- Elevance Health (Meridian, ID)
- **Title: Utilization Management Representative I** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live ... within 50 miles of one of our PulsePoint locations. The ** Utilization Management Representative I** will be responsible for coordinating cases for… more
- Trinity Health (Boise, ID)
- …on exceptional service and the highest quality of care. As a Patient Service Representative , you will work in conjunction with physicians and clinical staff to take ... a positive experience for patients. **Position Purpose:** As a Patient Service Representative , you will work in conjunction with physicians and clinical staff to… more
- Highmark Health (Boise, ID)
- …review and make determinations regarding physician reviewer assignments for medical management decisions. Cases requiring physician review are provider and member ... requests, received from Medical Management & Policy (MM&P) and Member Grievance Departments. * Responsible for management of Peer to Peer telephone line. Will… more
- Ryder System (Boise, ID)
- …**Summary** The Consultant Engineer is responsible for analysis and utilization of continuous improvement tools to design Supply Chain Solutions ... development and creates efficient designs and solutions + Determines efficient utilization of resources by analyzing layouts, labor force, driver and equipment… more
- Ryder System (Boise, ID)
- …CI Manager or Sr. CI Manager and is closely aligned with Operations Management . **Essential Functions** + Collects data and performs statistical analysis. Maps and ... Identify and support Automation projects. Regularly interacts with operations management and/or customer(s). + Develop and demonstrate competency in wide… more
- St. Luke's Health System (Mountain Home, ID)
- …collaboration with facility leadership and is the senior in-house administrative representative after hours for the medical center. The Administrative Supervisor ... assist with daily operations, collaborates with leadership, crisis management , staffing issues, and more. + Provides day-to-day oversight. Is a resource and… more
- CBRE (Boise, ID)
- …GWS Segment Role type Full-time Areas of Interest Customer Service, Facilities Management Location(s) Boston - Massachusetts - United States of America, Remote - ... staffing levels to meet expectations; provides direction on Experience Services management , including recruitment of talent, training, performance management ,… more
- Guardian Life (Boise, ID)
- …attitude. You can collaborate with stakeholders to provide effective case management within the boundaries of contractual definitions. **You will:** + Assess ... providers to formulate viable return to gainful work plans. Cost effective utilization of vendors to provide rehabilitative services to support program goal.… more
- HealthEdge Software Inc (Boise, ID)
- …support people need, when and where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management solutions for care ... ; ideally with a variety of experience in primary care, chronic disease management and/or public health. **Must have active license + Prior experience in **clinical… more
- HUB International (Boise, ID)
- …independent judgment + Proficient in Microsoft Word, Excel, Outlook, and internet utilization + Applied Agency Management System (Epic) experience preferred but ... disputes + Reviews for accuracy change received or downloaded into the agency management system + Participates in the renewal preparation being sure that all… more
- Carrington (Boise, ID)
- …operational report metrics. + Gain expert knowledge of the operational systems and utilization within the business process. + Act as the primary contact for ... technology, reporting and process related analysis. + Assist with scope management , change management and solution definition. + Create functional specifications… more
- HealthEdge Software Inc (Boise, ID)
- …Quality Assurance), CMS (Centers for Medicare & Medicaid Services), URAC ( Utilization Review Accreditation Commission) and other State regulatory bodies. The ideal ... where they need it. We call it Digital Health Management . Our comprehensive suite of Digital Health Management...permanent **Work Environment:** The physical demands described here are representative of those that must be met by an… more
- Sutherland Global Services (Boise, ID)
- …of Benefits Requests + Authorizations + Status Inquiries + Denial Rationale + Utilization Management Appeals + Prior Authorization Verification + Eligibility and ... a high-volume call center environment as a customer service representative + Effective verbal and written communication skills +...skills with a strong attention to detail + Time Management skills + Sufficient Internet speeds while connected to… more
- Army National Guard Units (Boise, ID)
- …warehouse facilities, the incumbent may participate in developing storage and space utilization plans in accordance with materials storage areas. The assignment may ... group area. Prepares items for processing, utilizing appropriate Standard Anny Management Information System (STAMIS) such as computer terminal and bar code… more
- Guardian Life (Boise, ID)
- …negotiation skills. + The ability to accelerate impact and lead change. + Time management skills. **You will** + Manage PPO and DHMO recruitment efforts within your ... using market data to negotiate fee schedules and increasing utilization . + Speak to dentists/decision makers on the value...+ Complimentary 1:1 financial guidance with a licensed Fidelity representative **Time Off and Remote Work** + Flexible work… more
- Ryder System (Boise, ID)
- …**SUMMARY** This position is responsible for analysis and utilization of Continuous Improvement tools to design Supply Chain ... for results Capable of multi-tasking, highly organized, with excellent time management skills. Detailed oriented with excellent follow-up practices. Highly thorough… more
- Trinity Health (Nampa, ID)
- …(pre-certifications, third-party authorizations, referrals) and contacts physicians and Care Management / Utilization Review personnel, as needed. + Obtains and ... routine payer or provider issues and escalates to Lead Patient Financial Services Representative . + Acts as a point of contact for assigned payers. + Maintains… more