- St. George Tanaq Corporation (Boise, ID)
- Dispute Resolution Reviewer III Fully...Must have 2-3 years of medical dispute resolution or Medicare appeals, medical review , clinical, or ... and shareholders. **About the Role** We are seeking a ** Dispute Resolution Reviewer III (DRR...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
- St. George Tanaq Corporation (Boise, ID)
- Dispute Resolution Reviewer I Fully Remote*GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... and shareholders. **About the Role** We are seeking a ** Dispute Resolution Reviewer I (DRR...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
- Molina Healthcare (Boise, ID)
- …recognition and timely routing of member complaints. * Trains each state's provider dispute resolution unit on CMS standards and requirements, including the ... experience. **Required Experience** * 7 years' experience in healthcare claims review and/or Provider appeals and grievance processing/ resolution , including 2… more
- Cardinal Health (Boise, ID)
- …other services by acting as a liaison in problem-solving, research and problem/ dispute resolution . **_Job Summary_** Responsible for answering inbound calls from ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
- Cardinal Health (Boise, ID)
- …other services by acting as a liaison in problem-solving, research and problem/ dispute resolution **_Job Summary_** The Representative II, Customer Service ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
- CVS Health (Boise, ID)
- …Manager position negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo, small group, ... development activities and recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement… more
- CBRE (Boise, ID)
- … review , and submission of proposals as they relate to contracts. + Contractual Dispute Resolution : Lead the resolution of contract disputes, claims, and ... processes, and standards within the job discipline. + Contract Review & Risk Assessment: Review and assess...discipline. + Contract Review & Risk Assessment: Review and assess client-proposed amendments to standard contract terms… more
- CVS Health (Boise, ID)
- …you will manage negotiations, conduct high-level reviews and analysis, and manage dispute resolution and settlement negotiations of contracts, with large and ... and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement… more
- Prime Therapeutics (Boise, ID)
- …years across a wide variety of legal functions (corporate governance, dispute resolution , contract negotiation, employment law, audits/investigations, regulatory ... litigation strategy, manages all aspects of legal disputes and ensures effective resolution . The position provides direction and leadership to non-lawyer and lawyer… more
- Cardinal Health (Boise, ID)
- …services by acting as a liaison in problem-solving, research and problem/ dispute resolution . **Shift:** Monday-Friday 8:30am-5:00pm EST **Remote Details:** You ... customer business through contract administration, customer orders, and problem resolution . Responsible for providing outsourced services to customers relating to… more
- Cardinal Health (Boise, ID)
- …timely, collaborating with the sales and pricing teams, identifying and coordinating dispute resolution , and administering credit policies and standards + ... + Works on routine assignments that require basic problem resolution + Refers to policies and past practices for...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- St. George Tanaq Corporation (Boise, ID)
- …AI are required to contact us prior to their interview at ###@tanaq.com. **To view the Dispute Resolution Reviewer I and all our job postings, visit us at:** ... briefs). + Collaborate closely with client staff to prepare, draft, and review documentation for federal agency clearance. + Work with client staff/contractors to… more
- Prime Therapeutics (Boise, ID)
- …and concerns. **Responsibilities** + Works with manufacturers and client pertaining to dispute resolution . + Assists client with Pharmacy audits providing ... maintaining all client service agreements. + Invoicing practices, including pre-invoicing review for fee for service, managed care, diabetic supply and supplemental… more
- Hoar Construction (Boise, ID)
- …at hand. This includes managing vendors, contract negotiations, client expectations, dispute resolution , estimating/procurement and schedule production. In this ... and scope amendments for changes in funding projects. Prepares recommendations for review /approval by the Owner. + Prepares and reviews change orders to construction… more
- City of Boise (Boise, ID)
- …+ Safe and effective arrest techniques + Basic first aid and CPR + Dispute resolution techniques + Computer applications and software used in spreadsheets and ... Identify and research various issues arising from investigations + Investigate, review , provide testimony about, and otherwise handle graphic, disturbing, or… more
- Cardinal Health (Boise, ID)
- …Support is responsible for proactive research, customer and supplier inquiries, and dispute resolution all with a concentration on customer pricing, acting ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Public Consulting Group (Boise, ID)
- …**Preferred Experience:** . Understanding of OSEP based General Supervision concepts: . Dispute Resolution . Cyclical Monitoring . Technical Assistance . Fiscal ... o Serve as a main point of contact internally for Regional Teams - review new opportunities for viability, potential market shifts, and areas of risk o Serve… more
- Fujifilm (Boise, ID)
- …requirements. + Support antitrust, trade, and environmental compliance, pre-litigation, dispute resolution , government inquiries, and investigation, settlement ... chemicals and ink subsidiaries, ensuring operational and regulatory compliance. + Draft, review , revise, and negotiate a large volume of strategic and complex… more
- Molina Healthcare (Boise, ID)
- …and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute , grievances, and/or complaints ... for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with… more
- R1 RCM (Boise, ID)
- …of the administrative appeals process. Every day, you will handle contract review and appeal template development based on contractual provisions and applicable ... tools. + Draft complex and contractual appeals and letters to insurance companies. + Review and apply client contract language and rates to resolve denied claims. +… more