- BPA Health Inc (Boise, ID)
- …successful candidate possesses expertise, direct experience with and understanding of the provider network management core processes that results in a ... but not required. Preferred experience: 5 years leadership experience preferred Provider Network Management experience preferred Knowledge of Idaho behavioral… more
- Revelyst (Boise, ID)
- …of our Key Accounts, all outside and inside sales representatives. The **Regional Sales Director ** will partner with all Sales management teams to lead the ... in the outdoors. We seek a skilled **Regional Sales Director ** to join our Revelyst Golf Technology platform. The...for the US. You will work closely with senior management to ensure strategies are understood and executed in… more
- Micron Technology, Inc. (Boise, ID)
- …inspiring the world to learn, communicate and advance faster than ever. The Director of HR Service Solutions Hub leads the regional hub responsible for delivering ... models tailored to the region's diverse markets and cultures. The Director empowers teams to converge innovation, agility, and outstanding experiences ensuring… more
- Parexel (Boise, ID)
- …across a broad spectrum of diseases. Overall responsibilities of the Associate / Medical Director are to: - Provide medical and safety monitoring for assigned ... needs, we are seeking an additional Associate / Medical Director to join Parexel's highly recognized Medical Sciences Team...projects - Provide medical expertise and leadership to support business development… more
- Molina Healthcare (Caldwell, ID)
- …design solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or… more
- Molina Healthcare (Caldwell, ID)
- … Information process functions. * Directs the development, implementation and maintenance of provider data in the claims payment system. * Supports critical ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Humana (Boise, ID)
- …solid understanding of how organization capabilities interrelate across department(s). The Associate Director , DSNP Encounter Data management will identify ... and issues using data from internal and external sources to provide insight to decision-makers. The Associate Director , Business Intelligence requires a… more
- Molina Healthcare (Caldwell, ID)
- …optimization, and service delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations… more
- Molina Healthcare (Caldwell, ID)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management /Network Adequacy. **Knowledge/Skills/Abilities** + ... work with other teams including New Markets team, Network Management , Product Teams, PDM and IT. **Job Qualifications** **REQUIRED...EXPERIENCE:** + Advanced Excel skills. + Power BI. + Provider Data Analytics. To all current Molina… more
- Evolent (Boise, ID)
- …OR THE WEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement ... transformation efforts in **California** . Reporting to the National Provider Engagement Sr. Director , you will be...+ Own market level engagement strategy and collaborate with provider engagement market managers to ensure change management… more
- Humana (Boise, ID)
- …positioned to put those customers at the center of everything it does. The Director , Data Technology Solutions devises an effective strategy for executing and ... delivering on IT business initiatives. The Director , Data Technology Solutions requires an in-depth...data engineers, and business analysts), as well as data product and governance teams; Provide thought… more
- Molina Healthcare (Caldwell, ID)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data , and chart collection… more
- St. Luke's Health System (Boise, ID)
- … Director , Physician and APP Compensation and Contracting** to join our Provider Compensation team. The Senior Director , Physician and APP Compensation and ... life-cycle management , governance oversight, and market analysis. This Senior Director also works with St. Luke's Clinic senior leadership in developing… more
- Lumen (Boise, ID)
- …Join us as we digitally connect the world and shape the future. **The Role** As a Director of Program Management , you will be a key member of the Lumen Project ... world. We are igniting business growth by connecting people, data and applications - quickly, securely, and effortlessly. Together,...Management Office (PMO) leadership team under the CTO, driving… more
- Concentrix (Boise, ID)
- Job Title: Director , Product Management Job Description We're Concentrix. A new breed of tech company - Human-centered. Tech-powered. Intelligence-fueled. We ... the execution of transformative product roadmaps. Concentrix is currently looking for a Director , Product Management . We are looking for someone who has played… more
- CVS Health (Boise, ID)
- …of provider performance improvement initiatives + Establish a program management framework for VBC improvement initiatives-- monitoring the impact of efforts and ... And we do it all with heart, each and every day. The Lead Director , National VBC Performance Planning & Insights will act as a strategic leader driving… more
- Humana (Boise, ID)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
- Humana (Boise, ID)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The… more
- Highmark Health (Boise, ID)
- …and business units to ensure secure and appropriate access to systems and data . Develops talent, addresses resource management , cultivates capabilities of staff, ... responsibilities of the job - passion, empowerment, accountability, collaboration and ethics. + Provide oversight of all aspects of project management to ensure… more
- Highmark Health (Boise, ID)
- …SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current ... the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly high-risk… more
