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.
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.
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.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTENampa, IDRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
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.
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.
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.
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.
Executive Director in Healthcare Cottages Senior Living, LLCExecutive Director in HealthcareWeiser, IDFull timeAt The Cottages Assisted Living , we believe exceptional care is about more than meeting needs-it's about creating a life filled with dignity, joy, and connection for every resident, and a workplace where team members thrive. At The Cottages, you're not just managing a home-you're creating a community where residents feel valued and staff feel supported.
Healthcare Business Development Manager Stride, Inc.Healthcare Business Development ManagerBoise, IdahoThe Enterprise Healthcare Partnerships Manager will oversee the entire business development process, from prospecting and pipeline expansion to negotiating deals and closing agreements, with the aim of securing new enterprise partnerships, increasing MedCerts' presence in various healthcare delivery models, and driving measurable revenue growth. The Enterprise Healthcare Partnerships Manager is responsible for generating new business and expanding MedCerts' partnerships across the healthcare spectrum, including health systems, hospitals, ambulatory networks, and post-acute providers.
Healthcare Area Sales Manager (B2B) New System Laundry LLCHealthcare Area Sales Manager (B2B)Boise, IDConsultative Selling: Sell value over price by utilizing exceptional listening and questioning skills to advise practice managers and facility directors on the best solutions for their stringent regulatory and patient-care requirements. You will take pride in your work as you win trust, create tailored programs, and develop long-term partnerships with medical clinics, dental practices, outpatient centers, and other healthcare facilities.
Healthcare Area Sales Manager (B2B) New SystemHealthcare Area Sales Manager (B2B)Boise, IDConsultative Selling: Sell value over price by utilizing exceptional listening and questioning skills to advise practice managers and facility directors on the best solutions for their stringent regulatory and patient-care requirements. You will take pride in your work as you win trust, create tailored programs, and develop long-term partnerships with medical clinics, dental practices, outpatient centers, and other healthcare facilities.
Senior Healthcare Internal Audit Consultant Banner HealthSenior Healthcare Internal Audit ConsultantIDRemote$43.77–$72.95 / hourMust possess one of the following certifications within 12 months of hire: Professional designations such as Certified Public Accountant (CPA), Certified Internal Auditor (CIA), Certified Fraud Examiner (CFE), or Certified Healthcare Internal Audit Professional (CHIAP). Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills, and geographic location, along with a review of current employees in similar roles to ensure pay equity is achieved and maintained.
Healthcare Architectural Project Manager Cushing TerrellHealthcare Architectural Project ManagerBoise, IDBeyond project delivery, you will: - Build alignment across teams and clients - Identify breakdowns and turn them into repeatable solutions - Drive consistency across multi-site programs - Strengthen long-term client trust and strategic partnerships ## Position Salary Range\* The expected salary range for this position is **\$95,000** to **\$125,000** annually, with performance-based growth tied to impact, not tenure. **Position Title:** Healthcare Architectural Project Manager\ \ **Description\ \ ** # Healthcare Architectural Project Manager ## Position Description Join an innovative firm delivering a portfolio of **high-impact healthcare environments** across the U.S., from hospitals to complex care networks, shaping spaces where clinical performance, patient outcomes, and operational efficiency converge.
Corporate Paralegal - Alumus Healthcare AlumusCorporate Paralegal - Alumus HealthcareIdaho$50,000–$70,000 / yearThis role is ideal for a detail-oriented professional who is comfortable collaborating with cross-functional stakeholders to serve clinical, operational, business, corporate and executive teams, in fast-paced and heavily regulated healthcare sectors. Join a company that sees a better way for healthcare by being patient advocates, following evidenced-based clinical practices, caring for people holistically, improving continuity of care and providing nurturing surroundings that encourage and inspire.
