- Magellan Health Services (Boise, ID)
- …supervision. Project management skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer Grade 25 Work Experience - ... and external reporting. Interacts with multiple stakeholders internally and externally. Provides clinical reviews of Quality of Care (QOC) and Critical/Adverse… more
- Merck (Boise, ID)
- …and new indications for existing products. We ensure we conduct high quality clinical trials by integrating state-of-the-art technology and applying rigorous ... clinical trials conducted worldwide. In partnership with the Clinical Quality Operations Lead (CQOL) and Head...+ Collectively and periodically (eg quarterly) perform a TA-level review of quality plans and risk mitigation… more
- J&J Family of Companies (Boise, ID)
- …development, lifecycle management, supplier management, while providing overall preclinical and clinical quality oversight. This leader is responsible for ... the base RDQ operating model. + Owns CAPA/ Data Review Activities as applicable related to remediation / integration...**Relocation Eligible:** No **Travel** Yes, 25 % of the Time **Job Function** Clinical Quality **Req ID:**… more
- Trinity Health (Boise, 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
- J&J Family of Companies (Boise, ID)
- …determination of pathology diagnosis and act as a signatory to primary and peer review pathology reports. + Develops a goal-oriented clinical development team. + ... Practices and regulatory requirements for the conduct of high quality oncology clinical trials is required. *...review , oversight of study conduct, running trials, data quality and safety are strongly preferred. * Working knowledge… 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 , Interventional Pain Management, you will...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
- 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
- Prime Therapeutics (Boise, ID)
- …including clinical projects as determined by business needs. Collaborating with Clinical Operations, IT, Quality , and Compliance as needed for program ... and drives every decision we make. **Job Posting Title** Clinical Pharmacist/Algorithm- REMOTE **Job Description Summary** Performs prospective and/or retrospective… 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
- 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
- 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
- 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
- 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
- Trinity Health (Boise, ID)
- …your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. We are seeking a 20 hour a week Clinical Lab ... of patient by utilizing various medical laboratory procedures in the Clinical Laboratory. Correlates and integrates other patient data when interpreting test… 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 ... a team of Net Revenue Analysts. + Supervise and review within the net revenue department during the month-end...month-end checklist and timeline and mentor analysts to produce quality work and consistently meet their deadlines. + Work… more
- Prime Therapeutics (Boise, ID)
- …staff and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + Monitors telephone system to ensure ... our passion and drives every decision we make. **Job Posting Title** Clinical Pharmacy Technician II **Job Description Summary** Evaluates and authorizes approval of… more