Average salary: $70,100 /yearly
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$54.3k - $145.86k
...May reside anywhere in the US** **Position Summary** The Health Service Manager -Policy Writer for Medicaid is a key member of the Medical Policy & Program Solutions Team. The Medicaid Medical Coding Policy Writer is an individual contributor and will research and...SuggestedHourly payFull timeTemporary workLocal areaRemote workFlexible hours- ...thrive. From day one, you will have access to: Affordable medical, dental, and vision plans for both full-time and part-time employees... ...hospital pharmacy accreditation, anticoagulation drug therapy management, and medication safety. Educate staff on pharmaceutical...SuggestedFull timePart timeLocal areaFlexible hoursNight shiftWeekend workDay shiftAfternoon shiftWeekday work
$74.68k - $88.8k
...Works with HCUS team to gain customer acceptance of the FUJIFILM Medical Systems solution. + Participates in teaching and training... ...compliance with all applicable requirements of the company's quality management system. + Maintains effective communications and working...SuggestedWork at officeLocal areaRemote workLong distanceFlexible hours- ...DocCafe has an immediate opening for the following position: Physician - Medical Director in Boise, Idaho. DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career. ---------------- Register now to apply for this...SuggestedPart timeStart working todayImmediate start
- ...to site teams, ensuring smooth EHR sustainment after go-live. Risk & Issue Identification : Collaborate closely with the Project Manager to proactively spot, document, and mitigate any risks or issues that may arise in post-go-live support. Clinical Stakeholder Engagement...SuggestedVisa sponsorship
$79.1k - $158.2k
...workflow, and successful adoption that will lead to achieved value. Manage ongoing relationships with clients, providing account... ...comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion...SuggestedTemporary workFlexible hours$79.1k - $158.2k
...Issue Identification** : Collaborate closely with the Project Manager to proactively spot, document, and mitigate any risks or issues... ...comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion...SuggestedTemporary workVisa sponsorshipFlexible hours$26.01 - $74.78 per hour
...coordinate, document, and communicate all aspects of the utilization/benefit management program. + Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical necessity criteria for appropriate utilization of services for child...SuggestedHourly payFull timeTemporary workLocal areaMonday to FridayFlexible hours- ...Manager Clinical Pharmacy Client Services Join to apply for the Manager Clinical Pharmacy Client Services role at Regence BlueShield... ...solutions. Collaborate with sales, marketing, operations, medical management, and external vendors to implement sales optimization...SuggestedContract workWork from home
$1,500 per month
...RehabAuthority is looking for a Rockstar Clinic Director/Partner with leadership experience and community referral connections that wants to manage their own practice and help us expand our business in the Boise region. We are looking for someone who is determined and committed...SuggestedReliefLocal areaRelocation packageFlexible hours- ...Weekly analysis of KPIs that leads to alignment of conditions and Management Action Plans (MAPs). Lead, educate, and motivate staff in... ...Information Employee Benefits: Comprehensive medical insurance plans - HSA and PPO Options Base Salary, $5000 Sign...SuggestedFull timeCurrently hiringRelocation package
$233k - $280k
Blue Cross of Idaho is looking for a Medical Director to provide clinical expertise to the organization to ensure effective utilization management review according to standards of quality and medical necessity for the delivery of integrated healthcare and to support the...SuggestedTemporary workLocal areaRemote workWork from homeFlexible hoursWeekend work$90k - $140k
...regulations. Lead efforts to improve clinical quality, safety, risk management, infection control, and patient outcomes across multiple... ...yourself before you take care of others! Full benefits package (medical, dental, vision, 401(k) with match) Paid time off, holiday pay...SuggestedFull timeLive outWork at officeLocal areaFlexible hours2 days per week3 days per week$161.91k - $315.73k
Overview JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided... ...services provided to plan members. Supports plan utilization management program and accompanying action plan(s), which includes...SuggestedWork experience placementWork at officeLocal area$187k - $294.4k
Job Description Global Medical Excellence Director (GMED) reports to the Senior Director of Global Medical Excellence and is an experienced... ...in GIMs and provides insights to data gap strategies. Manages other prioritized TA projects as required. Operational Excellence...SuggestedRemote jobWork at office3 days per week$161.91k - $315.73k
...JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services,... ...leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical dependency...Work experience placementWork at officeLocal area- ...responsible for administering the total operation of the department within Branch and Association parameters, overseeing the safe management of programs, facilities, volunteer and staff development, and financial development within the department. Responsibilities...Full timeImmediate startMonday to FridayWeekend workAfternoon shift
$25 - $28 per hour
Clinical Supervisor Developmental Concepts is seeking a Full-Time Clinical Supervisor who is interested in providing direct care for individuals with developmental disabilities. The ideal candidate would have experience in behavioral issues. The candidate will provide...Full timeWork from home$223.8k - $313.1k
...community and help us put health first The Medical Director actively uses their medical... ...associates, and possible participation in care management. May occasionally participate in... ...skills. Some roles include an overview of coding practices and clinical documentation, dispute...Full timeTemporary workApprenticeshipRemote work- Saint Alphonsus Medical Group is a physician-led, 500+ provider multispecialty group with an excellent opportunity for a Board Certified or Board Eligible Psychiatrist to lead a growing group in Boise, Idaho. Saint Alphonsus is a principal provider of evidence-based, interdisciplinary...Full timeRelocationMonday to Friday
$170k
...physician team, ensures that utilization management responsibilities are performed in accordance... ...escalated cases electronically and using Medical Policy criteria sets to evaluate the... ...behavioral expectations as set forth in the code of business conduct and company policies....For contractorsPrivate practiceWork at officeLocal area$246.1k - $344.2k
...caring community and help us put health first The Corporate Medical Director relies on medical background and reviews health claims... ...years of established clinical experience ~ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome officeMonday to FridayWeekend work- Infection Prevention Medical Director / Infectious Disease Provider - FT - Boise, ID Opportunity: - Infectious Disease Saint Alphonsus... ...include but are not limited to the following: direct involvement in managing our list of OPAT patients, conduct follow-up evaluations for...
- ...truly a great place to work. The **Director of Clinical Review Management** provides strategic and operational leadership across... ...and criteria-based reviews of care, clinical appeals regarding medical necessity, and the interaction with claims payment policies and...Full timeWork at office
$223.8k - $313.1k
...part of our caring community and help us put health first The Medical Director relies on broad clinical expertise to review Medicare... ...with prior experience participating in teams focusing on quality management, utilization management, or similar activities Preferred...Hourly payDaily paidFull timePart timeApprenticeshipSeasonal workLocal areaRemote work- Practice Highlights: Saint Alphonsus Medical Group (SAMG) is a physician led and accountable 650+ provider multispecialty group that has... ...but are not limited to the following: direct involvement in managing our list of OPAT patients, conduct follow-up evaluations for patients...Relocation
$223.8k - $313.1k
...community and help us put health first The Medical Director, Primary Care relies on medical... ...associates, participation in care management and possible participation in care facilitation... ...of the role includes an overview of coding practices and clinical documentation,...Full timeTemporary workApprenticeshipRemote workFlexible hours$223.8k - $313.1k
...part of our caring community and help us put health first The Medical Director relies on fundamentals of CMS Medicare Guidance on... ...the Lead Medical Director. Other duties: Identify medical management operational improvements, including those within the medical...Full timeTemporary workApprenticeshipRemote work$223.8k - $313.1k
...community and help us put health first The Medical Director relies on medical background... ..., and possible participation in care management. The clinical scenarios arise from outpatient... ...may not be limited to, an overview of coding practices and clinical documentation,...Full timeTemporary workApprenticeshipRemote work- ...for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies... ...and interacts with network and group providers and medical managers regarding utilization practices, guideline usage, pharmacy...Work experience placementWork at officeLocal area




