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.
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.
Insurance Sales Representative (Remote/Hybrid | Local Territory) The Compass Business GroupInsurance Sales Representative (Remote/Hybrid | Local Territory)Garden City, IdahoRemoteOur mission-driven team thrives on service, integrity, and results empowering you to make a meaningful impact while building a successful career. At Compass Business Group , we help protect families, teams, and small businesses through supplemental insurance solutions.
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.
Compliance UM Nurse (Wed - Sun) Humana IncCompliance UM Nurse (Wed - Sun)IDRemote$71,100–$97,800 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
NewAppeals Rep Humana IncAppeals RepIDRemote$48,300–$65,900 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Alternative Health & Advocacy Solutions COE Senior Project Manager CVS Health CorpAlternative Health & Advocacy Solutions COE Senior Project ManagerIDRemote$67,900–$199,144 / yearActing as the central liaison between external partners and internal stakeholders, the Senior Project & Program Manager collaborates closely with Sales, Client Management, Product, Operations, Implementation, and Executive Leadership teams to ensure partner solutions are effectively positioned, implemented, and supported throughout the client lifecycle. Success in this role requires strong relationship management, project and program leadership, operational excellence, strategic thinking, and the ability to influence cross-functional teams to deliver business outcomes that enhance client experience, retention, growth, and innovation.
Principal Data Architect Blue Cross of IdahoPrincipal Data ArchitectMeridian, IdahoRemoteDemonstrated understanding of Data architecture and components, especially for Data Warehousing, including Snowflake, dbt Data transformations, Airflow, Data Cataloging tools like Alation; other key integration platforms like Boomi/Fivetran, BI tools like Tableau/Power BI/Sigma, and AI/ML tools like Dataiku/Cortex/Snowflake Intelligence. As we modernize and optimize our Data & Analytics program through legacy data platforms consolidation onto AWS & Snowflake re-design, we will be enabling a suite of leading capabilities to support the spectrum of business needs with key cloud and big data technologies to include: AI/ML, streaming data, data lake and data warehouse, as well as self-service and delivered reporting.
Medical Science Liaison, Rheumatology (WA, OR, ID, MT, WY, AK) Bristol-Myers Squibb CoMedical Science Liaison, Rheumatology (WA, OR, ID, MT, WY, AK)Boise, IDRemote$166,090–$201,262 / yearThe purpose of their interactions is to engage in meaningful scientific exchange that will ensure patients have access to BMS medicines, to ensure their safe and appropriate use through peer to peer discussions aligned with medical strategies and needs expressed by external stakeholders, and to facilitate research. Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
NewSenior Therapeutic Area Specialist, Oncology-Salt Lake City/Boise Bristol-Myers Squibb CoSenior Therapeutic Area Specialist, Oncology-Salt Lake City/BoiseBoise, IDRemote$144,500–$175,100 / yearAs this position requires the operation of a Company-provided vehicle, offers of employment are contingent upon the candidate meeting the requirements of "Qualified Driver," as determined by the Company in its sole discretion, including but not limited to the following: 1) at least 21 years of age; 2) a driver's license in good standing issued by your state of residence; and, 3) a driving risk level deemed acceptable by the Company. Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.
Enterprise Business Architect I or II Blue Cross of IdahoEnterprise Business Architect I or IIMeridian, IdahoRemoteThe pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data. 5-7+ years of experience in business strategy, enterprise planning, process transformation, IT architecture, and/or related disciplines that spans working in or closely aligned with Business Architecture, Enterprise Architecture, or strategic planning functions.
Program Manager-Risk Adjustment Blue Cross and Blue Shield AssociationProgram Manager-Risk AdjustmentMeridian, IDRemote$86,650–$129,974 / yearCollaborate with cross-functional teams, including, Provider Engagement, Risk Adjustment Coders, Data Analysts, vendors, Quality/HEDIS, Healthcare Operations, Compliance, Legal, Marketing, Corporate Communications, IT and Procurement to streamline processes, ensure compliant timely execution and to support data integrity. The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data.
Call Center Support Specialist PaylocityCall Center Support SpecialistMeridian, IDRemoteThe company has become one of the fastest-growing HCM software providers worldwide by offering an intuitive, easy-to-use product suite that helps businesses automate and streamline HR and payroll processes, attract and retain talent, and build a strong workplace culture. While traditional HR and payroll providers automate basic HR processes such as payroll and benefits administration, Paylocity goes further by developing tools that HR and businesses need to compete for talent and deliver against the expectations of the modern workforce.
