Lead, Medicare Administration (Bids & Member Materials) (Remote) Molina Healthcare IncLead, Medicare Administration (Bids & Member Materials) (Remote)IDRemoteWorks collaboratively with business and operational units to ensure Medicare and MMP operations are supported by effective, accurate and efficient business processes, benefits are accurately defined, communicated and configured, member communications are compliant, and data exchanges and reports are accurate, timely and meet federal requirements. Job Summary Provides lead level support for Medicare and Medicare-Medicaid Plan (MMP) Duals products including the development, implementation, and maintenance of annual project timelines/work plans for both product lines - ensuring timely and successful project completion.
Director, Network Management - Cigna Healthcare - Remote, Idaho The Cigna GroupDirector, Network Management - Cigna Healthcare - Remote, IdahoIDRemoteThese states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. The Director, Network Management (Provider Contracting Senior Advisor) serves as an integral member of the Provider Contracting Team and reports to the Provider Contracting Senior Manager or VP of Contracting.
Development Manager - Healthcare Technology MaximusDevelopment Manager - Healthcare TechnologyBoise, IDFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Drive all aspects of engineering recruiting including but not limited to; attracting great talent and retaining a highly skilled, proficient engineering team.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselIDRemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Healthcare Architect Cushing TerrellHealthcare ArchitectBoise, IDPosition Title:** Healthcare Architect\ \ **Description\ \ ** # Healthcare Architect ## Position Description As a Senior Healthcare Architect you will work individually, with senior architects and project managers in developing, planning, and creating design concepts for projects. This role will be involved in the analyses of client issues and design goals and in conceiving and developing architectural solutions to those issues and goals.
Lead Director, Healthcare Medicaid Risk Adjustment Analytics CVS Health CorpLead Director, Healthcare Medicaid Risk Adjustment AnalyticsID$100,000–$231,540 / yearThe Lead Director should also demonstrate leadership in innovation and adoption of modern technologies, data platforms, machine learning, process automation, AI, and data science for optimized insights, workflows, reporting, and process controls. This senior-level role will provide strategic and operational leadership for all Medicaid risk adjustment analytics, reporting, and informatics functions to ensure complete, accurate, and compliant revenue capture.
Data Governance Platform Engineer / SDE III (Healthcare) Cambia Health Solutions IncData Governance Platform Engineer / SDE III (Healthcare)ID$104,000–$135,000 / yearPreferred Key Experience: Technically proficient data engineer with a strong background in Snowflake platform capabilities, excellent SQL skills, and hands-on experience with data governance frameworks, access and provisioning design, and modern data management practices. Our environment is built on Snowflake, and this role will be central to enabling capabilities such as automated tagging and classification, role-level access controls, data metric functions, Horizon catalog, and data lineage - all in service of making our members' health journeys easier.
Solutions Architect I or II, DOE - Healthcare Services Cambia Health Solutions IncSolutions Architect I or II, DOE - Healthcare ServicesID$114,000–$143,000 / yearWhat You Bring to Cambia: Qualifications: The Solutions Architect I would have a Bachelor's degree in computer science, engineering, or a related/relevant field, plus seven years of IT experience, including a minimum of two years of technical leadership and architecture experience and at least three years of experience evaluating business requirements and designing end‑to‑end solutions in complex environments. The Solutions Architect II would have a Bachelor's degree in computer science, engineering, or a related/relevant field, with an advanced degree preferred, plus seven years of IT experience, including a minimum of two years of technical leadership and architecture experience and at least five years of experience evaluating business requirements and designing complex, enterprise‑scale solutions.
Patient Access & Supp Svcs Mgr RadNet IncPatient Access & Supp Svcs MgrMeridian, ID$70,000–$75,000 / yearWhen you join us as a Patient Access & Support Services Manager, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. Conducts performance evaluations, addresses performance and behavioral concerns through coaching and corrective action, develops and monitors performance, while recognizing employee achievements, and supports career development.
