- Molina Healthcare (Boise, ID)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Trinity Health (Boise, ID)
- …serve as the ** Director of Strategy & Operations for Primary Care & Behavioral Health ** . This role is responsible for driving the growth, integration, and ... health systems in the United States. Our physician-led medical group, **Saint Alphonsus Medical Group (SAMG)**...broad regional network that includes primary care and outpatient behavioral health services. Reporting to the **Chief… more
- Highmark Health (Boise, ID)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Otsuka America Pharmaceutical Inc. (Boise, ID)
- …education, and activation, ultimately improving patient access and adherence. The Director will work cross-functionally with medical affairs, market access, ... The Director , Consumer Marketing is responsible for leading the...deep expertise in direct-to-consumer (DTC) marketing, omnichannel engagement, and behavioral insights to create impactful and compliant consumer campaigns.… more
- HCA Healthcare (Caldwell, ID)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... and the United Kingdom. We are looking for a Director Emergency Services for our West Valley Medical...Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- Highmark Health (Boise, ID)
- …and lines of business. This will require aligning new models to the health plan's strategic objectives based on a deep understanding of innovation and industry ... Advanced Analytics, Contracting and Provider Relations, Actuary, Finance, Highmark Health Solutions, Health Plan Operations. **ESSENTIAL RESPONSIBILITIES** +… more
- CenterWell (Boise, ID)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** The IPA Coding Leader manages a diverse...identify and influence enhancements to technology to improve the medical coder experience. + Oversees coding operations by identifying… more
- Idaho Division of Human Resources (Boise, ID)
- …Works closely with the Director on a daily basis. + May represent the Director on the Behavioral Health Cooperative, Juvenile Training Council, the Idaho ... and federal funds administration, statewide community operations, project management, community-based behavioral health services, and POST Academy training and… more
- HCA Healthcare (Caldwell, ID)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...and patient communication. + You will consult with Program Director and Rehab Physician/ Medical Director … more
- Evolent (Boise, ID)
- …as required. + Entering data into a proprietary system generating cases for both the medical and behavioral health reviewers. These requests may be submitted ... also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our... reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs,… more
- HCA Healthcare (Caldwell, ID)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... a(an) Idaho Surgery Center Nurse Manager? At West Valley Medical Center, you come first. HCA Healthcare has committed...Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- HCA Healthcare (Caldwell, ID)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed ... an exciting opportunity for you to join West Valley Medical Center which is part of the nation's leading...Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- Cognizant (Boise, ID)
- …Cognizant's TriZetto Elements suite of products can provide new value to health plan payers, by demonstrating deep expertise in Government healthcare (Medicare). The ... on market trends and solution offerings. . Work hand in hand with the Director of Elements HPC and other areas of the organization to determine, articulate, expand… more
- Molina Healthcare (Boise, ID)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... from authorization requests or for additional information as requested by the Medical Director . **Job Qualifications** **Required Education** HS Diploma or GED… more