NewConsultant, Healthcare Economics & Hospital Contracting Analytics UnitedHealth Group IncConsultant, Healthcare Economics & Hospital Contracting AnalyticsBoise, ID$72,800–$130,000 / yearThe Senior Healthcare Economics Consultant (Network Pricing & Analytics) is responsible for supporting provider reimbursement analysis, pricing strategy support, financial modeling, and analytical reporting activities across provider network initiatives. The Manager partners closely with contracting, clinical, finance, actuarial, operations, provider relations, and executive leadership teams to evaluate pricing impacts, support provider negotiations, and drive data-informed business decisions.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Boise, IDRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
Electrical EIT or Designer (Healthcare) Cushing TerrellElectrical EIT or Designer (Healthcare)Boise, Idaho$73,000–$82,000 / yearCushing Terrell is hiring an Electrical Designer to work across nearly every scope of electrical design, including lighting design, load calculations, power distribution, generator and emergency power systems, fire alarm coordination, data systems, and battery backup, on a national portfolio of healthcare projects ranging from medical office buildings and clinics to full scale hospitals and specialized patient housing facilities. Produce electrical design drawings in Revit and AutoCAD, including lighting plans, power layouts, panel schedules, and one-line diagrams, from initial design through QC review and permit-ready document sets.
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 West Sales Manager US BankHealthcare West Sales ManagerBoise, ID$169,380–$207,020 / yearThis role combines leadership, business development, and industry expertise to support healthcare organizations across a broad spectrum of care delivery models, including physician groups, specialty practices, dental service organizations (DSOs), outpatient providers, and ambulatory surgery centers. Drive growth and market share across the healthcare continuum, from practice finance and smaller healthcare businesses through larger, more complex multi-location and lower middle market organizations with annual revenues between $2.5 million and $50 million.
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.
Healthcare West Sales Manager U.S. BancorpHealthcare West Sales ManagerBoise, ID$169,380–$207,020 / yearThis role combines leadership, business development, and industry expertise to support healthcare organizations across a broad spectrum of care delivery models, including physician groups, specialty practices, dental service organizations (DSOs), outpatient providers, and ambulatory surgery centers. Drive growth and market share across the healthcare continuum, from practice finance and smaller healthcare businesses through larger, more complex multi-location and lower middle market organizations with annual revenues between $2.5 million and $50 million.
Solutions Architect I Or II, DOE - Healthcare Services Cambia HealthSolutions Architect I Or II, DOE - Healthcare ServicesBoise, ID$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.
Solutions Architect I or II, DOE - Healthcare Services Cambia Health Solutions IncSolutions Architect I or II, DOE - Healthcare ServicesBoise, ID$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.
Project Manager Sr TriWest Healthcare AllianceProject Manager SrBoise, IDRemoteFull timeTechnical Skills: Knowledge of the Managed Care concepts, proficient with statistical analysis, data management and analysis, project management techniques, benchmarking practices and techniques, quality improvement tools and techniques, presentations skills, and proficient with Excel, SQL, Word, PowerPoint, and Visio. Supports project implementation when required using project management tools to develop project plans/timelines, coordinate/manage project, monitor and report status, progress and areas of risk in relation to established project objectives, requirements and timelines.
Sr Project Manager - Strategic Planning TriWest Healthcare AllianceSr Project Manager - Strategic PlanningBoise, IDRemoteFull timeProject leads/supports multiple complex cross functional projects and assigned teams; effectively models, implements and communicates best practice project management knowledge, skills, tools and processes ensuring accuracy, consistency and thoroughness in all phases. Technical Skills: Knowledge of modern Healthcare/Managed Care concepts, proficient with statistical analysis, data management and analysis, project management techniques, benchmarking practices and techniques, quality improvement tools and techniques.
Program 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.
Solutions Program Manager TriWest Healthcare AllianceSolutions Program ManagerBoise, IDRemoteFull timeThe Solutions Program Manager is responsible for ensuring that our strategic, enterprise wide programs are well defined, planned, tracked and communicated in a consistent manner, responsible for building partnering relationships with C-Suite executives and other stakeholders; responsible for on time, within budget and quality implementation of enterprise wide programs; responsible for executing project management best practices. • As part of the Program Manager's Team, develop effective collaborative relationships with TriWest's C-Suite executive and other leaders in Operations, Health Care Services, Provider Network and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives.
Payer Marketing Manager athenahealth IncPayer Marketing ManagerID$96,000–$164,000 / yearReporting to the Director of Payer Marketing, this individual will partner closely with Sales, Sales and Marketing Operations, Product Marketing, and Commercial Operations teams to orchestrate multi-channel marketing programs that engage payer buyers throughout the customer journey. The Payer Marketing Manager is responsible for developing and executing the payer segment go-to-market strategy, driving integrated marketing programs that accelerate pipeline growth, market penetration, and revenue outcomes across the payer business.
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.
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.
Direct Contracting Manager TriWest Healthcare AllianceDirect Contracting ManagerBoise, IDRemoteFull timeMedicaid, Medicare, TRICARE, VAPC3), and the insurance industry; skill in diplomacy and negotiation; skill in financial analysis to analyze contractual reimbursement; skill in project management; skill in presentation; proficient with Excel. Develops hospital, physician and ancillary service agreements, ensures adherence with government operational manuals, monitors network shortfalls, and resolves access issues throughout the assigned region.
Manager, Clinical Quality TriWest Healthcare AllianceManager, Clinical QualityBoise, IDRemoteFull timeTechnical Skills: Proficient with the Microsoft Office suite of applications; thorough knowledge of TRICARE policies and procedures; comprehensive knowledge of research methodology that supports evaluation of potential quality issues and/or serious reportable events; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria. Responsible for leading and directing a team of clinical and non-clinical staff that provide Clinical Quality Review services and interventions for beneficiaries and providers under the direction of the Director of Clinical Quality Management (CQM).
NewStrategic Account Manager - Medicaid Cambia HealthStrategic Account Manager - MedicaidBoise, ID$90–$435As a member of the Government Programs team, our Strategic Account Manager-Medicaid will provide dedicated leadership for relationship management, governance, and stakeholder engagement - serving as the critical bridge between Cambia and our state agency partners to ensure the success of our North Dakota Medicaid line of business - all in service of creating a person-focused health care experience. What You Will Do at Cambia: Provide dedicated leadership for state relations, stakeholder engagement, and governance responsibilities required to operate a successful North Dakota Medicaid line of business, maintaining strong partnerships with state agencies and ensuring regulatory confidence.
NewManager In Training - Meridian, ID TouchmarkManager In Training - Meridian, IDMeridian, IDThe Management Development position is an 18-month - two-year Management Training program designed to provide naturally ambitious and motivated individuals with strong leadership skills, an opportunity to learn Touchmark operations and learn to lead by Touchmark's values. Demonstrated leadership skills, as evidenced by leadership positions at work, school/athletics, or in volunteer organizations; A desire to work in the hospitality or service industry or work with seniors is a plus.