- Molina Healthcare (Caldwell, ID)
- … healthcare experience + Understanding of the drivers and strategies across functions in managed care organizations (MCOs) as well as broad knowledge of the ... Summary** The role, reporting directly to the Head of Strategy , is a critical member of the Strategy... Strategy , is a critical member of the Strategy team, which supports senior executives in creating corporate,… more
- Trinity Health (Boise, ID)
- …highest quality of care . **GENERAL SUMMARY AND PURPOSE for the REGIONAL STRATEGY DIRECTOR , PRIMARY CARE & WOMEN'S SERVICES** Responsible for strategic ... developing, overseeing, or interacting with physician groups, product lines, managed care and/or business development activities, in...director to implement a Council is to inform strategy development and monitor primary care line… more
- Molina Healthcare (Caldwell, ID)
- …with value-based contracting. * In-depth knowledge of managed care business, regulatory/legal requirements, products, programs, strategy and objectives. ... **Job Description** **Job Summary** Leads the market's strategy and planning in the successful development of the provider network, including development,… more
- Molina Healthcare (Caldwell, ID)
- …Social Work or other healthcare related field. **Preferred Experience** + 10+ years managed care experience + Operational and process improvement experience + ... DESCRIPTION** **Job Summary** Become a leader within the Clinical Value Hub's Strategy , Implementations and Integration's team as we guide the implementation of the… more
- Merck (Boise, ID)
- …systems care for patients and their communities. The Integrated Account Management Director of Regional Health Care Systems is a field-based position that is ... be limited to:** + Manage and oversee region-specific Health Care System Account Management roles + Lead team to...ten (10) years' experience in Sales/Account Management, Marketing or Managed Markets within the pharmaceutical industry + Minimum of… more
- Humana (Boise, ID)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Cardinal Health (Boise, ID)
- …organizational development, and possesses a deep understanding of healthcare reimbursement ( managed care and specialty pharmacy operations). In addition to ... Strong project management skills + Understanding of the healthcare reimbursement and managed care + Excellent planning, budget forecasting, and presentation… more
- Molina Healthcare (Caldwell, ID)
- …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+ years of Medicaid managed care experience or in an equivalent related field * Ability ... with Medicaid Proposals and/or business development and requires demonstrated Medicaid managed care experience comprised of technical operational, sales, growth,… more
- American Heart Association (Boise, ID)
- …Association has an excellent opportunity for a Region Corporate Relations Account Director within our Western States Region. The location is flexible to locations ... for the overall management, execution and growth of the Corporate Relations managed accounts portfolio and expert project management for the Corporate Relations… more
- St. Luke's Health System (Boise, ID)
- …of a clinically and financially integrated network + Understands health insurance/ managed care business context to translate technical, clinical, financial, ... outcomes of the population and lowering the cost of care . We offer a dynamic, collaborative work environment that...healthcare landscape. Health Partners is looking for an experienced Director of Healthcare Analytics to lead a team in… more
- Evolent (Boise, ID)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial Services utilizes and develops analytical tools to… more
- Highmark Health (Boise, ID)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... budgetary responsibility and authority. + Develop the overall conceptualization, strategy alignment, financial models, and high-level design of new reimbursement… more
- Molina Healthcare (Caldwell, ID)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... of establishing a sufficient network of Participating Providers to serve the health care needs of Molina membership. * Develops and maintains a standard provider… more
- Molina Healthcare (Caldwell, ID)
- …Strong project management skills preferred. Knowledge of CMS regulations in a managed care environment mandatory **Preferred Education** Master's in healthcare; ... operational issues, by either directly handling or escalating to the attention of the Director of sales so appropriate action can be taken. Works directly with their… more
- Merck (Boise, ID)
- …and Operations Review Meetings. Based on our Company and External Manufacturing strategy the External Manufacturing Operations Associate Director develops with ... **Job Description** The External Manufacturing Operations Associate Director , is accountable for meeting customer demand at...involved in all transactional interactions if they can be managed /delegated to a functional area but will be kept… more
- CVS Health (Boise, ID)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Services Growth is a critical member of the Trade Strategy team, which is tasked with leveraging CVS Health's… more
- Evolent (Boise, ID)
- …regulations impacting the health insurance industry including those related to Medicare, Medicaid/ Managed Care , Commercial and ACA Marketplace + Monitor newly ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
- Merck (Boise, ID)
- …of their current practice structure, business model, and key influencers ( Managed Care Organization/payers, employers, state policy), and their patients' ... of customers within their assigned geography. These customers may include health care providers, such as physicians, nurses, pharmacists as well as quality… more
- Hilton (Boise, ID)
- …of a Revenue Management Consolidated Center \(RMCC\) that is offering owned, managed , and franchised Hilton hotels world\-class revenue management talent and tools\. ... team reporting to Franchised Full Service, Lifestyle, and Luxury Director , you will work on projects such as the...will be like:** + Enact an appropriate Revenue Management strategy , including the pricing for all portfolio hotels assigned… more