- Magellan Health Services (Boise, ID)
- …minimal supervision. Project management skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer ( Remote - Must live ... and external reporting. Interacts with multiple stakeholders internally and externally. Provides clinical reviews of Quality of Care (QOC) and Critical/Adverse… more
- Prime Therapeutics (Boise, ID)
- …passion and drives every decision we make. **Job Posting Title** Technical Principal Clinical Program Pharmacist - Remote **Job Description** **We are offering a ... by understanding market problems, executing the product roadmap, evaluating data for quality and content, and maintaining clinical criteria. The role requires… more
- Prime Therapeutics (Boise, ID)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Program Development Director/RPh required- REMOTE **Job Description** The Director ... of Clinical Program Development leads a Clinical team across a given business function. The responsibilities...$124,000.00 - $211,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our… more
- Prime Therapeutics (Boise, ID)
- … clinical research and analytics that improve medical cost savings and provide clinical quality initiatives + Manages current clients in all Medical Pharmacy ... and drives every decision we make. **Job Posting Title** Dir, Specialty Clinical Solutions/Medical pharmacy exp required- REMOTE **Job Description** + Supports… more
- Takeda Pharmaceuticals (Boise, ID)
- …Biobank team has oversight over research samples collected as part of Takeda clinical trials. The team organizes cross-functional review of research requests ... sample fate including future research. **How You Will Contribute:** Biobanking of clinical samples from Takeda clinical trials requires oversight and maintenance… more
- Merck (Boise, ID)
- …to ensure a thorough understanding of the science behind the medicine and review further unmet medical needs to support collaboration to further differentiate our ... a medical contact within the company. + Upon request from Global Clinical Trial Operations (GCTO), support Company-Sponsored Trials to enhance the understanding of… more
- Takeda Pharmaceuticals (Boise, ID)
- …by these new activities and ways of working. **Additional Activities:** + Assists with quality review of above activities performed by a vendor, as needed. + ... setup, data transfer/ review and support downstream transformation and analysis. The Clinical Data Sciences comprises of the Clinical Data Engineering (CDE)… more
- Takeda Pharmaceuticals (Boise, ID)
- …compliance with own Learning Curricula, corporate and/or GxP requirements + Assists with quality review of above activities performed by a vendor, as needed ... clinical trials and to the delivery of high quality in a timely manner, which is eventually used...or Python certification This position is currently classified as " remote " in accordance with Takeda's Hybrid and Remote… more
- Takeda Pharmaceuticals (Boise, ID)
- …into commercial and access/reimbursement activities and documents. + Prepare and/or review clinical and outcomes research protocols, statistical analysis plans ... GEO, this role informs and contributes to product strategies, clinical development plans and leads the development and execution...COAs + Compliance with all policies and regulations for quality and disclosure + Accountable for product annual plan… more
- Evolent (Boise, ID)
- …Participates in the development and implementation of new strategies to make the clinical review process more efficient through people, processes, and technology ... to, supporting the execution of population health, value-based care, clinical quality and clinical operation...operations in a health plan environment The position is remote with 20% travel expected. **Technical Requirements:** We require… more
- R1 RCM (Boise, ID)
- … Appeals Supervisor** , you will help support clinicians who conduct a comprehensive review of clinical denials and formulate appeals based on clinical ... policies of the payor. Every day you will supervise the day-to-day clinical operations and functions within the department, ensuring productivity and quality… more
- Guardian Life (Boise, ID)
- …issues to be addressed or clarified by outside physician or provider and oversee quality of review . Follow best practices for developing reviews and sharing ... implement continuous quality process improvement. **Reporting Relationships** As our RN Clinical Consultant, the incumbent will report to our Team Leader of LTD … more
- Highmark Health (Boise, ID)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization ... management strategies including: review of appropriateness of health care services, application of...a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health… more
- Prime Therapeutics (Boise, ID)
- …New York Remote **Job Description** + Leads the development of clinical program enhancements and better practices. + Assists with development, enhancement, and ... maintenance of operational functions, policy and clinical support and provider education. + Develops, implements, and...and on time. + Supports the State Drug Utilization Review Boards and Pharmacy and Therapeutics (P&T) Committee. Potential… more
- Prime Therapeutics (Boise, ID)
- …decision we make. **Job Posting Title** Director Account Management, PACE - Remote **Job Description** + Owns overall account satisfaction for all assigned accounts. ... for area of specialty. Conducts face-to-face meetings with the customer to review JOC reports. + Opportunity Development: Aggressively drives up-sell and renewal… more
- Intermountain Health (Boise, ID)
- …**Regulatory Knowledge** : Understanding of regulatory requirements and guidelines for clinical research. ** Quality Assurance** : Skills in ensuring research ... and other agreements from external funding sources that support research, clinical trials, and other sponsored activities at Intermountain. This position will… more
- Prime Therapeutics (Boise, ID)
- …and drives every decision we make. **Job Posting Title** Manager, Operations ( Remote ) **Job Description** + Operations: Manages team members in the project ... between departmental business owners, end users, IT, Contact Center, Claims and Clinical departments to resolve issues, or develop small to large sized new… more
- Prime Therapeutics (Boise, ID)
- …**Job Posting Title** PBM Sr Business Intelligence Data Visual Consultant - Remote **Job Description** The Senior Data Visualization Consultant is responsible for ... healthcare and/or benefits data + Experience in the implementation of quality process improvement efforts **Minimum Physical Job Requirements** + Constantly required… more
- Highmark Health (Boise, ID)
- …3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ... referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates… more
- Prime Therapeutics (Boise, ID)
- …drives every decision we make. **Job Posting Title** Health Informatics Analyst - Remote **Job Description** **Do you want to an opportunity to learn Medical ... and authorizations data. + Designs, documents, develops and rolls out financial, clinical and utilization analyses using a variety of computing tools (eg, SQL,… more