analyst, health care quality management - work at home Jobs in Boise United States

analyst, health care quality management - work at home

workforce management analyst Jobs in Boise United States

workforce management analyst

analyst health care quality management work at home

CVS Health

<div><p>At CVS Health, we&rsquo;re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.</p><p></p><p>
As the nation&rsquo;s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues &ndash; caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.</p><p></p><p><b>
Position Summary</b></p><p>
This position will be working from home anywhere in the continental US.</p><p>
Standard business hours Monday-Friday.</p><ul><li>
Accountable for conducting oversight of entities that are contracted to perform clinical functions on Aetna's behalf.</li><li>
Monitor and track delegated entities compliance with regulatory and NCQA requirements.</li><li>
Communicate to delegated entities about industry standards, Aetna policies, and best practices.</li><li>
Accountable for preparing delegation oversight resources for NCQA and regulatory reviews</li><li>
This position supports NCQA, CMS, and other regulatory compliance initiatives.</li></ul><p><b><br>
Required Qualifications</b></p><ul><li>
3&ndash;5 years of experience in Quality Management within the healthcare industry</li><li>
Demonstrated ability to consistently meet deadlines in a fast-paced environment</li><li>
Strong communication and interpersonal skills, with a proven ability to collaborate effectively across teams</li></ul><p><b><br>
Preferred Qualifications</b></p><ul><li>
2 to 3 years prior experience working in Commercial/Medicare or Medicaid lines of business</li><li>
Medical Terminology and Claims Experience</li><li>
QuickBase Experience</li><li>
Experience with flexing and shifting priorities</li><li>
Experience working independently and collaboratively to solve problems, make decisions, and complete work/projects</li><li>
Growth mindset (developing yourself and others) skills</li></ul><p><b><br>
Education</b></p><ul><li>
Bachelors Degree Preferred</li></ul><p></p><p><b>
Anticipated Weekly Hours</b></p>
40<p></p><p><b>
Time Type</b></p>
Full time<p></p><p><b>
Pay Range</b></p><p>
The typical pay range for this role is:</p><p></p>
$43,888.00 - $102,081.00<p></p><p>
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.</p><p><br>
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.</p><p></p><p><b>
Great benefits for great people</b></p><p></p><p>
We take pride in our comprehensive and competitive mix of pay and benefits &ndash; investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:</p><ul><li><p><b>
Affordable medical plan options,</b> a <b>401(k) plan </b>(including matching company contributions), and an <b>employee stock purchase plan</b>.</p></li><li><p><b>
No-cost programs for all colleagues </b>including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</p></li><li><p><b>
Benefit solutions that address the different needs and preferences of our colleagues</b> including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</p></li></ul><p></p><p>
For more information, visit https://jobs.cvshealth.com/us/en/benefits</p><p></p>
We anticipate the application window for this opening will close on: 11/21/2025<p></p><p>
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.</p></div>

