- St. Luke's Health System (Boise, ID)
- …**Position can be remote from the states of Idaho, Oregon, Utah and Arizona only.** The Director , Managed Care Analytics is responsible for the creation ... financial metrics, identifying trends, variances, and areas for improvement. + Analyze managed care contracts for financial performance, identifying areas for… more
- Humana (Boise, ID)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Humana (Boise, ID)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Boise, ID)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...to a Lead Medical Director . The Medical Director conducts post-service, inpatient care reviews for… more
- Humana (Boise, ID)
- …management, or similar activities **Preferred Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or ... community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare...staff to provide Humana members with optimal value based care in accordance with Medicare and Humana policy. All… more
- Prime Therapeutics (Boise, ID)
- …is located + 3 years of relevant work experience in a retail, hospital, clinical and/or managed care setting, including at least 2 years of work experience in a ... of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account ...clinical and/or managed care setting Must be eligible to… more
- Humana (Boise, ID)
- …of our caring community and help us put health first** The Associate Director of Cloud Infrastructure Operations is responsible for leading Humana's enterprise cloud ... at the intersection of operations, technology, and AI innovation. The Associate Director of Cloud Infrastructure Operations will drive the evolution of Humana's… more
- Datavant (Boise, ID)
- …sciences companies, government agencies, and those who deliver and pay for care . By joining Datavant today, you're stepping onto a high-performing, values-driven ... desktop operations, onsite support, service desk governance, and global managed services delivery, ensuring consistent, high-quality experiences for all employees.… more
- Mass Markets (ID)
- …of a globally expanding, industry-leading organization. We are seeking a seasoned and driven Director of Sales to join our team. The ideal candidate will excel at ... with less emphasis on managing existing accounts or leading a sales team. As a Director of Sales, you will play a pivotal role in driving growth and shaping the… more
- Highmark Health (Boise, ID)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... to drive adoption and ROI realization. Critical partners include Advanced Analytics , Contracting, Market and Provider support teams, Actuary, Finance, Highmark… more
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