- 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)
- …work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/ program management, rather ... teams in planning and executing business programs. Assigns and monitors work of program management staff providing support and direction. + Serves as the subject… more
- Molina Healthcare (Idaho Falls, ID)
- …and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits and overpayment ... and executing projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, post-payment… more
- HCA Healthcare (Idaho Falls, ID)
- …is hired below midpoint of the range. **Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) ... Float Pool Manager with Eastern Idaho Regional Medical Center you can...include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay.… more
- Molina Healthcare (Idaho Falls, ID)
- …governance framework and decision-making processes, as needed. + At the direction of program (CoE, Shared Service or other functional area) leadership, supports ... or a similar field). + Relevant work experience in healthcare compliance program operations and risk management;...experience. + Managed Care experience, preferably in a shared service , CoE or matrixed environment. + Experience with Microsoft… 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 Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- HCA Healthcare (Idaho Falls, ID)
- …revenue cycle management, or total patient account resolution, for HCA Healthcare . Our services include scheduling, registration, insurance verification, ... below midpoint of the range. **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of...include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay.… more
- HCA Healthcare (Idaho Falls, ID)
- …a(an) Executive Chef? At Eastern Idaho Regional Medical Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible ... 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
- Liberty Healthcare Corporation (Idaho Falls, 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
- Natural Grocers (Idaho Falls, ID)
- Salary Range USD $19.00/Hr. - Overview The Job in a Nutshell: The Receiving Manager is responsible for the successful operation of the receiving department as well ... and are required to fulfill the duties of the Manager on Duty (MOD) on a scheduled basis. Applications...01/13/2026 Responsibilities Main Ingredients: + Providing World Class Customer Service as a number one priority. + Exemplifying integrity,… more
- Molina Healthcare (Idaho Falls, ID)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… 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 ... of service . **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from… 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)
- …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)
- …Duties** * Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality ... and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. * Ensures that adequate staffing coverage is present at all… more
- Walmart (Ammon, ID)
- …team is dedicated to providing comprehensive patient care and ensuring the highest standards of service . As a Pharmacy Manager , you will lead the team to success ... operations and leading people? Join Walmart as a Pharmacy Manager and lead our team of pharmacists and pharmacy...enforce, and provide direction and guidance on proper customer service approaches and techniques to ensure customer needs are… 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 (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
- Medtronic (Idaho Falls, ID)
- …can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down ... for improving patient outcomes, you'll have the opportunity to impact global healthcare directly. If you're driven by precision, problem-solving, and the chance to… more