Analyst, Health Care Quality Management - Work at Home

Life for Seniors LLC

<p><b>About Us</b></p><p>We are <b>A Life for Seniors</b> &mdash; we help overwhelmed families navigate the transition into assisted living and memory care <b>with clarity, dignity, and support.</b><br/>We are the calm in the crisis.</p><p>We partner with:</p><ul><li>Hospitals</li><li>Skilled Nursing/rehab facilities</li><li>Home health &amp; hospice agencies</li><li>Senior Living Communities</li></ul><p>When a family is exhausted and doesn&rsquo;t know what to do next &mdash; <b>we step in and guide the way.</b></p><p><b>Position Overview</b></p><p>We are hiring a <b>Relationship Outreach Representative</b> to build and maintain relationships with healthcare teams who refer families needing senior care support.</p><p>This is <b>not</b> a call center role.<br/><b>No cold calling. No high-pressure sales.</b></p><p>Your job is simple:<br/><b>Be present. Be reliable. Be the person they trust to call when a family is overwhelmed.</b></p><p><b>What You Will Do</b></p><ul><li>Visit hospitals, skilled nursing facilities, home health &amp; hospice offices weekly</li><li>Introduce our support service (script provided &mdash; we train you)</li><li>Be the <b>point of contact</b> when a family needs help</li><li>Identify referral opportunities and send warm handoffs to our advisory team</li><li>Maintain light relationship follow-up (no spam, no begging, no gimmicks)</li></ul><p><b>You do NOT:</b></p><ul><li>Run tours</li><li>Close families</li><li>Create care plans</li><li>Handle emotional counseling</li></ul><p>Our <b>Advisors handle all family care + decision support.</b></p><p>Your job = <b>open the door and send the intro.</b></p><p><b>Ideal Background</b></p><p>Any of the following are strong fits (not required):</p><ul><li>Senior Living Sales or Admissions</li><li>Hospice or Home Health Liaison</li><li>Rehabilitation or SNF Social Services</li><li>Case Management Support</li><li>Community Outreach roles</li><li>Anyone who&rsquo;s naturally good with people and calm in emotional situations</li></ul><p>If you can <b>walk into a room and make people feel at ease</b>, you&rsquo;ll thrive here.</p><p><b>Skills That Matter Most</b></p><ul><li>Warm, confident communication</li><li>Ability to build trust quickly</li><li>Steady, grounded presence (not easily overwhelmed)</li><li>Comfortable walking into new environments</li><li>Self-directed and dependable</li></ul><p><b>Compensation</b></p><p>This is a <b>performance-based role</b> with <b>uncapped earning potential as a 1099 Contractor</b></p><p><b>Pay Structure:</b></p><ul><li><b>$150</b> for every qualified family handoff (intake call completed)</li><li><b>$300</b> per family that moves into care from your referral pipeline</li><li><b>$50</b> for each new referral partner activated</li></ul><p>Most active outreach reps earn <b>$4,000&ndash;$8,000/month</b> once established.</p><p><b>Schedule</b></p><ul><li>Full-time or flexible schedule options</li><li>Monday&ndash;Friday daylight hours</li><li>Some facility visits, some community events, occasional drop-ins</li><li>Must be comfortable driving locally (mileage reimbursement available)</li></ul><p><b>How to Apply</b></p><p>If you are the kind of person people naturally turn to in stressful moments<br/>and you want to make a meaningful impact while earning well:</p><p><b>Apply Now</b> with a short message describing:</p><ul><li>Your background</li><li>Why supporting overwhelmed families matters to you</li></ul><p>We will reach out to schedule a conversation.</p><p>This role is about presence, not pressure. We train you fully. You just need to show up with heart.</p><p>Job Type: Full-time</p><p>Pay: $47,418.49 - $150,000.00 per year</p><p>Work Location: In person</p>

Senior Living Outreach & Relationship Development Representative

SHR (Spectrum Healthcare Resources)

<div>
 <strong>
  Job Description
  <br/>
  <br/>
 </strong>
 Spectrum Healthcare Resources has an excellent opportunity for a civilian
 <strong>
  Family Nurse Practitioner
 </strong>
 at
 <strong>
  Mountain Home Air Force Base near Boise, Idaho.
  <br/>
  <br/>
 </strong>
 <strong>
  Position Highlights
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Excellent work-life balance | Monday through Friday 7AM-5PM
  </li>
  <li>
   Government contractor position (permanent role)
  </li>
  <li>
   Exclusively provide healthcare services to military population
  </li>
  <li>
   NO nights, weekends, or holiday requirements
  </li>
  <li>
   NO on-call responsibilities
  </li>
  <li>
   Complement of benefits including PTO and paid holidays
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Supervise and provide general screening and medical care and examinations of patients for routine, acute and chronic conditions involving any and all organ systems
  </li>
  <li>
   Diagnose and treat patients with common acute conditions, chronic illnesses, or minor trauma within accepted protocols
  </li>
  <li>
   Promote preventive care and health maintenance including annual physicals, positive health behaviors and self-care through both formal and individual education and counseling.
  </li>
  <li>
   Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient.
  </li>
  <li>
   Recognize conditions that require isolation and ensure universal precautions are used in all patient encounters.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Position Requirements
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Active FNP License
  </li>
  <li>
   Board Certified through either the American Nurses Credentialing Center (ANCC) or American Academy of Nurse Practitioners (AANP)
  </li>
  <li>
   1-2 years of experience required
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Company Overview
  <br/>
  <br/>
 </strong>
 At Spectrum, we utilize over thirty-five years of experience providing optimal solutions for federal agencies that are both innovative and cost-effective. We hold ourselves to the highest standard to ensure successful outcomes for the facilities and healthcare professionals we serve. As a Joint Commission Certified Healthcare Resource, dependability and service are the driving forces of our mission.
 <br/>
 <br/>
 EOE / Disability / Veterans
 <br/>
 <br/>
 <strong>
  Location : Location
  <br/>
  <br/>
 </strong>
 US-ID-Boise
 <br/>
 <br/>
 <strong>
  Recruiter : Full Name: First Last
  <br/>
  <br/>
 </strong>
 Lauren Larkin
 <br/>
 <br/>
 <strong>
  Direct phone number
  <br/>
  <br/>
 </strong>
 5714102088
 <br/>
 <br/>
 <strong>
  Recruiter : Email
  <br/>
  <br/>
 </strong>
 Lauren_Larkin@spectrumhealth.com
</div>