Patient Access & Supp Svcs Mgr Intermountain Medical ImagingPatient Access & Supp Svcs MgrMeridian, Idaho$70,000–$75,000 / yearFull timeWhen you join us as a Patient Access & Support Services Manager, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. Conducts performance evaluations, addresses performance and behavioral concerns through coaching and corrective action, develops and monitors performance, while recognizing employee achievements, and supports career development.
Provider Program Manager - Provider Strat Value Base Care TriWest Healthcare AllianceProvider Program Manager - Provider Strat Value Base CareBoise, IDRemoteFull timeAs part of an assigned team, develops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.
Provider Program Manager (Provider Credentialing Required) TriWest Healthcare AllianceProvider Program Manager (Provider Credentialing Required)Boise, IDRemoteFull timeAs part of an assigned team, develops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.
Chief of Staff to the Chief Operating Officer TriWest Healthcare AllianceChief of Staff to the Chief Operating OfficerBoise, IDRemoteFull timeTechnical Skills: Proficient in current trends in health care management with emphasis in customer service, network management, utilization and financial trends; collaboration skills to work with TriWest management team across multiple locations; networking skills with all levels, including subcontractors. • Works on multiple high level projects including logistical coordination, data analysis, contract management and written communications in support of various business initiatives of high visibility, applying project management tools and methodologies and leadership skills to meet or exceed deadlines.
Project Manager TriWest Healthcare AllianceProject ManagerBoise, IDRemoteFull timeTechnical Skills: Project management skills, including data analysis, facilitation and proficiency in the use of project management tools; ability to effectively interact and maintain effective working relationships with all levels of TriWest staff and with external shareholder organizations; ability to consistently meet meeting materials deadlines. Provides project management support for division and special company-wide projects and initiatives, supports TriWest's senior leadership with annual and day-to-day strategic and operational planning and projects, research activities, data analysis, drafts or edits plans and white papers related to specific initiatives.
Vendor Manager Alto IncVendor ManagerIDRemote$108,000–$135,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. You'll be managing a broad portfolio of technology and services vendors across our five entities, driving governance into an estimated $10-15M of currently unmanaged spend, and working directly with Legal, Finance, Compliance, Security, and business leadership to make sure our vendor relationships are structured, compliant, and delivering value.
Program Manager, Strategic Performance Excellence TriWest Healthcare AllianceProgram Manager, Strategic Performance ExcellenceBoise, IDRemoteFull timeThe Program Manager, Strategic Performance Excellence supports the development and execution of Corrective Action Plans (CAPs) in response to government-issued Corrective Action Requests (CARs) across the TRICARE (T-5) and Community Care Network (CCN) programs. In addition, this role partners with the Quality Performance Improvement team to integrate preventive insights and leading indicators from Quality Improvement Plans into project plans, timelines, and reporting to help mitigate risks before they escalate.
NewOffice Manager EleMental HealthOffice ManagerBoise, IDThis individual oversees the daily front-office operations, coordinates patient care logistics, manages administrative staff, supports billing processes, and drives patient engagement from first inquiry through ongoing treatment. The Office Manager serves as the operational hub of the practice, ensuring exceptional patient experiences while maintaining efficient administrative, scheduling, and financial workflows.
NewClinic Manager - Boise Terry Reilly Health ServicesClinic Manager - BoiseBoise, IDBachelor's degree in business or healthcare administration OR four years of relevant experience (Healthcare Operations or Clinic Manager/Supervisor) in lieu of degree. The Clinic Manager will collaborate with the Clinic Leadership Team to help implement and enforce protocols, policies, and procedures in accordance with Patient Centered Medical Home concepts.
Inpatient Imaging Manager RadNet IncInpatient Imaging ManagerNampa, ID$130,000–$140,000 / yearWhen you join us as a Inpatient Imaging Manager, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. Recruit, mentor, develop, and evaluate MRI Technologists, Tech Assistants, students, and support staff through coaching, performance management, succession planning, and ongoing professional development while fostering a culture of accountability, collaboration, safety, and continuous learning.
