- Molina Healthcare (ID)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Molina Healthcare (Boise, ID)
- …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… more
- Cardinal Health (Boise, ID)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- Cardinal Health (Boise, ID)
- …and internal customers + Create and complete applications for enrollment within program timeframes + Review forms and supporting documentation thoroughly for any ... correspondence when necessary to support the needs of the patient and/or program + Maintain accurate and detailed activity notes. + Complete benefit investigations… more
- Cardinal Health (Boise, ID)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- CVS Health (Boise, ID)
- …next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more
- CVS Health (Boise, ID)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Manager , Dental Business Consultant is an individual contributor role with the ... 7+ years of provider contracting experience * Knowledge of Medicare and Medicaid programs. * Ability to travel nationally...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CenterWell (Boise, ID)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more
- CVS Health (Boise, ID)
- …skills and development needs. + Assess training needs and collaborate with the SIU Sr . Manager to create development plans for team members. + Develop and ... compliance with contractual requirements. + Coordinate and collaborate with compliance and senior leadership to align on program integrity initiatives. +… more
- HCA Healthcare (Caldwell, ID)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... you have the PRN career opportunities as a(an) Case Manager PRN you want with your current employer? We...each Rehab patient. The CM collaborates with the Rehab Program Director and Facility Case Management Director regarding departmental… more