- St. Luke's Health System (Boise, ID)
- …and ensuring our patients and communities receive the support they deserve. The Clinical Operations Manager is responsible for supporting the management ... a great place to work. **What to Expect:** The Behavioral Health Service Line offers a wide range of...to include efficiency, service, people, quality and safety. The Clinical Operations Manager ensures the… more
- Molina Healthcare (Boise, ID)
- …Required Qualifications * At least 5 years of health care experience, including experience in clinical operations , and at least 3 or more years in one or more ... of the following areas: utilization management, care management, care transitions, behavioral health, or equivalent combination of relevant education and experience.… more
- CenterWell (Boise, ID)
- …in a highly matrixed environment, aligning product initiatives across business, IT, clinical operations , payers, and external vendors. + Measurement & Reporting: ... community and help us put health first** The Senior Product Owner - Clinical Referral and Specialty Care is responsible for conveying product vision and roadmap… more
- CenterWell (Boise, ID)
- …Lead a dynamic team of product management professionals dedicated to advancing clinical operations and technology solutions. Drive the strategic roadmap for ... the clinical vertical, ensuring alignment with organizational goals and continuous...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50… more
- Highmark Health (Boise, ID)
- …implementing large scale data exchange initiatives, and providing development and operations support. This role involves translating intricate clinical ... of end systems impact of changes across multiple systems, clinical disease process, and healthcare data. As a **...Scrum Master, Business Technical Analyst, User Interface designer, Capability Manager , or Tester, based upon experience and need. +… more
- Highmark Health (Boise, ID)
- … clinical , case management and/or disease/condition management experience, provider operations and / or health insurance experience **Preferred** + Advanced ... panel of members that range in health status/severity and clinical needs. The incumbent assesses health management needs of...training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy… more
- Highmark Health (Boise, ID)
- …:** **JOB SUMMARY** This job is responsible for the oversight and operations of the healthcare management analytics function with the Medical Policy department. ... + Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and...d) management of professional analytic staff in a business, clinical or technology function + 5-7 years of experience… more
- Highmark Health (Boise, ID)
- …and staff productivity.Plan, organize, staff, direct and control the day-to-day operations of the department; develop and implement policies and programs as ... + Experience working in a product led environment + Clinical knowledge in the product space **SKILLS** +...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Boise, ID)
- …help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes ... (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope and complexity ranging from moderate… more
- Evolent (Boise, ID)
- …directly to the Manager , Utilization Management. In support of our daily operations this individual also works with our clinical team, which includes our ... medical reviews: LVNs, LPNs, and RNs along with our behavioral health reviewers: LMSWs, LCSW, and LPCs, Clinical Reviewers. Opportunities to work collaboratively… more
- CenterWell (Boise, ID)
- …team effectively describes services offered and sells prospective patients on the clinical care model. + Ensures the team documents and modifies contact notes ... Decisions are typically related to schedule, plans and daily operations . + Performs escalated or more complex work of...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50… more
- CenterWell (Boise, ID)
- …architecture and metric reporting for CenterWell's call center and back office operations . You will lead a team of analysts while simultaneously perform advanced ... & Storytelling: Serve as the lead for WFM and operations for operational performance. You must translate data into...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50… more