Inpatient Imaging Manager Intermountain Medical ImagingInpatient Imaging ManagerNampa, Idaho$130,000–$140,000 / yearFull timeWhen you join us as a Inpatient Imaging Manager, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. Recruit, mentor, develop, and evaluate MRI Technologists, Tech Assistants, students, and support staff through coaching, performance management, succession planning, and ongoing professional development while fostering a culture of accountability, collaboration, safety, and continuous learning.
Manager, Performance Briefing TriWest Healthcare AllianceManager, Performance BriefingBoise, IDRemoteFull timeMinimum of five years of experience gathering, analyzing, and composing technical information • Experience developing executive-level briefing materials and performance summaries for internal and external stakeholders • Demonstrated ability to coordinate across teams and synthesize large volumes of data into clear, actionable visuals and messages . • Drafts and revises performance specific content and briefings related to enterprise operational processes, contract and procedural changes, training materials, job aids, bulletins, functional procedures, workflows, templates, and other internal and external communications specific to briefings.
Provider Program Manager- Provider Education TriWest Healthcare AllianceProvider Program Manager- Provider EducationBoise, IDRemoteFull timeAs part of an assigned team, develops effective collaborative relationships with TriWest's inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives. The Provider Program Manager ensures that strategic, enterprise-wide programs are well defined, planned, tracked, and communicated in a consistent manner; is responsible for collaborating with C-Suite executives and other stakeholders; and is responsible for deliverables that meet defined requirements and for utilizing project management best practices.
Director, Provider Experience TriWest Healthcare AllianceDirector, Provider ExperienceBoise, IDRemoteFull timeThe Director ensures the delivery of exceptional service to providers and government stakeholders by directing cross-functional programs that enhance provider satisfaction, strengthen network engagement, and uphold contractual and regulatory compliance. Coaching / Training / Mentoring: Actively develops the skills and capabilities of direct reports and extended team members through constructive feedback, mentoring relationships, and structured development opportunities aligned with business outcomes.
Contract Manager, Payor Strategy Care Options for KidsContract Manager, Payor StrategyBoise, IdahoThe ideal candidate brings deep experience in healthcare contracting, strong negotiation skills, and a working understanding of home health, pediatric services, or post-acute care reimbursement models. This individual will work closely with executive leadership, revenue cycle, operations, and legal partners to ensure payer contracts align with service offerings, regulatory requirements, and reimbursement targets.
Manager, Business Analytics CVS Health CorpManager, Business AnalyticsID$66,330–$145,860 / yearThis involves extracting, analyzing, and interpreting contracting, utilization, financial, and clinical/quality data from various sources to support nationwide payer contract negotiations, market penetration, conversion, and expansion strategies, value-based care initiatives, and other quantitative analysis & reporting requirements. To develop and deliver decision support tools & insights via creating and sustaining analytics & reporting assets and leveraging business intelligence resources in support of contracting, financial and operational strategic decision-making by Retail Health leadership.
Manager, Contract Deliverables TriWest Healthcare AllianceManager, Contract DeliverablesBoise, IDRemoteFull timeTechnical Skills: Advanced knowledge of Microsoft Word, Excel, Project, PowerPoint, Visio, and SharePoint; Ability to function without direction to produce outcomes within timelines; Proficiency with statistical analysis, project management skills, data analysis, benchmarking, and quality improvement concepts; Collaboration skills and team-oriented approach; Presentations and meeting facilitation skills. Examples of contractually required deliverables can include, but are not limited to, monthly, quarterly, and annual performance reports on contract execution, various Quality Assurance (QA) plans, financial reporting data, medical accreditation reports, and a wide variety of other data and progress reports.
