Healthcare Credentialing Jobs in Boise

... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Medicaid business partners, including: Contracting, Credentialing, Referral/Authorizations, Claims, Grievance and Appeals, ... a Bachelor's degree in Business,..

PulmonologistnLocation: Boise, IDn nMPLT Healthcare is looking for physicians who ... benefits of working with MPLT Healthcare include:nn Flexibility - work when, ... access to your personal MPLT Healthcare consultantn..

Vascular SurgeonnLocation: Boise, IDn nMPLT Healthcare is looking for physicians who ... benefits of working with MPLT Healthcare include:nn Flexibility - work when, ... access to your personal MPLT Healthcare..

Human Supports of Idaho, a partner practice of Behavioral Health Solutions is hiring! As a Case Manager specializing in working with individuals with Substance Use Disorders. These services are in an ..

... are over the age of 12.Credentialing Timeframe: 0 to 30 daysu00a0Facility ... of the year. Job BenefitsAMN Healthcare typically arranges medical or dental ... the CompanyStaff Care, an AMN..

Job Information Humana Strategy Advisor, Healthcare Strategy in Meridian Idaho Description ... Idaho Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

nPosition: OB/GYNnLocation: Caldwell, IDn nMPLT Healthcare is looking for physicians who ... benefits of working with MPLT Healthcare include:nn Flexibility - work when, ... access to your personal MPLT Healthcare..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Healthcare Construction Program Director Healthcare Construction Program Director POINTCORE Construction ... POINTCORE Construction is seeking a Healthcare Construction Program Director in the ... years' experience serving in a healthcare construction..

Description The Senior Professional, Medicaid Network Strategy will be accountable for supporting the development of Humana Healthy Horizon's (Medicaid) network and provider strategy for its growth markets. This strategist will provide ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

Description The Network Operations Coordinator 3 manages provider data including but not limited to demographics and contract accuracy. Additional Information - How we Value You Benefits starting day 1 of employment ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Job Information Humana Manager, Credentialing in Meridian Idaho Description Responsibilities ... a team of certification and credentialing professionals that to ensure required ... contract requirements. Work collaboratively with credentialing leaders..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..