- Trinity Health (Ontario, OR)
- …for a select group of patients. Your goal is to help achieve quality clinical and cost outcomes, incorporating real-time contacts with physicians, nursing, ... delivery of services for a select group of patients. To help achieve quality clinical and cost outcomes, incorporates real-time contacts with physicians,… more
- Trinity Health (Nampa, ID)
- …delivery of services for a select group of patients. To help achieve quality clinical and cost outcomes, incorporates real-time contacts with physicians, ... virtues, we pride ourselves on exceptional service and the highest quality of care. **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management/utilization… more
- Evolent Health (Boise, ID)
- …Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Provides clinical rationale for standard ... the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer , Hematology and Medical Oncology you...within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- Prime Therapeutics (Boise, ID)
- … clinical research and analytics that improve medical cost savings and provide clinical quality initiatives + Manages current clients in all Medical Pharmacy ... drives every decision we make. **Job Posting Title** Director, Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description Summary** Responsible for… more
- Prime Therapeutics (Boise, ID)
- …fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer , MRx - Oncology - REMOTE **Job Description Summary** Key ... clinical determinations cannot be made by the Initial Clinical Reviewer . + Discusses determinations with requesting...as needed to discuss cases and problems. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- Evolent Health (Boise, ID)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer you will be a key member of the utilization management team. ... provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD… more
- J&J Family of Companies (Boise, ID)
- …peers through review of deliverables to minimize delays during the quality review process; + Interface between Clinical R&D, IT and Quality including ... Senior Clinical Data Analyst - 2406185694W **Description** At Johnson...eTMF and other relevant platforms (as assigned); + Create, review and facilitate approval of system deliverables and facilitate… more
- Prime Therapeutics (Boise, ID)
- …accurately and on time. **Responsibilities** + 7+ years of experience in clinical operations, quality , network, pharmacy or project management. + Project ... our passion and drives every decision we make. **Job Posting Title** Manager, Clinical Pharmacy Programs- REMOTE **Job Description Summary** Plays a key role in… more
- CenterWell (Boise, ID)
- … innovation and care model development. + Understanding and comfort with population clinical , quality , and financial drivers in full risk care delivery, ideally ... and help us put health first** The AVP, Complex Care will lead clinical strategy and opportunity assessment around new value-based opportunities and programs that… more
- Zurich NA (Boise, ID)
- Clinical Bill Review and Treatment Plan Team Manager 113692 Zurich Insurance is seeking a Clinical Bill Review and Treatment Plan Team Manager. This ... position is 100% remote. The Clinical Bill Review and Treatment Plan Team...for managing and training the team members, managing the quality assurance program with our external vendors, and identifying… more
- Prime Therapeutics (Boise, ID)
- …direct, control and monitor project activities. + 5+ years' experience in clinical operations, quality , network, pharmacy or project management. + Project ... Manager - Remote in Raleigh, NC **Job Description Summary** Leads the clinical support for various multi-functional projects critical to the company in achieving… more
- Prime Therapeutics (Boise, ID)
- …and Therapeutics (P&T) Committee. **Responsibilities** + 3-5 years' experience in clinical operations, quality , network, pharmacy or project management OR ... in various multi-functional projects critical to the company in achieving its clinical and operational goals and objectives. Develops, implements and monitors … more
- Intermountain Health (Boise, ID)
- …healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class ... functional users and employees on Finance, Supply Chain, HR, and other non- clinical systems. Performs operational systems tasks and maintenance as assigned. 2.… more
- Intermountain Health (Boise, ID)
- …healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class ... testing, and deployment support. Follows standard testing methodologies. Provides high quality documentation related to new or modified system configuration. 8.… more
- Prime Therapeutics (Boise, ID)
- …of designated clinical product domain + Monitor the performance of clinical products and implement continuous quality improvement plans to ensure the ... fuels our passion and drives every decision we make. **Job Posting Title** Sr. Clinical Program Director - Remote **Job Description** The Sr. Clinical Program… more
- Trinity Health (Boise, ID)
- …Type:** Full time **Shift:** Day Shift **Description:** We are looking for a Clinical Research Coordinator to join our team in Boise in support of Oncology ... research! **POSITION PURPOSE:** As a Clinical Research Coordinator, you will work on-site to facilitate...guidelines and expectations that ensure compliance with research billing review practices. + Coordinates IRB submission of all proposed… more
- Sedgwick (Boise, ID)
- …Western Region.** **PRIMARY PURPOSE** : To ensure efficient, cost effective, and high quality delivery of case management and utilization review services to ... place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Clinical Manager **This manager will have to be able to work the PST time… more
- Prime Therapeutics (Boise, ID)
- …our passion and drives every decision we make. **Job Posting Title** Director Clinical Account Services DC Sole Source - Remote DC **Job Description Summary** Plays ... a key role in various clinical pharmacy accounts: overseeing the overall clinical ...Activities address impact on customers, operations, program integrity, pricing, quality and satisfaction. Develops and tracks appropriate metrics that… more
- Prime Therapeutics (Boise, ID)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Program Pharmacist- REMOTE **Job Description** The Clinical Program Pharmacist ... is responsible for contributing to the strategy and development of clinical products. This role will provide research, analysis, and reporting and implementation… more
- CenterWell (Boise, ID)
- …a part of our caring community and help us put health first** The Clinical Strategy and Practice Lead builds strategies for development, engagement, best clinical ... for clinical community within the enterprise. The Clinical Strategy and Practice Lead works on problems of...functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and procedures… more