- Benchmark Human Services (Boise, ID)
- …reimbursement. Review documentation completed by MCT staff utilizing established quality measures Comply with all standards to ensure the health and safety ... telehealth, telephone or in person. Clinician will also provide clinical crisis services to individuals in crisis and overall... crisis services to individuals in crisis and overall clinical support to individuals and staff working on the… 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
- 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
- Wolters Kluwer (Boise, ID)
- …Clinical Content. **RESPONSIBILITIES** + Responsible for creating and revising accurate, high- quality clinical drug data consistent with the format and ... domestic and international databases. You will utilize multiple data sources and clinical and technical expertise to create relevant, clinically meaningful data used… 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 , Interventional Pain Management, you will...within the regulatory timeframe of the request. + Utilizes medical/ clinical review guidelines and parameters to assure… 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
- Intermountain Health (Boise, ID)
- …healthiest lives possible, Intermountain is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class ... **Job Description:** The Clinical Social Worker utilizes clinical expertise...outside agencies as necessary to ensure the patient receives quality care, a timely discharge, and to identify and… more
- Prime Therapeutics (Boise, ID)
- …fuels our passion and drives every decision we make. **Job Posting Title** Physician Clinical Reviewer , MRx - Oncology - REMOTE **Job Description Summary** Key ... 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)
- …in a state or territory of the United States when conducting a peer clinical review . + For URAC accredited areas, the following professional competencies apply: ... Friday from 9:30 am - 6:00 pm **PST** The ** Reviewer -Therapy Services** is responsible for the review...requirements. + Researches and obtains additional data, consults with clinical reviewers and medical directors, when necessary. + Acts… more
- Cardinal Health (Boise, ID)
- …a thorough understanding of research methodology and the ability to develop high- quality clinical documents. Extensive knowledge of the European medical device ... development, writing and reviewing Post Market Surveillance Plans and Clinical Evaluation Reports for the medical devices. The Project...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- CenterWell (Boise, ID)
- … innovation and care model development. + Understanding and comfort with population clinical , quality , and financial drivers in full risk care delivery, ideally ... and help us put health first** The AVP, Complex Care will lead clinical strategy and opportunity assessment around new value-based opportunities and programs that… more
- Intermountain Health (Boise, ID)
- …addresses barriers, and promotes optimal allocation of resources while balancing clinical quality and cost management. **Posting Specifics** **Pay Range ... other (SO). Assesses patient/member per CMS Condition of Participation (COP) or National Clinical Quality Association (NCQA) standards. Ensures a plan of care is… more
- Veterans Affairs, Veterans Health Administration (Boise, ID)
- …for data quality , consistency, and monitoring for compliance to improve the quality for clinical , financial, and administrative data to ensure that all coded ... for abstracting medical record data and assigning codes using current clinical classification systems appropriate for the type of care provided. Responsibilities… more
- Prime Therapeutics (Boise, ID)
- …direct, control and monitor project activities. + 5+ years' experience in clinical operations, quality , network, pharmacy or project management. + Project ... Manager - Remote in Raleigh, NC **Job Description Summary** Leads the clinical support for various multi-functional projects critical to the company in achieving… more
- Prime Therapeutics (Boise, ID)
- …other clinicians, analysts, etc.) to respond to customer needs and requests with high- quality results. + Provides clinical and economical input for drug spend ... a customized forecast for specific populations. Researches marketplace trends, clinical guidelines and drug pipelines to maintain a comprehensive understanding… more
- J&J Family of Companies (Boise, ID)
- Clinical Safety Specialist - 2406185254W **Description** Abiomed, part of Johnson & Johnson's MedTech is recruiting for a ** Clinical Safety Specialist** , ... profoundly impact health for humanity. Learn more at https://www.jnj.com/. The ** Clinical Safety Specialist** is responsible for implementing and executing … more
- Prime Therapeutics (Boise, ID)
- …our passion and drives every decision we make. **Job Posting Title** Director Clinical Account Services - DC Sole Source - Remote DC **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
- J&J Family of Companies (Boise, ID)
- Functional Manager, Global Clinical Operations - Oncology - Central US - 2406171914W **Description** Janssen Research & Development, LLC, is recruiting for a ... Functional Manager, Global Clinical Operations - Oncology to be remote in the...project deliverables according to timelines, within budget, and with quality . + Ensure studies are in a constant state… more
