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... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Local area
    Remote work
    Flexible hours

    CVS Health

    Boise, ID
    2 days ago
  •  ...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... 
    Suggested
    Full time
    Part time
    Local area
    Flexible hours
    Night shift
    Weekend work
    Day shift
    Afternoon shift
    Weekday work

    Saint Alphonsus Regional Rehabilitation Hospital, an affilia...

    Boise, ID
    20 hours ago
  • $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... 
    Suggested
    Work at office
    Local area
    Remote work
    Long distance
    Flexible hours

    Fujifilm

    Boise, ID
    a month ago
  •  ...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... 
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    Part time
    Start working today
    Immediate start

    DocCafe

    Boise, ID
    10 days ago
  •  ...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... 
    Suggested
    Visa sponsorship

    Oracle

    Boise, ID
    3 days ago
  • $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... 
    Suggested
    Temporary work
    Flexible hours

    Oracle

    Boise, ID
    a month ago
  • $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... 
    Suggested
    Temporary work
    Visa sponsorship
    Flexible hours

    Oracle

    Boise, ID
    a month ago
  • $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... 
    Suggested
    Hourly pay
    Full time
    Temporary work
    Local area
    Monday to Friday
    Flexible hours

    CVS Health

    Boise, ID
    16 days ago
  •  ...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... 
    Suggested
    Contract work
    Work from home

    Regence BlueShield of Idaho

    Boise, ID
    2 days ago
  • $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... 
    Suggested
    Relief
    Local area
    Relocation package
    Flexible hours

    Healthcare Clinical Employee Services PC

    Boise, ID
    11 days ago
  •  ...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... 
    Suggested
    Full time
    Currently hiring
    Relocation package

    Wright Physical Therapy

    Meridian, ID
    4 days ago
  • $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... 
    Suggested
    Temporary work
    Local area
    Remote work
    Work from home
    Flexible hours
    Weekend work

    Blue Cross of Idaho

    Meridian, ID
    4 days ago
  • $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... 
    Suggested
    Full time
    Live out
    Work at office
    Local area
    Flexible hours
    2 days per week
    3 days per week

    Pennant Group

    Eagle, ID
    1 day ago
  • $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... 
    Suggested
    Work experience placement
    Work at office
    Local area

    Molina Healthcare

    Boise, ID
    4 days ago
  • $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... 
    Suggested
    Remote job
    Work at office
    3 days per week

    Merck

    Boise, ID
    4 days ago
  • $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 placement
    Work at office
    Local area

    Molina Healthcare

    Boise, ID
    a month ago
  •  ...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 time
    Immediate start
    Monday to Friday
    Weekend work
    Afternoon shift

    Treasure Valley Family YMCA

    Meridian, ID
    4 days ago
  • $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 time
    Work from home

    Developmental Concepts, Inc.

    Boise, ID
    14 days ago
  • $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 time
    Temporary work
    Apprenticeship
    Remote work

    Humana Inc

    Boise, ID
    4 days ago
  • 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 time
    Relocation
    Monday to Friday

    Weatherby Healthcare

    Boise, ID
    4 days ago
  • $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 contractors
    Private practice
    Work at office
    Local area

    Highmark Health

    Boise, ID
    27 days ago
  • $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 pay
    Full time
    Temporary work
    Apprenticeship
    Work at office
    Remote work
    Work from home
    Home office
    Monday to Friday
    Weekend work

    Humana

    Boise, ID
    5 days ago
  • 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... 

    Saint Alphonsus Health System

    Boise, ID
    4 days ago
  •  ...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 time
    Work at office

    St. Luke's Health System

    Boise, ID
    a month ago
  • $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 pay
    Daily paid
    Full time
    Part time
    Apprenticeship
    Seasonal work
    Local area
    Remote work

    Humana Inc

    Boise, ID
    4 days ago
  • 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

    Trinity Health

    Boise, ID
    4 days ago
  • $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 time
    Temporary work
    Apprenticeship
    Remote work
    Flexible hours

    CenterWell

    Boise, ID
    4 days ago
  • $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 time
    Temporary work
    Apprenticeship
    Remote work

    Humana

    Boise, ID
    12 days ago
  • $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 time
    Temporary work
    Apprenticeship
    Remote work

    Humana

    Boise, ID
    17 days ago
  •  ...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 placement
    Work at office
    Local area

    Molina Healthcare

    Boise, ID
    2 days ago