Sr. Process Improvement Engineer/ LSSBB for the Health Plan - Remote Sentara Healthcare IncSr. Process Improvement Engineer/ LSSBB for the Health Plan - RemoteIDRemoteWorks closely with cross-functional teams to design and implement process enhancements, monitor outcomes, and ensure the sustainability of improvements. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
New*New - Prior Authorization Specialist (Experienced)- Remote - Idaho State Area Nyx Health*New - Prior Authorization Specialist (Experienced)- Remote - Idaho State AreaBoise, IDRemote$21–$23You’ll be responsible for completing insurance verifications, submitting and tracking prior authorizations, gathering required documentation, communicating with insurance payors and clinicians, and following authorizations through to approval. Strong knowledge of Epic’s prior authorization workflows and experience navigating insurance requirements are essential.
Chronic Care Manager (Remote - Compact States) Harris Computer SystemsChronic Care Manager (Remote - Compact States)Boise, IDRemoteCare Managers are expected to complete due diligence on 100% of their assigned patients and complete billable encounters on 90% of the patients they are assigned each month unless patients are unable to participate due to current health conditions. High Speed Internet (Minimum Download - 18mbps/Upload 6mbps) and either a Desktop or Laptop computer in good working order (Has to be operation system of Windows or Mac) NO Chromebooks, iPads, or tablets.
NewAccount Executive, MS Sales (Remote role in Oregon and Idaho) FUJIFILM Biotechnologies USA IncAccount Executive, MS Sales (Remote role in Oregon and Idaho)IDRemoteFor all positions, the Company encourages vaccination against COVID-19 and requires that the successful candidate hired be willing to test for the COVID-19 virus periodically and wear a face covering indoors as required, absent being granted an accommodation due to medical or sincerely held religious belief or other legally required exemption. Strong ability to sell products based upon customer need; excellent sales presentation skills; strong ability to overcome customer objections and concerns; ability to quickly learn new products and services.
Remote - Care Coordinator - LPN - LVN - $21/hr - Day Shift CareHarmonyRemote - Care Coordinator - LPN - LVN - $21/hr - Day ShiftBoise, IDRemote$43,000–$58,000CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient’s healthcare journey. CareHarmony’s Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.
Medical Science Liaison (MSL) - Neuroimmunology - Neurodegeneration (WA, OR, ID) Remote Novartis AGMedical Science Liaison (MSL) - Neuroimmunology - Neurodegeneration (WA, OR, ID) RemoteBoise, IDRemote$145,600–$270,400 / yearThe primary responsibility of the MSL is to engage with customers - customer engagements may include but are not limited to: emerging data discussions, clinical trial activities, uncovering barriers in patient journey, understanding market dynamics within their territory, exploration of areas of unmet medical need, pipeline discussions, educating on disease state and product, capturing adverse events, and capturing medical insights through all stages of product lifecycle. Maintain in-depth knowledge of assigned therapeutic area and Novartis compounds to serve as a medical resource to customers and internal colleagues (in accordance with Working Practice Documents).Maintain in-depth knowledge of internal policies and external regulations (e.g., field medical Working Practice Document (WPD), travel policy, expense policy, state and local laws, institutional policies) and how they affect day-to-day responsibilities.
NewDirector, Provider Relations & Network Management - Remote In ID UnitedHealth Group Inc.Director, Provider Relations & Network Management - Remote In IDBoise, IDRemote$112,700–$193,200 / yearManage HCBS Provider Advocates (2), Workforce Development Administrator, Credentialing Coordinator, and Provider Claims Educator, which includes coaching, mentorship, collaboration, auditing and monitoring, establishing development and career planning, and more. Position in this function responsibilities also include directing and implementing strategies relating to the management of a provider network, identifying gaps in network composition and services to assist the network contracting.
Remote - Care Coordinator - LPN - LVN - $21/Hr - Day Shift CareHarmonyRemote - Care Coordinator - LPN - LVN - $21/Hr - Day ShiftBoise, IDRemoteCareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-facing work experience; that thrives in a fast-paced environment, is self-motivated, has impeccable attention to detail, and values the impact they can have on a patient’s healthcare journey. CareHarmony’s Care Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.
