Part-Time Healthcare Administrative Assistant Rockwell Care ServicesPart-Time Healthcare Administrative AssistantPocatello, ID$16–$18 / hourPart timeThis position works from our professional office environment and plays an important role in supporting administrative, quality assurance, and documentation processes that help ensure exceptional service for the individuals and families we serve. Our mission is to help the individuals we serve live as independently and successfully as possible while providing compassionate, high-quality support.
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.
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.
Healthcare Administrative Coordinator TSC HiringHealthcare Administrative CoordinatorPocatello, ID$18–$20 / hourFull timeWe believe every person deserves the opportunity to live as independently and successfully as possible, and our team works hard each day to provide high-quality services that make a meaningful difference in people's lives. This position works from our professional office environment and plays an important role in supporting compliance, quality assurance, documentation management, and administrative operations.
Development Manager - Healthcare Technology MaximusDevelopment Manager - Healthcare TechnologyIdaho Falls, 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.
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 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.
Senior HCM and Compensation Consultant, Healthcare Workday IncSenior HCM and Compensation Consultant, HealthcareID$117,000–$175,400 / yearStrong influencing skills, including persuasive communication and the ability to drive consensus and effectively collaborate with stakeholders, Exceptional relationship management skills are crucial, with a focus on building and maintaining strong relationships with clients, partners, and colleagues to foster collaboration, loyalty, and a positive work environment. The Workday Healthcare Consulting team is an industry focused team that ensures successful deployments by architecting, configuring, and testing the Workday solution to meet the specific needs of our customers.
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.
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.
NewCBO Cash Manager (Remote) Knight Health Holdings LLCCBO Cash Manager (Remote)Lewiston, IDRemoteWe're proud to be recognized for excellence and patient safety, including an "A" Hospital Safety Grade from The Leapfrog Group, inclusion in Becker's list of "Great Community Hospitals," and U.S. News & World Report accolades for maternity care. This role ensures the timely and effective collection of patient account balances and third-party reimbursements, improves cash flow, and promotes compliance with internal policies and external payer requirements.
Hospital Manager - Sawtooth Animal Center PetVet Care CentersHospital Manager - Sawtooth Animal CenterBellevue, ID$70,000–$80,000 / yearThe hospital offers comprehensive medical, surgical, dental, diagnostic, and boarding services in a modern 10,000-square-foot facility, with a mission to provide compassionate, high-quality care while building lasting relationships with clients and their pets. Why Join Us: Lead a well-equipped, community-focused hospital with an experienced team, a broad range of medical services, and a modern facility that supports exceptional patient care and operational excellence.
Hospital Manager - Sun Valley Animal Center PetVet Care CentersHospital Manager - Sun Valley Animal CenterKetchum, ID$80,000–$90,000 / yearGrow your career while enjoying an exceptional lifestyle in beautiful Ketchum, Idaho, where you'll be supported by a collaborative leadership team, cutting-edge facilities, and a culture that values professional development, teamwork, and work-life balance. The Hospital Manager partners with the Veterinarian to provide an efficient and profitable operation by driving revenue and managing costs while creating a hospital culture based on high-quality patient care and excellent customer service.
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.
Hospice Account Manager Mission HealthcareHospice Account ManagerIdaho Falls, IdahoProvides leadership in strategic planning, maintains comprehensive knowledge of Mission Healthcare’s markets including government agencies, major payor groups, key referral sources and competitor’s market positioning. Develops and implements marketing plans, assists in establishing agency volume projections, implements marketing plans and monitors the allocation of resources according to budgetary limitations.
Practice Manager III HCA Healthcare IncPractice Manager IIIIdaho Falls, ID$70,408–$112,736 / yearWhat you will do in this role: Plan, develop, organize, implement and direct the day-to-day functions of the clinics and its programs and activities to insure compliance, efficiency, and patient satisfaction Manage staff performance including supervising, coaching/counseling front office and clinical staff daily and interviewing, hiring, and training new staff Address issues raised by physicians, employees, and patients and seek out appropriate leaders or partners to problem solve and process improve Develop the practice budget including pull profit and loss responsibility of the physician practice, including revenue, expenses and budgeting What Qualifications you will need: Bachelor's Degree in Healthcare Administration, Business Administration, or equivalent is highly preferred (appropriate experience may be substituted for educational requirements) 3+ years of experience in a healthcare setting is required. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life.
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.
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.
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.
Pharmacy Operations Manager Walgreen CoPharmacy Operations ManagerRexburg, ID$22.50–$31 / hourAssists Pharmacy Manager in monitoring that all pharmacy and team member licensures, registrations and certifications are active and in good standing/ compliant with all regulatory and legal requirements. Where state and federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations, administrative activities; Ensures efficient pharmacy workflow and a positive patient experience.
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.
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.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)ID$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)ID$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
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.
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.
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.
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.
NewExecutive Director Physician Services Knight Health Holdings LLCExecutive Director Physician ServicesLewiston, IDOther: Relevant professional affiliation or certification through organizations such as the Medical Group Management Association (MGMA), American College of Healthcare Executives (ACHE), or Healthcare Financial Management Association (HFMA) Upon Hire (Preferred). Develops growth strategies and business plans for new providers, specialties, services, and practice locations; evaluates market demand, capacity, referral patterns, pro formas, and strategic alignment.
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.
Quality and Reg Program Assistant | SQM | Full Time (On-Site) Gritman Medical CenterQuality and Reg Program Assistant | SQM | Full Time (On-Site)Moscow, IDMaintain and manage the enterprise-wide quality and regulatory project tracker, including timelines, milestones, deliverables, and responsible parties. Serve as a communication hub between clinical quality staff, regulatory teams, ambulatory and hospital leadership, and administrative departments.
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.