- HCA Healthcare (Idaho Falls, ID)
- …Anesthesiology **Job Summary:** ICC Healthcare (Intensive Care Consortium) is seeking an Intensivist Medical Director to lead the ICU team at Eastern Idaho ... in Idaho Falls, Idaho. **Qualified Candidates:** + Leadership experience preferred for Medical Director position + Maintain Board certification in critical care… more
- Molina Healthcare (Idaho Falls, ID)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Molina Healthcare (Idaho Falls, ID)
- …reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health...and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies… more
- Molina Healthcare (Idaho Falls, ID)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... health and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management policies and procedures to improve… more
- Molina Healthcare (Idaho Falls, ID)
- JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting ... and cost-effective member care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports… more
- HCA Healthcare (Idaho Falls, ID)
- …discharge notes and patient communication. + You will consult with Program Director and Rehab Physician/ Medical Director regarding pre-screen assessments ... Therapy Speech Language Pathologist FT** with Eastern Idaho Regional Medical Center you can be a part of an...is devoted to giving back! **Benefits** Eastern Idaho Regional Medical Center offers a total rewards package that supports… more
- HCA Healthcare (Idaho Falls, ID)
- …Chemistry, Biology, or equivalent field or equivalent degree approved by the Laboratory Medical Director . + Minimum 2 years of experience as a Histologist ... for our Histology Technologist opening with Eastern Idaho Regional Medical Center today and find out what it truly...of the HCA Healthcare team. **Benefits** Eastern Idaho Regional Medical Center, offers a total rewards package that supports… more
- Molina Healthcare (Idaho Falls, ID)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of ... supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all… more
- Molina Healthcare (Idaho Falls, ID)
- …+ Analyze results to identify early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies related to medical care ... with operational management to identify saving opportunities and areas of medical utilization concerns. + Provide support to financial closing process regarding… more
- Molina Healthcare (Idaho Falls, ID)
- …reserves for appropriateness monthly + Work collaboratively with Actuarial and Medical Economics partners to evaluate correlation among various parameters impacting ... IBNR, including bed days and admits per 1,000, prescription drug utilization, billed dollars of inventory, and other measurable factors that may be leading indicators of the level of reserve required for a particular cell (eg, a particular product within a… more
- HCA Healthcare (Idaho Falls, ID)
- …for the opportunity below:Coordinator Respiratory Therapy NightsEastern Idaho Regional Medical Center **Benefits** Eastern Idaho Regional Medical Center, ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...with co-workers on assigned shift and follow up with director on performance issues.** + **You will assist the… more
- CDM Smith (Idaho Falls, ID)
- …Packages and defining Scopes of Work under the supervision of the Director of Construction/President or Project Manager. * Responsible for overseeing total ... reports, etc.), purchase requisitions, change request, etc., under supervision of Director of Construction/President or Project Manager. * Ensures all field… more
- HCA Healthcare (Idaho Falls, ID)
- …for being on the front line, empathetic for patients. At Eastern Idaho Regional Medical Center our nurses set us apart from any other healthcare provider. We are ... a Nurse Educator to join our healthcare family. **Benefits** Eastern Idaho Regional Medical Center, offers a total rewards package that supports the health, life,… more
- Molina Healthcare (Idaho Falls, ID)
- …issue escalations and Joint Operating Committees on exception. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC ... contracting. * Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting… more
- Molina Healthcare (Idaho Falls, ID)
- …with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, and local health plan resources. + Responsible ... metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be able to walk stakeholders (internal and… more
- Molina Healthcare (Idaho Falls, ID)
- …Tighter knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts including but not ... and/or language. Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract… more