- Trinity Health (Boise, ID)
- …Saint Alphonsus is seeking a physician leader to become our Medical Director of Documentation and Utilization Excellence. This position will be ... annually by the Saint Alphonsus Chief Clinical Officer. The Medical Director of Documentation and Utilization Excellence (MDDUE) is the lead provider for… more
- Humana (Boise, ID)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director relies on medical ...insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management… more
- Humana (Boise, ID)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... caring community and help us put health first** The Medical Director actively uses their medical...insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management… more
- Evolent Health (Boise, ID)
- …timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... Reviewer, you will be a key member of the utilization management team. We can offer you a meaningful...as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office… more
- Evolent Health (Boise, ID)
- …per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, ... National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office...support. + On a requested basis, may function as Medical Director for selecting health plans or… more
- Prime Therapeutics (Boise, ID)
- …utilization management decisions. + On a requested basis, may function as Medical Director for select health plans or regions, assuming overall accountability ... GI- REMOTE **Job Description Summary** Key member of the utilization management team, and provides timely medical ...as well as URAC and NCQA guidelines. + Ensures documentation of all communications with medical office… more
- Office of the Secretary of the Interior (Boise, ID)
- …training deficiencies, suitability of aircraft for missions performed, efficient utilization of equipment, technical condition of aircraft and special equipment, ... significantly less July through December. Position is subject to medical requirements and incumbent must maintain medical ...per 14 CFR 65.91 to obtain an FAA IA. Documentation of valid FAA Inspection Authorization must be provided… more
- Takeda Pharmaceuticals (Boise, ID)
- …privileges on all managed and supporting systems. You will report to the Director , IT Business Partner. **How you will contribute:** + Focus on OT Hosting ... recovery solutions. + Monitor the virtualization infrastructure for capacity utilization /planning and issues. + Develop/implement security hardening standards based… more