- Simplot (Caldwell, ID)
- …Identifies and implements scheduling of carriers on round-trip and continuous moves in order to increase profitability. Within established guidelines, agrees to ... Transportation Coordinator (Caldwell, ID) The JR Simplot Company is a diverse, privately held global food and agriculture company headquartered in Boise, Idaho. We are a true farm-to-table company with an integrated portfolio including food processing and food… more
- Molina Healthcare (Caldwell, ID)
- …**Job Summary** Molina's Quality Improvement Sr. Overreader conducts oversight and audits of the data collected and abstracted from medical records for HEDIS ... projects, HEDIS like projects and supplemental data collection. The overreader team will meet chart overread productivity standards, minimum over read standards, and 2nd overread standards to ensure accuracy of their audit skills. Sr. Overread team members… more
- Chipotle Mexican Grill (Caldwell, ID)
- …include, but are not limited to: + Ensuring food quality by cooking and prepping food to order, and following kitchen procedures + Monitoring food waste and inventory ... levels, and resolving food quality issues + Supporting a strong team dynamic between back of house Crew and front of house Crew + Developing Crew members to be future Kitchen Leaders + Communicating with Crew members and customers effectively in order to… more
- Molina Healthcare (Caldwell, ID)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL Server Reporting Services… more
- Molina Healthcare (Caldwell, ID)
- …**Job Summary** Must be able to work 8am-5pm PST hours** Must be able to rotate weekends and holidays** Must have Medicare Appeals and IRE experience** Responsible ... for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid… more
- Molina Healthcare (Caldwell, ID)
- …**Job Summary** Responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance ... requirements including delegation standards and requirements contained in the Molina Medical Compliance and Fraud, Waste and Abuse Program. **KNOWLEDGE/SKILLS/ABILITIES** + Coordinates, conducts, and documents delegation assessments as necessary to comply with… more
- HCA Healthcare (Caldwell, ID)
- …Hourly Wage Estimate: $32.00 - $45.95 / hour Learn more about the benefits offered ( https://careers.hcahealthcare.com/pages/prn-employee-benefits-and-rewards ) for ... this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already… more
- HCA Healthcare (Caldwell, ID)
- …Hourly Wage Estimate: $32.00 - $45.95 / hour Learn more about the benefits offered ( https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards ) for this ... job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in… more
- Molina Healthcare (Caldwell, ID)
- …**Job Summary** The Director, Clinical Data Acquisition is responsible for the implementation, monitoring, and oversight of all chart collection for HEDIS, or ... HEDIS-like projects, Risk Adjustment, Risk Adjustment Data Validation, and other state specific audit projects and deliverables. This role also works with the Health Plan quality leads to strategically plan for supplemental data source (SDS) acquisition from… more
- Molina Healthcare (Caldwell, ID)
- …**Job Summary** Provides support to the business by making sure proper ICD-10 and CPT codes are reported accurately to maintain compliance and to minimize risk and ... denials. **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts diagnosis codes + Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are submitted accordingly + Documents… more
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