• Associate Director , Provider

    Evolent (Boise, ID)
    …IN CALIFORNIA OR THE WEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused ... and practice transformation efforts in **California** . Reporting to the National Provider Engagement Sr. Director , you will be responsible for building… more
    Evolent (07/25/25)
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  • Director , Appeals & Grievances (Medicare…

    Molina Healthcare (Boise, ID)
    …which contribute to Molina Medicare's maximum STAR ratings. **Job Qualifications** **Required Education ** Associate 's degree or 4 years of Medicare grievance and ... experience with appeals/grievance processing within a managed care setting. **Preferred Education ** Bachelor's degree. Previous Director experience. IPA support… more
    Molina Healthcare (07/18/25)
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  • Associate Director WFM Capacity…

    CenterWell (Boise, ID)
    **Become a part of our caring community and help us put health first** The Associate Director of WFM Capacity Planning is responsible for leading and optimizing ... collaboration, and can influence executive decision-making through data-driven insights. The Associate Director of WFM Capacity Planning is responsible for… more
    CenterWell (07/24/25)
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  • Associate Director , Regulatory…

    Humana (Boise, ID)
    …part of our caring community and help us put health first** The Associate Director , Compliance ensures compliance with governmental requirements. The ... Associate Director , Compliance requires a solid understanding of how organization...and support of overall organizational goals or strategy and provide on-going oversight and monitoring of team performance to… more
    Humana (07/30/25)
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  • Associate Medical Director

    Sumitomo Pharma (Boise, ID)
    …experienced individual for the position of ** Associate Medical Director .** The Associate Medical Director will provide hands-on PVRM support for SMPA ... investigational and commercial products. The incumbent will provide medical safety support for safety signal management throughout product lifecycle including signal… more
    Sumitomo Pharma (05/16/25)
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  • Associate Director , Dermatology…

    Bristol Myers Squibb (Boise, ID)
    …their personal lives. Read more: careers.bms.com/working-with-us . **Position Summary:** The Associate Director , Regional Marketing, is a field-based position ... environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work… more
    Bristol Myers Squibb (07/22/25)
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  • IPA Coding Associate Director

    CenterWell (Boise, ID)
    …and market level; Partners with Clinical Documentation Improvement, Audit, and Education to develop programs to improve clinical documentation. + Partner with ... to establish risk adjustment analytics to identify coding improvement opportunities, provider coding improvement opportunities, risk score trending and tracking. +… more
    CenterWell (07/24/25)
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  • Associate Director , Marketing…

    Sumitomo Pharma (Boise, ID)
    …. **Job Overview** The ** Associate Director , Marketing ... in a rapidly changing business environment. This position will report to the Director , Commercial Analytics - Women's Health and will be an integral part of… more
    Sumitomo Pharma (07/18/25)
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  • Director Solution Delivery Architecture…

    Ensono (Boise, ID)
    Director Solution Delivery Architecture - MainframeRemote - United StatesJR012015 At Ensono, our **Purpose is to be a relentless ally, disrupting the status quo and ... how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up with… more
    Ensono (06/26/25)
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  • Medical Director - Florida

    Humana (Boise, ID)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (07/29/25)
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  • Medical Director - South Carolina SE Region

    Humana (Boise, ID)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... requires an in-depth evaluation of variable factors. **Description** The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (07/22/25)
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  • Medical Director - OneHome

    Humana (Boise, ID)
    …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
    Humana (07/15/25)
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  • Medical Director - Mid West Region

    Humana (Boise, ID)
    …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (05/14/25)
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  • Medical Director - NorthEast Region

    Humana (Boise, ID)
    …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
    Humana (07/25/25)
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  • Director , Strategic Advancement

    Humana (Boise, ID)
    …communication, and leadership skills, who will lead a team of 3-5 direct reports ( Associate Director and Lead) with 10-15 associates (Professional Level) to help ... is seeking an accomplished leader for the role of Director , Strategic Advancement in Membership and Plan Services to...must be a strong enterprise collaborator who works to provide effective and innovative solutions for top organizational and… more
    Humana (07/29/25)
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  • Senior Director , Mainframe Systems…

    Ensono (Boise, ID)
    Senior Director , Mainframe Systems ProgrammingRemote - United StatesJR011969 At Ensono, our Purpose is to be a relentless ally, disrupting the status quo and ... how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up with… more
    Ensono (06/14/25)
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  • Director , Appeals & Grievances (Medicare)

    Molina Healthcare (Boise, ID)
    …which contribute to Molina Medicare's maximum STAR ratings. **Job Qualifications** **Required Education ** Associate 's Degree or 4 years of Medicare experience ... Appeals Unit that is responsible for reviewing and resolving member and provider complaints, appeals, and claim disputes, and communicating resolution to members,… more
    Molina Healthcare (07/20/25)
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  • Medical Director

    Grifols Shared Services North America, Inc (Boise, ID)
    …in more than 110 countries and regions. **Position Overview:** The Medical Director will be responsible for clinical strategy relating to upcoming clinical trials, ... and present data from clinical trials to the company and externally + Provide strategic input for clinical development plans and regulatory strategy + Provide more
    Grifols Shared Services North America, Inc (05/30/25)
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  • Health, Safety & Environment Senior…

    CBRE (Boise, ID)
    Health, Safety & Environment Senior Director , Professional Services Job ID 220227 Posted 02-Jun-2025 Service line GWS Segment Role type Full-time Areas of Interest ... SUMMARY Reporting to the Global SVP HSE, the Senior Director HSE Professional Services executes the business model and...variety of services to support the client when necessary. EDUCATION AND EXPERIENCE Required + Bachelor's degree (BA/BS) from… more
    CBRE (07/29/25)
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  • Medical Director - Medicare Grievances…

    Humana (Boise, ID)
    …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
    Humana (07/23/25)
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