Nursing Manager Option Care Health IncNursing ManagerMeridian, ID$81,786.56–$136,318.43 / yearBasic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets). Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting, and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures, and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
Medicare Pharmacy Programs Manager, II, or Sr DOE Cambia Health Solutions IncMedicare Pharmacy Programs Manager, II, or Sr DOEID$90,906.79–$122,991.55 / yearAs a member of the Pharmacy Services team, our Medicare Pharmacy Program Manager will represent Pharmacy Services in Medicare business relationships in partnership and on behalf of the Pharmacy Leadership Team. What You Will Do at Cambia: Work closely with project sponsor(s), cross-functional teams, and project managers to plan and develop scope, deliverables, required resources, work plan, budget, and timing for new initiatives.
NewProgram Manager - Housing Services - Boise 23rd Terry Reilly Health ServicesProgram Manager - Housing Services - Boise 23rdBoise, IDAssists in providing overall strategic and operational direction for Terry Reilly Intensive Case Management (ICM) teams operating in Single Site Permanent Supportive Housing (PSH) programs. Represents Terry Reilly PSH programs and interests at relevant community partner meetings to report progress, provide feedback, and maintain relationships.
Site Manager RadNet IncSite ManagerEagle, ID$65,000–$95,000 / yearTo Ensure Success in This Role, You Must Have: Excellent management skills, including: Sales and customer service; public relations; strong time management; clerical skills; some bookkeeping; strong written and verbal communications skills; knowledge of budget and financial statements; understanding of workers compensation billing needs, and possess basic medical-related knowledge/skills. When you join RadNet as a Site Manager, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes.
Site Manager Intermountain Medical ImagingSite ManagerEagle, Idaho$65,000–$95,000 / yearFull timeExcellent management skills, including: Sales and customer service; public relations; strong time management; clerical skills; some bookkeeping; strong written and verbal communications skills; knowledge of budget and financial statements; understanding of workers compensation billing needs, and possess basic medical-related knowledge/skills. When you join RadNet as a Site Manager , you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21 st century and align all stakeholders- patients, providers, payors, and regulators achieve the best clinical outcomes.
NewFraud, Waste, and Abuse (FWA) Program Manager PacificSourceFraud, Waste, and Abuse (FWA) Program ManagerBoise, IdahoThe FWA Program Manager will be primarily responsible for the design, implementation, and management of the company’s FWA Program, providing expertise to staff in developing processes for tracking, investigating, and managing suspected FWA complaints. Work to develop prospective and retrospective fraud and abuse detection, investigation, recovery and avoidance through the use of data sources for data mining and analytics to proactively seek out outlying claims activities and investigate for fraud, waste, and abuse.
Commercial Planning Program Manager Cambia Health Solutions IncCommercial Planning Program ManagerID$103,000–$135,000 / yearAs a member of the Market Commercia Excellence team, our Commercial Line of Business Program Manager leads strategic planning and cross functional collaboration across sales, finance, marketing, technology, and other teams to strengthen and execute Commercial Fully Insured offerings. Partner with the Fully Insured Line of Business Owner to execute strategic initiatives that enhance and expand the Fully Insured product suite, identifying and prioritizing process improvement opportunities that drive efficiency and improve outcomes.
Program Director, Network Innovations Cambia Health Solutions IncProgram Director, Network InnovationsBoise, ID$130,700–$160,000 / yearWhat You Bring to Cambia: Qualifications: The Program Director, Provider Partnership would have a bachelor's degree in Business Administration, Healthcare Administration or related field (Master's preferred) and 10+ years of related experience in business or health care management with preference for experience driving transformation programmatic innovation, Alternative Payment Model development, payment innovation and/or strategic implementation or equivalent combination of education and experience. As a member of the Network Innovations team, our Program Director Network Innovations develops and launches complex cross-market programs supporting Provider Partnership Innovation will manage and drive execution to support our specialty Alternative Payment Models., including initiatives like the Cambia Bundled Payment program.
