Medicaid Utilization Review Specialist

Job SummaryWe are seeking a highly skilled Medicaid Utilization Review Analyst to join our team at the Idaho Division of Human Resources. As a Medicaid Utilization Review Analyst, you will play a critical role in protecting the integrity of the Medicaid program by identifying and deterring fraud, waste, and abuse.Key ResponsibilitiesAnalyze claims data and...

COMMITTED TO ENHANCING THE HEALTH, SAFETY, AND AUTONOMY OF IDAHO RESIDENTS The Idaho Department of Health and Welfare, Division of Medicaid, is actively seeking two Medicaid Recovery Officers to contribute to the Financial Recovery Unit and collaborate with a team for the Estate Recovery Program. The main objective of this role is to retrieve accurately...

COMMITTED TO ENHANCING THE HEALTH, SAFETY, AND AUTONOMY OF IDAHO RESIDENTS The Idaho Department of Health and Welfare, Division of Medicaid, is actively seeking two Medicaid Recovery Officers to contribute to the Financial Recovery Unit and collaborate with a team focused on the Estate Recovery Program. The main objective of this role is to recover...

COMMITTED TO ENHANCING THE HEALTH, SAFETY, AND AUTONOMY OF IDAHO RESIDENTS The Idaho Department of Health and Welfare, Division of Medicaid, is actively seeking qualified candidates for the role of Medicaid Recovery Officer. This position is essential for the Financial Recovery Unit, focusing on the Estate Recovery Program. The primary objective is to...

Job SummaryWe are seeking a highly skilled Medicaid Recovery Officer to join our team in the Bureau of Financial Operations. As a Medicaid Recovery Officer, you will play a critical role in recovering correctly paid medical assistance costs from the estates of qualifying Medicaid recipients.Key ResponsibilitiesDetermine appropriate collection techniques for...

Position Overview At St. Luke's Health System, our committed team of Clinical Review Nurses is dedicated to fostering a positive, supportive, and inclusive environment that ensures outstanding patient experiences. Key Responsibilities: Work on-site with 10-hour day shifts Participate in a comprehensive 6-week paid training program Assess...

Join Our Mission to Transform HealthcareCambia Health Solutions is seeking a dedicated Utilization Management Nurse to join our team. As a key member of our organization, you will play a vital role in creating a person-focused and economically sustainable healthcare system.About the RoleWe are looking for a skilled nurse with experience in utilization...

Job SummaryWe are seeking a skilled Utilization Management Nurse to join our team. As a Utilization Management Nurse, you will play a critical role in ensuring that our members receive the most appropriate and effective care possible.Key ResponsibilitiesUtilize clinical nursing skills to support the coordination, documentation, and communication of medical...

Job Title: Medical Program SpecialistWe are seeking a highly skilled Medical Program Specialist to join our team at the Idaho Department of Health and Welfare. As a Medical Program Specialist, you will play a critical role in ensuring the quality and compliance of our medical programs.Key Responsibilities:Schedule and conduct audits for provider compliance...

Position Overview:As a key player in our organization, you will contribute to the effective management of healthcare services, ensuring our members receive the necessary support for their health needs.Responsibilities:- Evaluate and assess the utilization of healthcare services for our members.- Collaborate with healthcare providers to facilitate access to...

Job SummaryCVS Health is seeking a skilled RN Utilization Management Clinician to join our team. As a key member of our utilization management team, you will play a critical role in ensuring that patients receive the most appropriate and effective care for their mental health needs.Key ResponsibilitiesUtilize clinical expertise to coordinate and document all...

Job DescriptionJob Title: Procurement SpecialistJob Summary:Exyte is seeking a highly skilled Procurement Specialist to join our team. As a Procurement Specialist, you will be responsible for the preparation of bid documents, rf(x) and issuance or purchase orders. You will work under the direction of the Procurement Manager or Director Procurement to develop...

Position Overview At St. Luke's Health System, our committed team of Clinical Review Nurses is dedicated to fostering a positive, supportive, and inclusive environment that enhances patient experiences. Key Responsibilities: Engage in on-site, 10-hour day shifts Participate in a comprehensive 6-week paid training program Assess medical...

Job Title: Medical Program SpecialistWe are seeking a highly skilled Medical Program Specialist to join our team at the State of Idaho. As a key member of our department, you will play a critical role in ensuring the quality and integrity of our healthcare programs.Job Summary:The Medical Program Specialist will be responsible for scheduling and conducting...

Job Title: Utility Billing Services SupervisorJoin the City of Boise's Public Works department as a Utility Billing Services Supervisor, where you will lead a team of customer service providers responsible for maintaining the city's utility services.Job SummaryThe City of Boise is seeking an experienced customer service supervisor to oversee the daily...

About the Position at MINICK FINANCIAL, PLLCAre you seeking a role that offers flexibility and comprehensive benefits? Look no further! Our organization provides Holiday Pay, Vacation Pay, and a Retirement Plan. We value a positive work environment where productivity and enjoyment go hand in hand.Employment may range from full-time to 25-30 hours weeklyOur...

Job SummaryWe are seeking a highly organized and detail-oriented Document Control Specialist to join our team at Exyte. As a key member of our project management team, you will be responsible for coordinating the activities of document control, including distributing and reviewing controlled documents, filing, maintenance, and inventory of hardcopy and...

Fiscal Program Specialist Job DescriptionAbout the Role:The Idaho Department of Agriculture is seeking a highly skilled Fiscal Program Specialist to join our team in Boise, Idaho. As a key member of our Fiscal/Support Services team, you will be responsible for performing various financial-related duties, including application of accounting principles and...

POSITION DESCRIPTION FORMJob Title: Cost Estimation SpecialistDepartment: Business DevelopmentReports To: Estimation ManagerGENERAL PURPOSE OF THIS ROLE (Summary)At TNT USA, we specialize in providing comprehensive materials handling solutions, consulting services, and general contracting to various sectors including mining, minerals processing, and bulk...

Procurement Specialist Job DescriptionAt Exyte, we are seeking a highly skilled Procurement Specialist to join our team. As a key member of our procurement team, you will be responsible for the preparation of bid documents, rf(x) and issuance or purchase orders.Key Responsibilities:Develop key procurement documents to be included in the rf(x) process.Assist...