Clinical Risk Manager

Overview: At St. Lukes, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a...

Job SummaryWe are seeking a highly skilled Payment Services Risk and Fraud Manager to join our team at First Interstate Bancsystem Inc. This role is responsible for preventing, identifying, and mitigating fraud losses for credit and debit card portfolios of the Bank.Key ResponsibilitiesManage the output of multiple fraud monitoring platforms and build...

**If you are a current FIB employee, please apply through the Career Worklet in the Employee Portal This position can be located at our Boise, ID W. Overland, Omaha, NE 93rd & W. Dodge, Billings, MT and Sioux Falls, SD Downtown branch. What's Important to You We know your career is just one aspect of a meaningful, complex, and demanding life. That's why we...

We are seeking a skilled Private Field Surveillance Investigator to join our team at Ethos Risk Services. As a member of our team, you will conduct covert surveillance, review files, and draft detailed case reports.Key responsibilities include:Surveillance Activities:Conduct covert surveillance of targets to gather evidenceReview files and documents to...

Job Title: Nurse Practitioner - Risk Adjustment SpecialistJob Summary:We are seeking a highly skilled and compassionate certified Nurse Practitioner to join our Advantmed provider network. As a Nurse Practitioner - Risk Adjustment Specialist, you will be responsible for conducting in-home wellness risk adjustment assessments for Medicare members and other...

Tired of working night shifts, weekends and holidays? Clinical Solutions Pharmacy is hiring a Pharmacist in Charge for our Closed-Door pharmacy in Boise. If you're passionate about improving patient care and looking for excellent work-life balance, apply today to join our dedicated team. No nights, weekends, or holidays required.Clinical Solutions Pharmacy...

Tired of working night shifts, weekends and holidays? Clinical Solutions Pharmacy is hiring a Pharmacist in Charge for our Closed-Door pharmacy in Boise. If you're passionate about improving patient care and looking for excellent work-life balance, apply today to join our dedicated team. No nights, weekends, or holidays required.Clinical Solutions Pharmacy...

R1 RCM is seeking a highly skilled Clinical Appeals Nurse to join our team. As a Clinical Appeals Nurse, you will play a critical role in ensuring that our hospital clients receive fair and timely reimbursement for their services.Key Responsibilities:Conduct thorough reviews of patient medical records and payer denial information to assess the entire...

Job Summary:St. Luke's Health System is seeking a skilled Registered Nurse to fill a leadership role in our Clinic. As a Nurse Manager, you will be responsible for evaluating medical necessity for patient hospitalization and acting as an internal resource for patient care. This is a challenging and rewarding opportunity to make a difference in the lives of...

Clinical Appeals and Denials ManagerR1 RCM is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups. We are seeking a Clinical Appeals and Denials Manager to join our team.Key Responsibilities:Serve as a leader and mentor to Clinical Appeals...

R1 RCM is a leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems, and medical groups.We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing...

About the OpportunityAt Travelers, we're committed to delivering exceptional customer experiences and driving top-line revenue and underwriting results across our enterprise operations. Our Premium Audit group plays a critical role in conducting audits on property & casualty commercial lines policies to establish accurate classifications and exposures,...

Job Title: Contract ManagerWest Coast Logistics is seeking a highly skilled Contract Manager to join our team. As a Contract Manager, you will be responsible for facilitating the formation and managing/coordinating the administration of the client contract (prime contract) throughout the life cycle of the project(s).Key Responsibilities:Provide support to...

Lead with PurposeAs the Oncology Infusion Pharmacy Manager at St. Luke's Health System, you will provide visionary leadership, guidance, and mentorship to your oncology infusion pharmacy team. Your expertise will help shape the future of patient care by ensuring your team thrives and stays at the cutting edge of clinical pharmacy practice.Clinical Mentor &...

Cybersecurity Program ManagerAt ParinTechnologies, we are seeking a highly skilled Cybersecurity Program Manager to join our team. The successful candidate will be responsible for ensuring the effective implementation of the CISO's strategy for protecting our networks, systems, and applications. This position will assist with determining, analyzing, and...

Job DescriptionMaraca Learning is seeking a highly experienced Clinical Director to oversee the day-to-day clinical operations of our Autism Centers. The ideal candidate will have a strong background in Applied Behavior Analysis (ABA) and experience in managing teams and processes.Key Responsibilities:Build and maintain a positive organizational culture and...

Floorplan Xpress is a national leader in the automotive finance industry.We are seeking a dynamic professional to support our dealer network growth in Boise, ID.The ideal candidate will be entrusted with growing the portfolio, managing and cultivating relationships with dealers, optimizing their utilization of credit lines, and effectively managing risk.The...

Job DescriptionThe Cybersecurity Program Manager is responsible for ensuring the CISO's strategy for protecting the Idaho Judiciary's networks, systems, and applications is effectively implemented. This position will assist with determining, analyzing, and proposing security requirements, policies, and technical solutions.Key Responsibilities:Assist with...

The Cybersecurity Program Manager at HighCloud Solutions is responsible for ensuring the CISO's strategy for protecting the organization's networks, systems, and applications are effectively implemented.Key Responsibilities:Assist with obtaining approval of security systems for the organization.Track and monitor the implementation of security policies and...

Hi,Job Title: Cybersecurity Program ManagerLocation: 451 W. State Street Boise, ID 83702 (Hybrid)Experience: 8+ YearsJob Description:Major Duties and Responsibilities: (The examples provided do not cover all the duties which the incumbent in this position may be required to perform.) • Assists with obtaining approval of security systems for the Idaho...