Customer Service Associate Representative - Cigna Healthcare - Remote The Cigna GroupCustomer Service Associate Representative - Cigna Healthcare - RemoteIDRemote$17.75–$19 / hourThese 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. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
NewTraveling Superintendent 3 - Healthcare Construction J.E. Dunn Construction Group IncTraveling Superintendent 3 - Healthcare ConstructionBoise, IDOur diverse teams around the country strive to enrich lives through inspired people and places everyday, and we need inspired people like you to join us in building authentic partnerships. By hiring inspired people, giving them interesting and challenging work, enabling them with innovative tools, and letting them share in the company's rewards, we've found a sustainable way to grow in our industry for the last 100+ years.
NewTraveling Senior Superintendent - Healthcare Construction J.E. Dunn Construction Group IncTraveling Senior Superintendent - Healthcare ConstructionBoise, IDOur diverse teams around the country strive to enrich lives through inspired people and places everyday, and we need inspired people like you to join us in building authentic partnerships. By hiring inspired people, giving them interesting and challenging work, enabling them with innovative tools, and letting them share in the company's rewards, we've found a sustainable way to grow in our industry for the last 100+ years.
NewHealthcare Recruiter, Multi-Company Talent Acquisition Adaugeo Healthcare Solutions LLCHealthcare Recruiter, Multi-Company Talent AcquisitionIDRemoteYou''ll work closely with hiring managers across Oregon, Washington, and Idaho, from clinics near the Willamette Valley to lab operations across the Inland Northwest, building the kind of candidate experience that makes a great first impression of who we are. Flex across roles, companies, and priorities as team needs shift, stepping in to cover teammates and support other areas of recruiting on a lean, fast-moving team.
Strategic Account Executive - Healthcare UKGStrategic Account Executive - HealthcareBoise, ID$90,000–$95,000 / yearThis Account Executive will be in a role of focusing on both acute and non-acute care accounts between 1-500 employees; the role requires a hunter focus on existing accounts seeking to add on Payroll, HR, Talent, Benefits, and additional HCM products, as well as expanding their labor management solution with additional products such as absence management, scheduling, and the analytics solutions. This person will be tasked with creating and maintaining key stakeholder relationships, in the accounts, and maximize opportunities to attain and exceed annual sales goals for the territory and the UKG Healthcare sales team.
NewPM Patient Services Representative - Healthcare Thomas Management LLCPM Patient Services Representative - HealthcareBoise, ID$16.50–$17.50 / hourPart timeAs a Patient Services Representative , you’ll create a personalized dining experience for every patient by taking bedside orders, guiding meal selections from a restaurant-style menu, and ensuring timely, accurate delivery. Informs patients of the services of the Food and Nutrition Services Department and may obtain food preferences from patients and/or family members.
NewCook - Healthcare Thomas Management LLCCook - HealthcareBoise, ID$18–$20 / hourPart timeEnsure the safety of food prepared by following safe sanitary food handling practices—hot food hot and cold food cold. Weigh and measure ingredients for the following day's production, keeping food refrigerated as needed and using proper thawing procedures.
Healthcare Cost Reporting/Reimbursement Manager - Remote Eligible Eide Bailly LLPHealthcare Cost Reporting/Reimbursement Manager - Remote EligibleBoise, IDRemote$95,000–$135,000 / yearLocation: Any state with an Eide Bailly office Work Arrangement: In-office, hybrid, or remote with the ability to come into an Eide Bailly office as needed Typical Day in the Life In this role, you will lead healthcare financial projects, including Medicare and Medicaid cost report services for a variety of healthcare facilities, while also supporting other reimbursement initiatives as needed. A typical day as a Healthcare Reimbursement Manager might include the following: Overseeing cost report preparation and reimbursement engagements to ensure objectives are met, including supporting staff development, addressing client needs, and maintaining engagement profitability.
NewHealthcare Business Banking Relationship Manager U.S. BancorpHealthcare Business Banking Relationship ManagerBoise, ID$141,210–$172,590 / yearOwn and grow a portfolio of Healthcare and Practice Finance relationships, serving as the trusted advisor for clients with revenues between $5MM and $50MM, including physician groups, ambulatory surgery centers (ASCs), dental service organizations (DSO), specialty practices, and other healthcare businesses. Healthcare Business Banking RM 4. At U.S. Bank, our Healthcare Business Banking Relationship Managers (BBRMs) don't just manage portfolios - they build businesses, shape strategy, and drive growth for healthcare clients navigating today's complex financial landscape.
Cook - Healthcare Thomas CuisineCook - HealthcareBoise, IdahoEnsure the safety of food prepared by following safe sanitary food handling practices—hot food hot and cold food cold. Weigh and measure ingredients for the following day's production, keeping food refrigerated as needed and using proper thawing procedures.
NewPM Patient Services Representative - Healthcare Thomas CuisinePM Patient Services Representative - HealthcareBoise, IdahoAs a Patient Services Representative , you’ll create a personalized dining experience for every patient by taking bedside orders, guiding meal selections from a restaurant-style menu, and ensuring timely, accurate delivery. Informs patients of the services of the Food and Nutrition Services Department and may obtain food preferences from patients and/or family members.
Health Information Management Director HCA Healthcare IncHealth Information Management DirectorIdaho Falls, ID$63,793.60–$108,472 / yearDegree requirement may be substituted by current enrollment in a Bachelor's Degree program or equivalent work experience with CEO approval A minimum of one year of HIM department experience is preferred; three or more years is strongly preferred A minimum of one-year healthcare management experience is strongly preferred RHIA or RHIT strongly preferred Benefits Eastern Idaho Regional Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. Perform facility unbilled activities including physician query follow up, physician incomplete record follow-up, collaboration with facility department leaders in monitoring and working unbilled reports, working the applicable HPF/MPF queues, working the applicable unbilled management reports and queues, (e.g., DET/eRequest, Bill 49) and management of HIM operations unbilled processes.
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.
Document Management Specialist - Part Time - 20 hours/week Kaniksu Community HealthDocument Management Specialist - Part Time - 20 hours/weekSandpoint, IDUnder the direction of the KCH Director of Nursing, Director of Clinical Operations and Medical Staff Providers and as a member of the Kaniksu Community Health Patient Centered Medical Home (PCMH) Team, a typical day of a Document Management Specialist might include; Maintain accurate and secure physical and electronic filing systems for patient records, administrative documents, contracts, and other clinic files. Our team members are dedicated and provide a patient centric approach to care and know exactly what we are working on and why, and how their everyday work contributes to successfully achieving this goal.
NewTravel Registered Nurse Case Management Job HealthforceTravel Registered Nurse Case Management JobPocatello, IDWe specialize in placing clinicians in travel nursing jobs , allied health travel assignments , and local contract opportunities in hospitals, long-term care facilities, and outpatient settings. Healthforce is a nationwide travel healthcare staffing agency connecting travel nurses and allied health professionals with high-quality contract assignments across the United States.
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.
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.
Regional Vice President - Idaho Operations Cascades HealthcareRegional Vice President - Idaho OperationsTwin Falls, IDFull timeThe Regional Vice President is accountable for all aspects of the operations of skilled nursing facilities throughout the assigned region, to ensure Cascades Healthcare provides the highest quality services to our patients. Cascades Healthcare is looking for a Regional Vice President overseeing skilled nursing facilities across Idaho, Washington, and Nebraska.
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.
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.
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.
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.
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.
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.
Criminal Investigator - Criminal Law Division - OAG State of IdahoCriminal Investigator - Criminal Law Division - OAGBoise, IDBenefits: State employee benefits which include low-cost health and dental insurance, paid vacation and sick leave, 11 paid holidays, multiple retirement savings plans, flexible spending accounts, paid parental leave, and one of the nation's best state retirement systems (PERSI). If you require an accommodation at any step in our recruitment process, you are encouraged to contact Human Resources at (208) 334-4523 or email denise.stringer@ag.idaho.gov.
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.
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 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.
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.