- Molina Healthcare (Idaho Falls, 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 (Idaho Falls, 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 (Idaho Falls, 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 (Idaho Falls, ID)
- …Medicaid. This position will have a case load and manage members enrolled in this program . We are looking for a Care Manager who have experience working with ... For this position we are seeking a Care Manager who lives in Idaho Care manager...Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary… more
- Molina Healthcare (Idaho Falls, 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 (Idaho Falls, 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
- HCA Healthcare (Idaho Falls, ID)
- …Regional Medical Center which is part of the nation's leading provider of healthcare services , HCA Healthcare . **Benefits** Eastern Idaho Regional Medical ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off… more
- HCA Healthcare (Idaho Falls, ID)
- …Regional Medical Center which is part of the nation's leading provider of healthcare services , HCA Healthcare . **Benefits** Eastern Idaho Regional Medical ... include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay....3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan + Retirement readiness… more
- Liberty Healthcare Corporation (Rigby, ID)
- …worked as a Direct Support Professional, Social Worker, Healthcare or Human Services Intake / Admissions Specialist, Case Manager , Social Services ... helps people who have disabilities receive supports and services so they may achieve their personal goals while...Service Coordinator, Case Worker or Client Advocate. Liberty Healthcare is an equal opportunity employer committed to diversity,… more
- Molina Healthcare (Idaho Falls, 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 (Idaho Falls, 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 (Idaho Falls, 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 (Idaho Falls, 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
- Molina Healthcare (Idaho Falls, 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 (Idaho Falls, 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 (Idaho Falls, 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
- Walgreens (Idaho Falls, ID)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... services as required; assists pharmacy staff in coordination of clinical services , Walgreens healthcare clinics and external providers. + Assists Pharmacy … more
- Walgreens (Rexburg, ID)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... services as required; assists pharmacy staff in coordination of clinical services , Walgreens healthcare clinics and external providers. + Assists Pharmacy … more
- Rush Enterprises (Idaho Falls, ID)
- … service truck and for keeping the vehicle properly stocked. + Report to the Service Manager and will be assigned duties on a daily basis. + Maintain ... Document and submit necessary paperwork or enter into mobile service program as work performed in an...work. Foster positive customer relations. + Advise customer and/or service writer of any repairs or services … more
- Rush Enterprises (Idaho Falls, ID)
- …on all truck deals. + Promote and support our "One Team" vision. Sell all services offered: Parts, Service , Body Shop, New Trucks and Used Trucks + Follow ... as we continue to expand our network of locations and services . Responsibilities: + Self-generate prospective customers/business opportunities with new and existing… more