- Molina Healthcare (Nampa, ID)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Nampa, ID)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Nampa, ID)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Evolent (Boise, ID)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE WEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- St. Luke's Health System (Boise, ID)
- …of colleagues, St. Luke's is truly a great place to work. The ** Director of Clinical Review Management ** provides strategic and operational leadership across ... multiple settings and operating units to lead the organization's utilization management function in support of SLHS mission, vision, and strategic objectives. **What… more
- Cardinal Health (Boise, ID)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- Molina Healthcare (Boise, ID)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… more
- Highmark Health (Boise, ID)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Otsuka America Pharmaceutical Inc. (Boise, ID)
- **Job Summary** **Job Description** The Associate Director (AD), Federal Government Affairs, will assist in the development, communication, and deployment of ... activities and policy priorities that promote access to therapies, preserve patient/ provider choice, and generally protect Otsuka's business interests in policy… more
- Cornerstone Caregiving (Boise, ID)
- Operating Director for West Boise, ID Operating Director Full-Time West Boise, ID Apply Now Apply Now Job Summary Cornerstone Caregiving, the largest privately ... expand nationwide, we are searching for an exceptional Operating Director to lead this branch's growth. Supported by our...this branch's growth. Supported by our homebase and a network of Operating Directors, you will play a pivotal… more
- SHI (Boise, ID)
- …every year since, and today we're proud to be a $15 billion global provider of IT solutions and services.** **Over 17,000 organizations worldwide rely on SHI's ... **Job Summary** SHI is seeking an executive visionary to serve as Sr Director of Services Delivery Integrators & GTM Alliances, responsible for crafting the program,… more
- Idaho Division of Human Resources (Boise, ID)
- Director of Technology Posting Begin Date: 2025/10/22 Posting End Date: 2025/11/22 Work Type: Full Time Location: Boise, ID, United States Minimum Salary: 37.78 ... Maximum Salary: 47.94 Pay Rate Type: Hourly Description Director of Technology State of Idaho Opportunity This posting...and Idaho's only locally owned and operated statewide broadcast network . We are a state agency under the Idaho… more
- Molina Healthcare (Nampa, ID)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Molina Healthcare (Nampa, ID)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Merck (Boise, ID)
- …plans in partnership with Precision Medicine Health Systems Oncology Medical Affairs Director (PM HSO-MADs), oncology account management , and precision medicine ... **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems Oncology (PM MAD-HSO) develops ongoing professional relationships with… more
- Hilton (Boise, ID)
- …brands by being relentlessly motivated to grow market share\. On the Strategic Account Management team reporting to the Managing Director , you will lead a ... the combined benefits of scale, access, competence, and experience\. As a Director , Sales Worldwide Accounts \(Strategic Accounts\) _,_ you will support the team… more
- Cardinal Health (Boise, ID)
- … of Sales, Market Access_ will directly support the team's diverse account management responsibilities across our network of 500+ existing payers. This hands-on ... healthcare services and products company headquartered in Dublin, OH. The _National Director of Sales, Market Access_ serves as the dynamic commercial leader for… more
- Molina Healthcare (Nampa, ID)
- …the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage...Cloud, disaster recovery, business continuity, team leadership, and project management . + Strong knowledge of application, network ,… more
- Sumitomo Pharma (Boise, ID)
- …seeking a dynamic, motivated, and experienced individual for the position of ** Director , Thought Leader Liaison - Oncology (Prostate Cancer)** . This field-based ... in prostate cancer care within both academic and community oncology. The Director will engage medical oncologists and radiation oncologists, ensuring ORGOVYX is… more
- UNUM (Boise, ID)
- …part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client ... succeed both professionally and personally. To enable this, we provide : + Award-winning culture + Inclusion and diversity as...of our franchise business models and have a strong network of relationships across the Unum ecosystem. They will… more