- 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
- CHS Inc. (Boise, ID)
- …exciting opportunity in our **Lubricants** department for an **Expert Outside Sales Representative , Lubricants** . This position will be responsible for the sales, ... Northwest. **Responsibilities** **Owning relationships, growing gallons, managing programs and utilization , doing it all safely** + Hold themselves, their peers… more
- Wolters Kluwer (Boise, ID)
- …and assisting with training and rollout, working with reps to drive utilization and customer satisfaction and ensure maximum renewal and retention, and helping ... analysis, and creating and presenting a monthly report to management on key metrics. * Support sales growth from...and/or technology systems used in Health Care (ie, Learning Management System, EHRs etc.). * B2B Inside Sales Experience… more
- Sanofi Group (Boise, ID)
- …of effective territory planning and leveraging Sanofi Genzyme resources effectively. Utilization of effective selling techniques and marketing strategies to create ... within all Pharma compliance guidelines. + Effective account targeting and time management . + Attend training sessions as required and conventions and symposia, as… more
- HealthEdge Software Inc (Boise, ID)
- …Digital Health Management solutions have been shown to increase the utilization of preventive medicine services by 29%, reduce inpatient admissions by 17%, and ... **Overview** Company Overview: Wellframe is a digital health management platform that helps health plans offer convenient...reduce ER utilization by 9%. The platform meaningfully engages more people,… more
- Magellan Health Services (Boise, ID)
- …and reports; provides accurate and timely financial recommendations to management for decision making purposes. + Develops sophisticated financial models. ... in cost of care. Differentiates impact of rate versus utilization variations. + Supports SBUs by providing information, responding...It has come to our attention that a false representative is contacting potential candidates and offering them work… more
- Magellan Health Services (Boise, ID)
- …Healthcare-related field, or relevant experience in lieu of degree., Experience in utilization management , quality assurance, home or facility care, community ... care plan team which may include member, caregivers, member`s legal representative , physician, care providers, and ancillary support services to address care… more
- CBRE (Boise, ID)
- …a region, line of business or large, complex client. Includes the management of such functions as budgeting, forecasting, financial reporting, strategic planning and ... management reporting processes and work product. This position can...and approval. Plans and monitors appropriate staffing levels and utilization of labor, including overtime. Prepares and delivers performance… more
- St. Luke's Health System (Mountain Home, ID)
- …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 operational… more
- CBRE (Boise, ID)
- …defined geographic region or account(s), including workforce planning, performance management , employee engagement, training and development and legal compliance. ... Primary business partners are first line supervisors and senior management , including managing directors. **ESSENTIAL DUTIES AND RESPONSIBILITIES** Provides HR… more
- CBRE (Boise, ID)
- …line GWS Segment Role type Full-time Areas of Interest Consulting, Project Management , Workplace Strategy Location(s) Anaheim - California - United States of ... and maintains processes to be followed by the function and defines portfolio management priorities for site, area and function planning of strategic activities for… more
- Nelnet (Boise, ID)
- … management of client accounts from contract receipt to everyday management , retention of business, increased utilization of products/services, and serving ... of Nelnet, Inc., provides payment technology, education services, and learning management solutions to education and faith-based organizations, serving more than… 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
- 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