- 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
- Merck (Boise, ID)
- …and new indications for existing products. We ensure we conduct high quality clinical trials by integrating state-of-the-art technology and applying rigorous ... clinical trials conducted worldwide. In collaboration with the Clinical Quality Operations Lead {CQOL and Head...periodically (eg quarterly) perform a Therapeutic Area (TA) level review of quality plans and risk mitigation… 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
- 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
- Magellan Health Services (ID)
- …of integrated care, best practices, transformation, and preparing more practices to provide high- quality care. + Acts as liaison between Clinical , Quality , ... gaps. + Analyzes performance and develop, in consultation with clinical and quality management, improvements in ...customer accounts and prepares materials as necessary for customer review and audit. + Designs and develops appropriate and… more
- Cardinal Health (Boise, ID)
- …reports to Quality Director. **_Responsibilties_** + Present formal presentations to clinical groups + Present to clinical leadership and sales team ... regarding Cardinal Health Quality issues. + Apply clinical knowledge and expertise to Cardinal Health value proposition...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… 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 - GI- REMOTE **Job Description Summary** Key member of the ... 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
- Idaho Division of Human Resources (ID)
- …science; principles and laboratory testing techniques of immunology, serology, clinical chemistry, immunohematology, hematology and microbiology; quality control ... years of current experience performing moderate or high complexity testing in a clinical laboratory. + Experience with quality assurance. Typically gained by at… more
- Prime Therapeutics (Boise, ID)
- …+ Managed care experience **Responsibilities** + 7+ years of experience in clinical operations, quality , network, pharmacy or project management. + Project ... our passion and drives every decision we make. **Job Posting Title** Sr Clinical Program Manager, Pharmacist - Remote **Job Description Summary** Plays a key role… more
- Intermountain Health (Burley, 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
- J&J Family of Companies (Boise, ID)
- …and experience in quality , regulatory, post market surveillance, post market quality , adverse event reporting, clinical trial design, or clinical ... development, and promotion. Specifically, the Manager will lead the execution of Clinical Evaluations and Summaries of Safety and Clinical Performance (SSCP)… more
- Kaniksu Community Health (Sandpoint, ID)
- …diabetes by 20%. + We rank in the top 10% of CHC's in the country for clinical quality . + We report the highest level of control in the state for our ... dental, and behavioral health. From pediatric to geriatrics, we believe that quality healthcare should be accessible, approachable and affordable for everyone. We… more
- Intermountain Health (Burley, ID)
- …healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class ... professional growth and development through participation in education programs and review of current literature and develop, lead, and/or participate in appropriate… more
- Intermountain Health (Burley, ID)
- …healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class ... of Intermountain Healthcare? It means that the quest for clinical excellence is not just a goal, but a...quality and sustainable costs. According to Becker's ASC Review , " **_Utah is in the top 5 best… more
- Trinity Health (Boise, ID)
- …Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE:** As a Clinical Research Coordinator, you will work on-site to facilitate the implementation ... and conduct of cardiology clinical research; the Clinical Research Coordinator will...guidelines and expectations that ensure compliance with research billing review practices. + Coordinates IRB submission of all proposed… more
- R1 RCM (Boise, ID)
- … Appeals Supervisor** , you will help support clinicians who conduct a comprehensive review of clinical denials and formulate appeals based on clinical ... policies of the payor. Every day you will supervise the day-to-day clinical operations and functions within the department, ensuring productivity and quality… more