- United Site Services (Meridian, ID)
- **About USS** United Site Services is the industry leader in comprehensive site services , committed to creating partnerships that help enable our customers' ... a seamless and reliable experience for our customers. By joining United Site Services , you will be part of an organization that values continuous improvement,… more
- United Site Services (Meridian, ID)
- …Our total compensation package includes base pay plus a comprehensive benefits program . **EEO Statement** United Site Services is an equal opportunity ... **About USS** United Site Services is the industry leader in comprehensive site...in every aspect of our business. **Primary Purpose** The Manager , Inside Sales provides strategic direction and leadership to… more
- Molina Healthcare (Caldwell, ID)
- …Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Caldwell, ID)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Caldwell, ID)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- Molina Healthcare (Caldwell, ID)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Completes face-to-face comprehensive assessments of members per regulated… more
- Molina Healthcare (Caldwell, ID)
- …Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- Molina Healthcare (Caldwell, ID)
- …standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... appeals and denials. * Previous experience leading projects. * Strong customer service experience. * Strong organizational and time management skills; ability to… more
- United Site Services (Meridian, ID)
- **About USS** United Site Services is the industry leader in comprehensive site services , committed to creating partnerships that help enable our customers' ... a seamless and reliable experience for our customers. By joining United Site Services , you will be part of an organization that values continuous improvement,… more
- Sodexo (Nampa, ID)
- …team will make a real impact every day. Sodexo is seeking an **Environmental Services / Custodial Operations Manager 2** for **St. Luke's Hospital** located in ... Bring** + experience leading and managing a team; + experience driving customer service and/or guest satisfaction results in a healthcare environment is… more
- Walgreens (Emmett, ID)
- …when using the pharmacy. Enhances customer experience by increasing focus on healthcare services . **Operations** + Responsible for assisting pharmacist in the ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any… more
- Idaho Division of Human Resources (Meridian, ID)
- …Description This recruitment is being used to fill a second registered nurse manager position with Idaho State Police Forensic Services (ISPFS). The position ... Short and long-term disability insurance + Student Loan Forgiveness (https://studentaid.gov/manage-loans/forgiveness-cancellation/public- service ) + Wellness programs + Employee Assistance Program… more
- Molina Healthcare (Caldwell, ID)
- …supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program experience as needed ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified… more
- Molina Healthcare (Caldwell, ID)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on...policies and be able to apply them in ensuring program compliance via payment integrity programs. The position must… more
- Molina Healthcare (Caldwell, ID)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Caldwell, ID)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Columbia Bank (Nampa, ID)
- Commercial Banking Relationship Manager III Commercial Banking Nampa, Idaho **Description** **About Us:** At Columbia, we create a great place to work by offering a ... for business. Together for better. **About the Role:** Commercial Relationship Manager develops, advises, manages, and retains client relationships. They also… more
- Molina Healthcare (Caldwell, ID)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- Molina Healthcare (Caldwell, ID)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment… more
- Walgreens (Eagle, ID)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... cash register, provides customers with courteous, fair, friendly, and efficient checkout service . + In accordance with state and federal regulations, assists the… more