Call Center Support Specialist - TPA / Spending Accounts - Meridian, ID Paylocity Holding CorpCall Center Support Specialist - TPA / Spending Accounts - Meridian, IDMeridian, IDRemoteThe company has become one of the fastest-growing HCM software providers worldwide by offering an intuitive, easy-to-use product suite that helps businesses automate and streamline HR and payroll processes, attract and retain talent, and build a strong workplace culture. While traditional HR and payroll providers automate basic HR processes such as payroll and benefits administration, Paylocity goes further by developing tools that HR and businesses need to compete for talent and deliver against the expectations of the modern workforce.
Full Time Provider OH, AZ, UT, VA, ND, DE, ME, HI, PA, ID Spring Care IncFull Time Provider OH, AZ, UT, VA, ND, DE, ME, HI, PA, IDIDRemote$66,000–$70,000 / yearWorking as a full-time provider at Spring Health qualifies you for a robust benefits package valued at $30-$40K: Focus on total health including: Generous medical, dental, vision coverage available day 1 + access to One Medical 20 total yearly no-cost visits to the Spring Health network of therapists, coaches, and medication management providers for you and your dependents Start with 20 days of accrued paid time off in your first year, with the opportunity to earn up to 25 days off as you continue with us (one additional day added each year). Why you'll like working at Spring Health You get to learn and grow at an extremely accelerated pace You get to make a transformational impact for the company, mental health, and for real human lives - and you will see that impact quickly You get to be part of a winning team that opens doors in the future You will receive continuous feedback to push you to become the most thriving team member and performer you can be Change is a constant here: your role, team, responsibilities, and success metrics will shift as the company grows.
Senior Actuarial Analyst - Reserving Ally Financial IncSenior Actuarial Analyst - ReservingIDRemote$85,000–$150,000 / yearOur Total Rewards program includes industry-leading compensation and benefits plus additional incentives that are designed to meet your needs and those of your family so you can get the most out of your career and your life, including: Time Away: Program starts at 20 paid time off days in addition to 11 paid holidays and 8 hours of volunteer time off yearly (time off days are prorated based on start date and program varies based on full or part-time status and management level). Supporting your Health & Well-being: flexible health and insurance options including medical, dental and vision, employee, spouse and child life insurance, short- and long-term disability, pre-tax Health Savings Account with employer contributions, Healthcare FSA, critical illness, accident & hospital indemnity insurance, and a total well-being program that helps you and your family stay on track physically, socially, emotionally, and financially.
Senior Actuarial Analyst - Pricing Ally Financial IncSenior Actuarial Analyst - PricingIDRemote$85,000–$150,000 / yearOur Total Rewards program includes industry-leading compensation and benefits plus additional incentives that are designed to meet your needs and those of your family so you can get the most out of your career and your life, including: Time Away: Program starts at 20 paid time off days in addition to 11 paid holidays and 8 hours of volunteer time off yearly (time off days are prorated based on start date and program varies based on full or part-time status and management level). Supporting your Health & Well-being: flexible health and insurance options including medical, dental and vision, employee, spouse and child life insurance, short- and long-term disability, pre-tax Health Savings Account with employer contributions, Healthcare FSA, critical illness, accident & hospital indemnity insurance, and a total well-being program that helps you and your family stay on track physically, socially, emotionally, and financially.
NewSpecialty Pharmacist (Remote Options) Pharmacy CareersSpecialty Pharmacist (Remote Options)Meridian, IdahoRemoteSpecialty Pharmacist – High-Impact Therapies | Remote & Hybrid Opportunities | Career Growth Specialty pharmacy is one of the fastest-growing areas in healthcare. Our pharmacists deliver safe, effective, and personalized care for patients on complex specialty therapies.
Enterprise Business Architect I or II Blue Cross and Blue Shield AssociationEnterprise Business Architect I or IIMeridian, IDRemote$106,762–$160,144 / yearThe pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data. Required Experience: 5-7+ years of experience in business strategy, enterprise planning, process transformation, IT architecture, and/or related disciplines that spans working in or closely aligned with Business Architecture, Enterprise Architecture, or strategic planning functions.
Senior Actuarial Analyst Centene Corporation GroupSenior Actuarial AnalystIDRemote$70,100–$126,200 / yearYou'll gain hands-on experience with VBC contract modeling, healthcare data analytics, financial performance analysis, vendor partnerships, and cross-functional collaboration across multiple lines of business, providing diverse work, continuous learning, and exposure to complex challenges with minimal repetitive tasks. Collaborating with cross-functional teams, including Medical Economics, Enterprise Partnerships, Network, and Clinical teams, to gather data, validate assumptions, and support ongoing initiatives.