- Trinity Health (Boise, ID)
- …Models/Strategy + Partner with the Director of Physician Contracting in the development and implementation of provider compensation strategies and ... more
- Intermountain Health (Boise, ID)
- …The Manager must ensure that contract language is consistent with contracting standards and does not pose significant financial, legal, administrative or ... more
- R1 RCM (Boise, ID)
- …plans related to client's revenue and book of business. + Participate in the contracting and contract renewal process. + Provide leadership within the Client ... more
- Molina Healthcare (Caldwell, ID)
- …**I** **E** **N** **C** **E:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, Medicaid, ... more
- Molina Healthcare (Caldwell, ID)
- …etc. **PREFERRED EXPERIENCE:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, ... more
- Evolent (Boise, ID)
- …Three (3) years of provider relations, account management, and/or provider contracting , claims/reimbursement experience + Knowledge of healthcare, managed ... more
- Trinity Health (Boise, ID)
- …knowledge of health care business practices, physician practice workflow, provider billing, risk coding and payer contracting preferred gained through ... more
- Evolent (Boise, ID)
- …providing better health outcomes. **Collaboration Opportunities:** + Works with the physician reviewer to monitor the adverse determination process and ensure ... more
- Molina Healthcare (Caldwell, ID)
- …request/ provider inquiries, such as eligibility and benefits verification, provider contracting status, diagnosis and treatment requests, coordination of ... more