Medical Management Nurse Elevance Health IncMedical Management NurseMeridian, ID$75,772–$113,658 / yearHow you will make an impact: Utilizes nursing judgment and reasoning to analyze members' clinical information, interface with healthcare providers, make assessments based on clinical presentation, and apply clinical guidelines and/or policies to evaluate medical necessity. The Medical Management Nurse is responsible for review of the most complex or challenging cases that require nursing judgment, critical thinking, and holistic assessment of member's clinical presentation to determine whether to approve requested service(s) as medically necessary.
Strategic Performance Excellence Writer TriWest Healthcare AllianceStrategic Performance Excellence WriterBoise, IDRemoteFull timeCommunication / People Skills: Executive writing & storytelling; exceptional written communication skills with ability to synthesize complex technical and operational information; strong editorial judgment and structured writing discipline; ability to translate analytical findings into persuasive, defensible narratives; strong understanding of executive tone and government-facing professionalism. The Strategic Performance Excellence Writer serves as the enterprise writer and narrative architect for all Corrective Action Plans (CAPs) developed in response to government-issued Corrective Action Requests (CARs) across the TRICARE (T-5) and Community Care Network (CCN) programs.
Service Area Culinary & Procurement Manager (CA, ID, OR) Trinity HealthService Area Culinary & Procurement Manager (CA, ID, OR)Boise, IDContinuously read small print; frequently hear normal sounds & voice patterns; give / receive instructions & other verbal communications in-person & over the phone / computer / device / equipment assigned with some background noise. Includes occasional lifting, up to 30 pounds unassisted; occasional travel; continuous use of computer; includes continuous sitting & may require occasional long periods of continued walking, standing, stooping, bending, pulling & pushing.
NewPrincipal Product Manager - Contract Intelligence & AI-Powered Reimbursement Solutions OraclePrincipal Product Manager - Contract Intelligence & AI-Powered Reimbursement SolutionsBoise, ID$102,300–$209,500 / yearExperience working directly with healthcare providers, health systems, payer organizations, managed care teams, consulting firms, or healthcare technology vendors supporting contract management and reimbursement workflows. This is a senior individual contributor role requiring strategic product leadership, strong healthcare domain expertise, and the ability to influence executive stakeholders across a highly matrixed organization without direct people management responsibility.
Territory Manager | Idaho & Utah iRhythm Holdings IncTerritory Manager | Idaho & UtahIDRemote$90,000–$180,000 / yearAbout the Role: We are seeking a high-performing, field-based Territory Manager who will be responsible for accelerating growth by acquiring new business, expanding iRhythm's footprint across key health systems, and capturing market share within a defined geographic territory. Having served over 10 million patients, we are committed to being the foremost provider of ambulatory ECG monitoring, offering faster answers, deeper insights, and better outcomes.
Managed Care Contracting Manager Pennant ServicesManaged Care Contracting ManagerEagle, IdahoEngage in complex levels of contract development and negotiation with managed care payors, including but not limited to managed care organizations, ACO's, health systems, hospitals, physician organizations and third-party administrators while working with the Legal and Finance teams in analyzing margins based on costs and rates for existing and newly acquired operations. Effectively communicate at all organizational levels and in situations requiring education, consultation, instruction, persuasion, negotiation and advisement as consultant will serve as internal managed care subject matter expert to Presidents, Executive Directors and Service Center leadership personnel.
Manager, Data Operations (Data Engineering) TriWest Healthcare AllianceManager, Data Operations (Data Engineering)Boise, IDRemoteFull timeTechnical Skills: In-depth knowledge of all application functionality, security, development, and system administration; knowledge of relevant technology, tools and middleware; proficient change agent; knowledge of the agile methodology and software maintenance and support. The manager serves as a bridge between data engineering, analytics, and business stakeholders to ensure timely, high-quality data delivery for operational and strategic needs.
Director, Credentialing Operations TriWest Healthcare AllianceDirector, Credentialing OperationsBoise, IDRemoteFull timeIndependent Thinking / Self-Initiative: Demonstrates strong critical thinking and sound judgment to prioritize high-impact work and drive results; proactively identifies needs, solves problems, and mobilizes resources with minimal direction to achieve operational and organizational objectives. Computer Literacy: Demonstrates advanced proficiency in a multi-system environment, including Microsoft Office applications and credentialing platforms; effectively leverages internal systems, intranet resources, and industry tools to manage credentialing operations, ensure data integrity, and drive operational efficiency.
