... Thinking, Interpersonal Relationships, Key Account Planning, Lateral Leadership, Leadership, Managed Care Marketing, Market Research, Profit Planning {+… more
- Cayuse Holdings (Boise, ID)
- …vision and roadmap for new NOC service offerings (eg, AIOps, predictive analytics , specialized cloud monitoring services), from ideation and MVP (Minimum Viable ... + 7+ years of experience in network operations or managed services, with at least 3 years in a...Insurance; Wellness Program + Flexible Spending Accounts (Healthcare, Dependent Care , Commuter) + Short-Term and Long-Term Disability options +… more