- 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
- J&J Family of Companies (Boise, ID)
- Strategic Market Director (SMD), National Accounts (Kaiser) - Johnson & Johnson HCS Inc. Johnson & Johnson Health Care Systems Inc. Strategic Customer Group is ... recruiting for a Strategic Market Director (SMD), National Accounts. This is a field-based role;...which may include health plans, state or local governments, physician medical groups or other payer organizations. + Completes… more
- Molina Healthcare (Nampa, ID)
- …**I** **E** **N** **C** **E:** + Peer Review, medical policy/procedure development, provider contracting experience. + Experience with NCQA, HEDIS, Medicaid, ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Nampa, 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