Director, Provider Network Compliance TriWest Healthcare AllianceDirector, Provider Network ComplianceBoise, IDRemoteFull timeIndependent Thinking / Self-Initiative: Applies critical thinking to prioritize high-impact work and drive results with minimal direction; demonstrates ownership and accountability by proactively identifying solutions, securing necessary resources, and following through to achieve outcomes aligned with organizational and compliance objectives. Computer Literacy: Demonstrates advanced proficiency in a multi-system Microsoft environment and internal platforms, including the TriWest Intranet, internet-based tools, and department-specific applications; leverages technology effectively to manage workflows, ensure data accuracy, and support compliant, efficient operations.
Senior PMIS System Manager II Micron Technology IncSenior PMIS System Manager IIBoise, ID$96,000–$173,000 / yearThe PMIS System Manager ensures reliable system performance, strong user adoption, compliant processes, and alignment between construction execution, procurement, project controls, and enterprise systems. As Senior PMIS System Manager II, you will serve as the enterprise owner and primary system administrator for Micron's construction Project Management Information Systems (PMIS) supporting Procurement and Construction Contract Administration.
Executive Recruiter TriWest Healthcare AllianceExecutive RecruiterBoise, IDFull timeServing as a trusted advisor to executive hiring leadership, the Executive Recruiter develops and executes proactive, research-driven search strategies to identify, attract, and secure top-tier leadership talent. The Executive Recruiter leads full lifecycle recruitment for executive level Director, Vice President, Chief-level, and other highly specialized leadership roles across TriWest Healthcare Alliance.
Financial Analyst Trinity HealthFinancial AnalystBoise, IDTop 15 Health Systems in the country by IBM Watson Health; The region's most advanced Trauma Center (Level II); Commission on Cancer Accredited Program through demonstrating an uncompromising commitment to improving patient survival and quality of life. Through innovative technologies, compassionate staff, and healing environments, Saint Alphonsus' goal is to improve the health and well-being of people by emphasizing care that is patient-centered, physician-led, innovative, and community-based.
Clinical Quality Review Team Lead TriWest Healthcare AllianceClinical Quality Review Team LeadBoise, IDRemoteFull timeThe team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
Vice President Claims & Payment Integrity Operations Blue Cross of IdahoVice President Claims & Payment Integrity OperationsMeridian, IdahoRequired Education: Bachelor’s Degree in Business Administration, Healthcare Administration, Health Information Management or related field; or equivalent work experience (Two years’ relevant experience is equivalent to one-year college); Master's degree (MBA, MHA, MPH) strongly preferred. Proven track record of driving measurable savings and payment accuracy improvements through payment integrity initiatives and operational efficiency programs, with accountability for first-pass yield, financial accuracy, and payment accuracy benchmarks.
VP, VA Relations TriWest Healthcare AllianceVP, VA RelationsBoise, IDRemoteFull timeServes as TriWest's senior individual contributor and account manager for the Veterans Affairs' (VA) healthcare facilities, regional offices, and Veterans Integrated Services Networks (VISN) in support of the VA Community Care Network (CCN). Operating without direct reports, the incumbent exercises significant independent judgment and works at an executive level of complexity, managing high-stakes external relationships and translating VA operational intelligence into actionable guidance for TriWest senior leadership.
Senior PMIS System Manager II MicronSenior PMIS System Manager IIBoise, IdahoThe PMIS System Manager ensures reliable system performance, strong user adoption, compliant processes, and alignment between construction execution, procurement, project controls, and enterprise systems. As Senior PMIS System Manager II, you will serve as the enterprise owner and primary system administrator for Micron’s construction Project Management Information Systems (PMIS) supporting Procurement and Construction Contract Administration.