- Travel Nurses, Inc. (Ontario, OR)
- …before they begin a contract; one crucial item is an Engagement Letter review completed with your recruiter before every contract.Benefits and PerksGo further with ... a 401(k) plan through John Hancock with employer matching.24/7 Clinical Support: Healthcare Professionals work 24/7, and so does...Tennessee, and recruiters nationwide, we are committed to providing quality care for patients all over the US, while… more
- 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
- 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)
- …you a check, or ask you for payment as part of consideration for employment. **Nurse Reviewer I** + Job Family: MED > Licensed Nurse + Type: Full time + Date ... W DES MOINES + MA, WOBURN + MA, NEWTON 55 CHAPEL ST **Description** **Nurse Reviewer I** **Location:** Within 50 miles of a pulse point **Shift** : Monday - Friday,… 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: ... Reviewer - Therapy Services** is responsible for the review of medical records to determine if requests for...requirements. + Researches and obtains additional data, consults with clinical reviewers and medical directors, when necessary. + Acts… 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
- 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
- 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
- Prime Therapeutics (Boise, ID)
- …our passion and drives every decision we make. **Job Posting Title** Director, Clinical Account Services - Remote Nevada **Job Description Summary** Plays a key role ... in various clinical pharmacy accounts: overseeing the overall clinical ...Activities address impact on customers, operations, program integrity, pricing, quality and satisfaction. Develops and tracks appropriate metrics that… more
- Prime Therapeutics (Boise, ID)
- …our passion and drives every decision we make. **Job Posting Title** Clinical Pharmacist- Must live in CA **Job Description Summary** Performs prospective and/or ... retrospective drug utilization review and appeals per State and Federal regulations. Participates...State and Federal regulations. Participates in the distribution of clinical drug information and educates providers and staff regarding… more
- Sharecare, Inc. (Boise, ID)
- …supporting each individual through the lens of their personal health and making high- quality care more accessible and affordable for everyone. To learn more, visit ... for members in an appropriate, efficient, and cost-effective manner while ensuring high quality care. The RD colleague has responsibility for the provision of member… more
- Trinity Health (Boise, ID)
- …your potential. Living by these virtues, we pride ourselves on exceptional service and the highest quality of care. We are seeking a 20 hour a week Clinical Lab ... of patient by utilizing various medical laboratory procedures in the Clinical Laboratory. Correlates and integrates other patient data when interpreting test… more
