• Boise, ID, OR, WA

Providing legal advice and counsel to all divisions and subsidiaries. Drafting agreements and handling legal inquiries related to health plan products and services. Reviewing and drafting complex commercial contracts for multiple entities within an i..

• OR, WA, ID, UT

Support in-house attorneys with the discovery process, maintain databases and information repositories, assist in preparing legal documents, perform case management support services, address legal inquiries, and perform special projects and duties as..

• Lewiston, ID, OR, WA, ID, UT

Legal counsel for divisions and subsidiaries, drafting agreements with employer groups, handling health plan inquiries, and reviewing/drafting complex contracts for multiple entities in an insurance holding system.

• Coeur D'Alene, ID, WA, OR, UT

Oversees claims processing, sets goals and coordinates daily activities of the team, develops productivity and quality standards, and participates in compliance audits. Requires leadership/supervisory experience and knowledge of...

• Boise, ID, OR, WA, ID, UT

Responsible for driving the product delivery roadmap for data & analytics, stakeholder engagement and value delivery through Data & Analytics Products, and communicating and documenting product requirements cross-functionally with stakeholders and te..

• ID, OR, WA, UT

Administer and support communications systems, troubleshoot issues, and provide technical assistance. Collaborate with teams, document procedures, and ensure system stability and availability. Assist with upgrades and maintenance, and contribute to...

• ID, UT, WA, OR

Drive continuous improvement, change leadership, and communication activities to achieve high-quality, measurable, and sustainable results. Collaborate with clinical stakeholders to create impactful programs. Lead division-wide or cross-divisional im..

• OR, WA, ID, UT

Lead strategic improvement and change adoption efforts within and across departments. Provide leadership, scope, and prioritization of improvement and change adoption efforts for high-quality, measurable, and sustainable results. Coach, train, and me..

• Pocatello, ID, OR, WA, ID

Develop and coordinate risk adjustment education initiatives with network providers, act as primary point of contact for assigned key provider engagements, and assist senior leadership with special projects related to advancing innovative provider re..

• Boise, ID, WA, OR, ID, UT

Provide clinical care management to meet member's healthcare needs. Assess, plan, implement, coordinate, monitor and evaluate care. Apply clinical expertise, think critically, and collaborate with internal and external customers.

• Boise, ID

Drive member behavior change, health coach/lifestyle modification, social determinants of health remediation, and coordinated transitions of care. Assess problem domains, identify barriers, establish outcomes, and perform essential case management ac..

• OR, WA, ID, UT

Design and deliver training programs, assess training needs, develop training materials, and evaluate training effectiveness. Current RN licensure or certification required.

• Pocatello, ID, OR, WA, UT

Design and deliver training programs, assess training needs, develop training materials, deliver training sessions, and evaluate training effectiveness. RN with 5+ years of training experience or equivalent combination of education and experience.

• Pocatello, ID, OR, WA, ID, UT

Perform retrospective and prospective chart reviews for accurate risk adjustment reporting. Identify trends in provider coding/documentation and develop intervention strategies. Maintain knowledge of relevant regulatory mandates and ensure compliance.

• OR, WA, ID, UT

Perform chart reviews to ensure accurate risk adjustment reporting. Identify coding/documentation trends and develop intervention strategies. Support process and quality improvement initiatives. Monitor regulatory changes related to Risk Adjustment ..

• OR, WA, ID, UT

Perform retrospective and prospective chart reviews for accurate risk adjustment reporting. Identify trends in provider coding/documentation and develop intervention strategies. Support process and quality improvement initiatives.

• Coeur D'Alene, ID

Research and review technical GAAP and Statutory financial statement reporting positions, monitor and update corporate accounting policies, and provide technical accounting support to Company's business units. CPA required.

• OR, WA, ID, UT

Administer monthly/quarterly incentive plans, ensure data integrity for incentive payments and reporting, build and maintain strong partnerships with stakeholders, recommend sales compensation policy and programs.

• OR, WA, ID, UT

Proven ability to deliver effective Core Compliance activities, including, monitoring, auditing, root cause analyses, and corrective actions. Skilled in project management and delivery including proven ability to initiate and manage multiple projects...

• Boise, ID

Develop and deploy machine learning models and algorithms to improve healthcare services. Lead a team in understanding requirements, prototyping models, conducting experiments, and driving innovative solutions. Stay up-to-date with advancements in...

• Pocatello, ID, ID, OR, UT, WA

Develop engagement strategies to improve performance in population health management, Medicare Stars, and Risk Adjustment. Analyze data, identify interventions, and manage initiatives to drive sustainable performance improvement. Serve as a subject m..