- 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
- J&J Family of Companies (Boise, ID)
- …determination of pathology diagnosis and act as a signatory to primary and peer review pathology reports. + Develops a goal-oriented clinical development team. + ... Practices and regulatory requirements for the conduct of high quality oncology clinical trials is required. *...review , oversight of study conduct, running trials, data quality and safety are strongly preferred. * Working knowledge… 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
- Evolent Health (Boise, ID)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As an Initial Clinical Reviewer , you will be a key member of the utilization management team. ... providing better health outcomes. **Collaboration Opportunities:** As an Initial Clinical Reviewer , you will routinely interact with...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… 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
- Evolent Health (Boise, ID)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Physician Clinical Reviewer you will be a key member of the utilization management team. ... provides clinical rationale for standard and expedited appeals. + Utilizes medical/ clinical review guidelines and parameters to assure consistency in the MD… 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
- J&J Family of Companies (Boise, ID)
- …peers through review of deliverables to minimize delays during the quality review process; + Interface between Clinical R&D, IT and Quality including ... Senior Clinical Data Analyst - 2406185694W **Description** At Johnson...eTMF and other relevant platforms (as assigned); + Create, review and facilitate approval of system deliverables and facilitate… 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
- 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
- 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 ... testing, and deployment support. Follows standard testing methodologies. Provides high quality documentation related to new or modified system configuration. 8.… 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
- CenterWell (Boise, ID)
- …a part of our caring community and help us put health first** The Clinical Strategy and Practice Lead builds strategies for development, engagement, best clinical ... for clinical community within the enterprise. The Clinical Strategy and Practice Lead works on problems of...functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and procedures… 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