Appeals Pharmacist (Remote) Pharmacy CareersAppeals Pharmacist (Remote)Meridian, IdahoRemoteRemote Appeals Pharmacist – Fair Medication Access | Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair determinations for members — all from home with a schedule that supports better work-life balance.
Specialty Pharmacist (Remote Options) Pharmacy CareersSpecialty Pharmacist (Remote Options)Boise, 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.
Outbound Call Center Rep (Remote) CVS Health CorpOutbound Call Center Rep (Remote)IDRemote$15–$26.93 / hourAs a Member Engagement Coordinator you will contact members of various Medicare Advantage and Medicaid health plans by phone to offer, explain, and schedule a free in-home or virtual healthcare evaluation. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
NewCase Management Pharmacist (Remote) Pharmacy CareersCase Management Pharmacist (Remote)Boise, IdahoRemoteRemote Case Management Pharmacist – Coordinate Care for Complex Patients | Work From Home Support high-risk and complex patients through medication reviews, care coordination, and adherence support — all from a remote setting. Our case-management pharmacists improve outcomes, reduce readmissions, and support patients across the continuum of care.
Remote Outbound Sales Specialist CLEAResult Consulting, Inc.Remote Outbound Sales SpecialistIDRemoteDrive success in a high-volume, outbound sales environment using a fast-paced dialer to speak to utility customers and encourage them to enroll in energy saving programs where they can save money on their bill. Any offered salary is determined based on internal equity, internal salary ranges, market data/ranges, applicant's skills and prior relevant experience, certain degrees and certifications (e.g.
Remote Clinical Review Pharmacist Pharmacy CareersRemote Clinical Review PharmacistMeridian, IdahoRemoteAbout Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.
Drug Utilization Review (DUR) Pharmacist – Remote Pharmacy CareersDrug Utilization Review (DUR) Pharmacist – RemoteMeridian, IdahoRemoteRemote DUR Pharmacist – Safe & Cost-Effective Medication Use | Work From Home Analyze medication use patterns, apply clinical guidelines, and collaborate with providers — all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale.
NewRemote Inside Sales Representative New Acquisition ADT IncRemote Inside Sales Representative New AcquisitionBoise, IDRemoteIn order to be eligible for this role, you must reside in one of the following states: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin, or Wyoming. Our continuous innovation, advanced technology and strategic partnerships deliver products and services that help protect life and valuables, whether at home, your business or on the go.
Physician Assistant Remote (Idaho Residents Only) Frontier PsychiatryPhysician Assistant Remote (Idaho Residents Only)Boise, IdahoRemoteWe are a training site for the Yale Child Study Center, and our published research in JAMA Network Open found 38% lower hospitalization rates among the Montana Medicaid patients we serve. We are guided by healthcare's Quintuple Aim: excellent patient care, a supported team, lower total cost of care, better population health, and greater health equity.
NewProvider Relations Advocate - Remote In Idaho UnitedHealth Group Inc.Provider Relations Advocate - Remote In IdahoBoise, IDRemote$60,200–$107,400 / yearServe as main point of contact for providers and strategically build relationships to resolve claims, prior and contract related issues managing a portfolio of accounts of HCBS providers to ensure a trusting relationship are developed and issues related to claims, prior authorization, and any other issues identified by the Providers or our internal leaders. Responsibilities also include directing and implementing strategies relating to the development and management of a HCBS provider network, identifying gaps in network composition and services to assist the network contracting, network adequacy and in identifying and remediating operational short-falls and researching and remediating claims.
Executive Assistant - Remote Molina Healthcare IncExecutive Assistant - RemoteBoise, IDRemotePrepares recurring and special reports and presentations by gathering data, interpreting data and assembling reports using PowerPoint, Excel, etc. for executive's review and distribution. Serves as recording secretary for committee(s), scheduling meetings, distributing materials, recording and transcribing meeting minutes.
Staff Software Engineer (PACS) - Full Time - Remote Experity IncStaff Software Engineer (PACS) - Full Time - RemoteIDRemote$121,400–$161,000 / yearOnePACS is a cloud-based PACS platform supporting radiology groups, teleradiology providers, imaging centers, and healthcare organizations that depend on reliable, high-volume diagnostic imaging workflows. Flexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance.