Nurse Consultant Salary in Boise, ID

Pharmacy Services TechnicianLooking for candidates within Idaho, but the right candidate will be eligible for a remote role within our 4-state footprint (WA, ID, OR, and UT).Primary Job PurposeThe Pharmacy Services Technician is a corporate-wide technical support resource for pharmacy benefit, reimbursement, and other drug use issues which do not require clinical judgment. This function assists the Clinical Pharmacy Consultants and Pharmacy Services staff with formulary-related operations and other operational processes which require knowledge and experience with pharmaceuticals.Normally to be proficient in the competencies listed below:Pharmacy Services Technician would have a high school diploma or related certificate and five years of experience as a pharmacy services technician in a retail, hospital, or other licensed pharmacy setting or equivalent combination of education and experience. Pharm tech certificate may be substituted for two years of experience.Responsibilities:Performs all duties as described in this document unless doing so would require clinical judgement. In any situation in which clinical judgment is necessary, the Pharmacy Services Technician will seek assistance from appropriate medical personnel. Appropriate medical personnel will be available for support during normal business hours.Responds to non-clinical pharmacy issues from providers, pharmacy services staff, case managers, preauthorization nurses, ENCC personnel, and government programs personnel and customer service. These pharmacy issues include formulary drug coverage, appeal and reconsideration claim status, and pricing for drug claims.Completes daily formulary operational processes, including tracking, processing, and obtaining appropriate documentation for pharmacy medical exception requests, prior authorization requests, reconsiderations, and appeals. Prepares reconsideration requests for Clinical Pharmacy Consultant review by obtaining and organizing appropriate documentation, including, but not limited to medical chart notes/reports and medication profiles. Communicates (orally and by written documentation) information and determinations to providers and members as necessary.Obtains and organizes drug utilization data, including patient specific and population-based data, in a manner which facilitates clinical review and decisions by Clinical Pharmacist Consultants. Organizing data includes but is not limited to sorting drugs into appropriate therapeutic and generic categories.Assists with auditing and investigations of medication-related claims, cases, and providers to identify misuse of medications, misuse of (Regence HMO Oregon) resources, substance abuse, and erroneous and fraudulent billing practices. Investigates and organizes workflow for claims referred to Pharmacy Services for review and allowable determination (misc. J codes, providers on review, reconsiderations).Supports wellness and disease state management programs for Pharmacy Service and corporately which contribute to NCQA accreditation and ongoing quality improvement.Contributes to and supports the corporation's quality initiatives through process improvement teams and by encouraging team and individual contributions toward the corporation's quality improvement efforts.Minimum Requirements:Knowledge of medical terminology, health care coding systems such as ICD-10, CPT and HCPCS and HIPAA regulations.Knowledge of pharmaceutical products, including orals, injectables, infusion products, and chemotherapy.Knowledge of general office practices and procedures.Demonstrated knowledge of grammar and techniques of business practice.Ability to interact effectively with a variety of health care professionals, including physicians, nurses, pharmacists, and billing staff both internally and externally.Demonstrate maturity, tact, diplomacy, and persuasiveness.Demonstrated ability to perform pharmaceutical pricing calculations.Ability to type 30 words per minute, 60 wpm preferred.Demonstrated ability to operate a variety of standard business machines including calculators, copiers, and faxes.Basic computer programs skills (Word, Excel, etc.).Ability to organize, plan, and prioritize daily workflow and projects within time constraints.Experience with health insurance and/or prescription benefits preferred.Work Environment:Work primarily performed in an in-home environment.May be required to work overtime.The base pay annual salary range for this job is $18.80 - $34.10/hour,depending on candidate's geographic location and experience.The annual incentive payment target for this position is 5%.Base pay is just part of the compensation package at Cambia that is supplemented with an exceptional 401(k) match, bonus opportunity and other benefits. In keeping with our Cause and vision, we offer comprehensive well-being programs and benefits, which we periodically update to stay current. Some highlights:medical, dental, and vision coverage for employees and their eligible family membersannual employer contribution to a health savings account ($1,200 or $2,500 depending on medical coverage, prorated based on hire date)paid time off varying by role and tenure in addition to 10 company holidaysup to a 6% company match on employee 401k contributions, with a potential discretionary contribution based on company performance (no vesting period)up to 12 weeks of paid parental time off (eligible day one of employment if within first 12 months following birth or adoption)one-time furniture and equipment allowance for employees working from homeup to $225 in Amazon gift cards for participating in various well-being activities. for a complete list see our External Total Rewards page.We are an Equal Opportunity and Affirmative Action employer dedicated to workforce diversity and a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.If you need accommodation for any part of the application process because of a medical condition or disability, please email [email protected]. Information about how Cambia Health Solutions collects, uses, and discloses information is available in our Privacy Policy. As a health care company, we are committed to the health of our communities and employees during the COVID-19 pandemic. Please review the policy on our Careers site.

Insulet started in 2000 with an idea and a mission to enable our customers to enjoy simplicity, freedom and healthier lives through the use of our Omnipod product platform. In the last two decades we have improved the lives of hundreds of thousands of patients by using innovative technology that is wearable, waterproof, and lifestyle accommodating.We are looking for highly motivated, performance driven individuals to be a part of our expanding team. We do this by hiring amazing people guided by shared values who exceed customer expectations. Our continued success depends on it!Job Title: Clinical Services ManagerDepartment: Field SalesFLSA Status: ExemptPosition Overview: The Clinical Services Manager (CSM) will work in conjunction with the Territory Manager, Customer Care team and Managed Care team to meet the commercial and clinical needs in their territory for the purpose of increasing referrals and sustaining patients on product.Responsibilities: Promotes the benefits of insulin pump therapy and sells OmniPod Insulin Management System to providers and patients in group and/or individual sessions or as a continuing education offering.Works in conjunction with Sales, Customer Care and Managed Care to achieve sales goals.Assists with sales events such as pump clinics, pump support groups, info sessions, in-the-office educational events, patient info nights, JDRF walks, vendor days, etc.Supports Top Twenty Accounts and existing accounts and record calls in Salesforce.Evaluates and recommends Certified Pod Trainers (CPTs) and Super CPTs who wish to become consultant CPTs for Insulet Corporation.Assigns patient trainings to CPTs or conducts patient training based on business needs of territory, overall costs of training and timeliness of training.Assists with providing regular product demos to patients and HCPs.Oversees CPTs by seeing them face-to-face and by providing timely product updates and by being a clinical resource.Assists with product training for Sales and Clinical hires.Provides Field Feedback to Manager on field-based training of customers and HCPs.Ability to perform administrative duties and turn in on a timely basis.Perform other duties as assigned.Education and Experience:Minimum Requirements:Bachelor's degree and a minimum of 2 years' experience training and/or managing pump patients.Professional up to date credentials and/or certifications are mandatory: i.e. Certified Diabetes Educator (CDCES), Registered Dietitian (RD), or Registered Nurse (RN)State licensure is mandatory as required.Preferred Skills and Competencies:Certified Diabetes Educator (CDCES) is strongly preferred. Prior industry/commercial experience strongly preferred.Professional and polished presentation skills.Strong interpersonal communications, both oral and written.Self-started who needs minimal direction; extremely flexible, with good business acumen.Strong contributing member of the commercial team.Credibility and contacts within the diabetes community.Proficiency with computers. Physical Requirements:Valid driver's license required. Must reside within the geographic area of the assigned area. This position requires regular business travel mostly by car within a set geographic region. Overnight travel and amount of air travel varies by territory, typically 2 - 5 overnights per month.The work environment will be the HCPs offices, clinics, home office and car. Some lifting (up to 30 pounds) may be required when sending or receiving shipments, in handling samples, supplies or literature, and transport of laptop computer.The base pay range for this position is $75,000 - $90,000 annually plus uncapped incentive compensation (based on the achievement of goals). Base pay will vary based on job-related knowledge, skills, and experience. Insulet offers a comprehensive benefits package, generous paid time-off, and career growth opportunities.NOTE: This position requires field-based working arrangements (travel within assigned territory required). #LI-Remote At Insulet Corporation all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.( Know Your Rights )