- 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
- Wolters Kluwer (Boise, ID)
- …Clinical Content. **RESPONSIBILITIES** + Responsible for creating and revising accurate, high- quality clinical drug data consistent with the format and ... domestic and international databases. You will utilize multiple data sources and clinical and technical expertise to create relevant, clinically meaningful data used… 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
- J&J Family of Companies (Boise, ID)
- …will contribute to the development and oversee the execution of oncology clinical research studies, ensuring consistency and quality , across the assigned ... clinical project scientists to ensure development of high quality study protocols including use of consistent processes/standards across...* Work closely with Quality Management & Quality Assurance to review audit findings and… 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 , Hematology and Medical Oncology you...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- PharmD/RPH 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
- 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
- Cardinal Health (Boise, ID)
- …a thorough understanding of research methodology and the ability to develop high- quality clinical documents. Extensive knowledge of the European medical device ... development, writing and reviewing Post Market Surveillance Plans and Clinical Evaluation Reports for the medical devices. The Project...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… 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)
- …and drives every decision we make. **Job Posting Title** Operations Supervisor - Clinical Review **Job Description** The Supervisor Operations is responsible for ... support. **Responsibilities** + Monitor and manage team workload and capacity, quality metrics, cost, and efficiency to ensure performance guarantees, turnaround… more
- Prime Therapeutics (Boise, ID)
- …other clinicians, analysts, etc.) to respond to customer needs and requests with high- quality results. + Provides clinical and economical input for drug spend ... a customized forecast for specific populations. Researches marketplace trends, clinical guidelines and drug pipelines to maintain a comprehensive understanding… 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
- 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
- J&J Family of Companies (Boise, ID)
- Functional Manager, Global Clinical Operations - Oncology - Central US - 2406171914W **Description** Janssen Research & Development, LLC, is recruiting for a ... Functional Manager, Global Clinical Operations - Oncology to be remote in the...project deliverables according to timelines, within budget, and with quality . + Ensure studies are in a constant state… more
- CenterWell (Boise, ID)
- …a part of our caring community and help us put health first** The Clinical Strategy and Practice Lead builds strategies for development, engagement, best clinical ... for clinical community within the enterprise. The Clinical Strategy and Practice Lead works on problems of...functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and procedures… more
- Sharecare, Inc. (Boise, ID)
- …supporting each individual through the lens of their personal health and making high- quality care more accessible and affordable for everyone. To learn more, visit ... for members in an appropriate, efficient, and cost-effective manner while ensuring high quality care. The RD colleague has responsibility for the provision of member… more
- Trinity Health (Boise, ID)
- …your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. We are seeking a 20 hour a week Clinical Lab ... of patient by utilizing various medical laboratory procedures in the Clinical Laboratory. Correlates and integrates other patient data when interpreting test… more
- Prime Therapeutics (Boise, ID)
- …staff and/or pharmacists. + Escalates requests to Pharmacist when request requires extensive clinical review or denial. + Monitors telephone system to ensure ... our passion and drives every decision we make. **Job Posting Title** Clinical PharmacyTechnician II **Job Description Summary** Evaluates and authorizes approval of… more