- Magellan Health Services (Boise, ID)
- …supervision. Project management skills and demonstrated experience. General Job Information Title Quality Clinical Reviewer Grade 25 Work Experience - ... and external reporting. Interacts with multiple stakeholders internally and externally. Provides clinical reviews of Quality of Care (QOC) and Critical/Adverse… more
- Wolters Kluwer (Boise, ID)
- …care to provide advanced clinical decision support solutions that measurably improve clinical effectiveness. The Senior Clinical Quality Analyst will use ... of pharmacotherapy and disease/condition and patient-specific variables. + Perform ongoing clinical data analysis and quality control activities related to… more
- Trinity Health (Nampa, ID)
- …delivery of services for a select group of patients. To help achieve quality clinical and cost outcomes, incorporates real-time contacts with physicians, ... virtues, we pride ourselves on exceptional service and the highest quality of care. **GENERAL SUMMARY AND PURPOSE:** Provides hospital case management/utilization… more
- Evolent Health (Boise, ID)
- …Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Provides clinical rationale for standard ... the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer , Interventional Pain Management, you will...within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- Prime Therapeutics (Boise, ID)
- … clinical research and analytics that improve medical cost savings and provide clinical quality initiatives + Manages current clients in all Medical Pharmacy ... drives every decision we make. **Job Posting Title** Director, Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description Summary** Responsible for… more
- Prime Therapeutics (Boise, ID)
- …fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer , MRx - Oncology - REMOTE **Job Description Summary** Key ... clinical determinations cannot be made by the Initial Clinical Reviewer . + Discusses determinations with requesting...as needed to discuss cases and problems. + Utilizes medical/ clinical review guidelines and parameters to assure… more
- Evolent Health (Boise, ID)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer you will be a key member of the utilization management team. ... provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD… more
- Elevance Health (Meridian, ID)
- …in a state or territory of the United States when conducting a peer clinical review . + For URAC accredited areas, the following professional competencies apply: ... Friday from 9:30 am - 6:00 pm **PST** The ** Reviewer -Therapy Services** is responsible for the review...requirements. + Researches and obtains additional data, consults with clinical reviewers and medical directors, when necessary. + Acts… more
- J&J Family of Companies (Boise, ID)
- …peers through review of deliverables to minimize delays during the quality review process; + Interface between Clinical R&D, IT and Quality including ... Senior Clinical Data Analyst - 2406185694W **Description** At Johnson...eTMF and other relevant platforms (as assigned); + Create, review and facilitate approval of system deliverables and facilitate… more
- CenterWell (Boise, ID)
- … innovation and care model development. + Understanding and comfort with population clinical , quality , and financial drivers in full risk care delivery, ideally ... and help us put health first** The AVP, Complex Care will lead clinical strategy and opportunity assessment around new value-based opportunities and programs that… more
- Prime Therapeutics (Boise, ID)
- …direct, control and monitor project activities. + 5+ years' experience in clinical operations, quality , network, pharmacy or project management. + Project ... Manager - Remote in Raleigh, NC **Job Description Summary** Leads the clinical support for various multi-functional projects critical to the company in achieving… more
- Evolent Health (Boise, ID)
- …and external customers through positive interactions, and timely delivery of high- quality products. Our team values collaboration, continuous learning, and a ... every team member contributes to providing better health outcomes. The Clinical Letter Writer is responsible for reviewing adverse determination decisions against… more
- Prime Therapeutics (Boise, ID)
- …and Therapeutics (P&T) Committee. **Responsibilities** + 3-5 years' experience in clinical operations, quality , network, pharmacy or project management OR ... in various multi-functional projects critical to the company in achieving its clinical and operational goals and objectives. Develops, implements and monitors … more
- Intermountain Health (Boise, ID)
- …healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class ... and legal requirements. Evaluate: + Evaluates patient response to interventions through review of achievement of goals, clinical outcomes, and patient and… more
- Intermountain Health (Boise, ID)
- …healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class ... functional users and employees on Finance, Supply Chain, HR, and other non- clinical systems. Performs operational systems tasks and maintenance as assigned. May be… more
- J&J Family of Companies (Boise, ID)
- …phases of clinical studies of moderate complexity under limited supervision. * Review clinical study protocols and Case Report Forms (CRFs) for proposed ... business units and external customers. * Provide statistical reports for data quality /performance metrics. * Assist Clinical Research with literature reviews and… more
- J&J Family of Companies (Boise, ID)
- Clinical Safety Specialist - 2406185254W **Description** Abiomed, part of Johnson & Johnson's MedTech is recruiting for a ** Clinical Safety Specialist** , ... profoundly impact health for humanity. Learn more at https://www.jnj.com/. The ** Clinical Safety Specialist** is responsible for implementing and executing … more
- Trinity Health (Boise, ID)
- …Type:** Full time **Shift:** Day Shift **Description:** We are looking for a Clinical Research Coordinator to join our team in Boise in support of Oncology ... research! **POSITION PURPOSE:** As a Clinical Research Coordinator, you will work on-site to facilitate...guidelines and expectations that ensure compliance with research billing review practices. + Coordinates IRB submission of all proposed… more
- Prime Therapeutics (Boise, ID)
- …our passion and drives every decision we make. **Job Posting Title** Director Clinical Account Services DC Sole Source - Remote DC **Job Description Summary** Plays ... a key role in various clinical pharmacy accounts: overseeing the overall clinical ...Activities address impact on customers, operations, program integrity, pricing, quality and satisfaction. Develops and tracks appropriate metrics that… more
- Merck (Boise, ID)
- …This role is accountable for execution and oversight of local operational clinical trial activities in compliance with ICH/GCP and country regulations, company ... policies and procedures and with quality standards internally and externally. Under the oversight of...standards internally and externally. Under the oversight of the CRD( Clinical Research Director) / Director, Clinical Research,… more