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Grievance & Appeals Spec I / II - 2262

Blue Cross of Idaho - Meridian, ID

Job Description Position Description Reviews and responds to member/provider appeals for all lines of business. Performs detailed investigations and research related to professional and facility ...

Supervisor - Grievance & Appeals (Provider) - 1985

Blue Cross of Idaho - Meridian, ID

Job Description Position Description Supervise the day-to-day activities of staff processing member or provider Grievance and Appeals for assigned lines of business. Monitor staff workloads and assure ...

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Business Analyst - 2254

Blue Cross of Idaho - Meridian, ID

Job Description Position Description Identifies and analyzes business needs, conducting requirements gathering and defining scope and objectives for applications integrated with business processes/ ...

Supervisor, Care Coordination

Blue Cross of Idaho - Meridian, ID

Job ID #: Location: Meridian, ID (Corporate Headquarters)Job Category: ... with other Healthcare Operations leadership and represent Blue Cross of Idaho to external providers, employer groups, and ...

Clinical Reviewer

Blue Cross of Idaho - Meridian, ID

Job Description: Position Description To support the Healthcare Operations initiatives to ensure the delivery of medically necessary and appropriate, cost-effective and timely, quality health care ...

Credentialing Specialist I

Blue Cross of Idaho - Meridian, ID

Job ID #: Location: Meridian, ID (Corporate Headquarters)Job Category: OperationsEducation Required: Not IndicatedEmployment Type: Full TimeExperience Required: 1 - 3 YearsRelocation Provided: ...

Care Coordinator (Treasure Valley)

Blue Cross of Idaho - Meridian, ID

Job ID #: Location: Meridian, ID (Corporate Headquarters)Job Category: Social WorkEducation Required: Associates DegreeEmployment Type: Full TimeExperience Required: 3 - 5 YearsRelocation Provided: ...

Mgr Value Based Payments - 2191

Blue Cross of Idaho - Meridian, ID

Job Description Position Description Lead the design, implementation, and administration of value based contracts for self-funded employer groups, aligning the incentives of healthcare providers to ...

Care Coordination Specialist

Blue Cross of Idaho - Meridian, ID

Job ID #: Location: Meridian, ID (Corporate Headquarters)Job Category: Administrative/ClericalEducation Required: Not IndicatedEmployment Type: Full TimeExperience Required: 3 - 5 YearsRelocation ...

Case Manager - Intermediate

Blue Cross of Idaho - Meridian, ID

Job ID #: Location: Meridian, ID (Corporate Headquarters)Job Category: Social WorkEducation Required: Bachelors DegreeEmployment Type: Full TimeExperience Required: 5 - 7 YearsRelocation Provided: ...

Software Engineer Sr (SDET)

Blue Cross of Idaho - Meridian, ID

Job ID #: Location: Meridian, ID (Corporate Headquarters)Job Category: Information ... the quality within and optimized delivery of Blue Cross of Idaho software. Develop high quality, maintainable, and ...

Strategic Pharmacy Director - 2181

Blue Cross of Idaho - Meridian, ID

Job Description Position Description To provide healthcare subject matter expertise consultation and sales support to internal and external customers. Works in a consultative role with strategic ...

Quality / Audit Specialist

Blue Cross of Idaho - Meridian, ID

Save Education Bachelor's Degree Skills SharePoint Microsoft Word Microsoft Office Excel Computer Skills Responsible for quality assurance and compliance for healthcare operations (HCO) and related ...

Supervisor - Grievance &Amp; Appeals (Provider)

Blue Cross of Idaho - Meridian, ID

Job ID #: Location: Meridian, ID (Corporate Headquarters)Job Category: ... and professional policies and detailed understanding of Blue Cross of Idaho (BCI) procedures and various policy benefits ...

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