Nurse Practitioner - Family Practice (FNP)

PacificSource Health Plans

<div><div>Looking for a way to make an impact and help people?</div><div></div><div><i>
Join PacificSource and help our members access quality, affordable care!</i></div><div></div><div>
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person&rsquo;s talents and strengths.</div><div></div>
The Workforce Management Analyst is responsible for optimizing staffing and scheduling within a contact center environment to ensure service level goals are met. This role involves forecasting call volumes, analyzing performance metrics, and managing workforce management tools to support operational efficiency and customer satisfaction.<div></div><div>
Essential Responsibilities:</div><ul><li>
Analyze historical trends to develop short- and long-term forecasts for voice, chat, and text interactions.</li><li>
Collaborate with leadership to align forecasts with business goals.</li><li>
Create and manage agent schedules including shifts, breaks, training, and time-off.</li><li>
Monitor real-time adherence and adjust staffing dynamically to maintain service level targets.</li><li>
Generate daily, weekly, and monthly reports on KPIs such as occupancy, service level, shrinkage, and cost per call and present actionable insights to leadership for continuous improvement.</li><li>
Conduct root cause analysis for performance deviations.</li><li>
Administer workforce management platform.</li><li>
Maintain agent profiles and scheduling rules in WFM systems.</li><li>
Automate reporting and scheduling processes using Excel, SQL, or VBA.</li><li>
Serve as a liaison between operations, HR, and IT teams.</li><li>
Communicate staffing changes and performance updates effectively.</li><li>
Participate in strategic planning and operational review meetings.</li></ul><div></div><div>
Supporting Responsibilities:</div><ul><li>
Meet department and company performance and attendance expectations.</li><li>
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.</li><li>
Perform other duties as assigned.</li></ul><div></div><div>
SUCCESS PROFILE</div><div></div><div>
Work Experience: Minimum of 2 years of experience in workforce management within a contact center. Experience with multi-channel environments (voice, chat, text).</div><div></div><div>
Education, Certificates, Licenses: High school diploma or equivalent required. Bachelor&rsquo;s degree in Business Administration, Statistics, Mathematics, or related field preferred.</div><div></div><div>
Knowledge: Proficiency in Microsoft Excel, Access, SQL, and workforce management software. Familiarity with call center technologies and KPIs. Strong analytical and data visualization skills. Excellent communication and interpersonal abilities. Strong organizational and multitasking skills. Ability to work independently and under pressure.</div><div></div><div>
Competencies</div><div>
Adaptability</div><div>
Building Customer Loyalty</div><div>
Building Strategic Work Relationships</div><div>
Building Trust</div><div>
Continuous Improvement</div><div>
Contributing to Team Success</div><div>
Planning and Organizing</div><div>
Work Standards</div><div></div><div>
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.</div><div></div><div>
Skills:</div>
Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork<div></div><div>
Our Values</div><div>
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:</div><ul><li>
We are committed to doing the right thing.</li><li>
We are one team working toward a common goal.</li><li>
We are each responsible for customer service.</li><li>
We practice open communication at all levels of the company to foster individual, team and company growth.</li><li>
We actively participate in efforts to improve our many communities-internally and externally.</li><li>
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.</li><li>
We encourage creativity, innovation, and the pursuit of excellence.</li></ul><div></div><div>
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.</div><div></div><div>
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.</div></div>

Workforce Management Analyst

US Department of Veterans Affairs

Nurse (Inpatient/Transformation Recovery Center Mental Health)

Hardee, Piñol & Kracke, PLLC

<p><b>Overview</b><br/>Hardee Pi&ntilde;ol &amp; Kracke is a well-established and growing family law firm located in Boise, Idaho. We&rsquo;re known for providing compassionate, effective representation to our clients during some of their most challenging moments. We&rsquo;re currently seeking a reliable and detail-oriented Paralegal to provide essential support to our attorneys and ensure our business runs smoothly.</p><p><b>Responsibilities</b></p><p>&middot; Analyze files and records</p><p>&middot; Assist with case planning and trial preparation</p><p>&middot; Draft and prepare a wide range of legal documents</p><p>&middot; Communicate with witnesses and assist with preparation of witness testimony</p><p>&middot; Compile trial exhibits, files, notebooks, and other documents</p><p>&middot; Conduct legal research and investigations</p><p>&middot; Coordinate subpoena deliveries</p><p>&middot; Database management</p><p>&middot; File documents with courts</p><p>&middot; Issue legal correspondence</p><p>&middot; Manages discovery between parties</p><p>&middot; Manages electronic and physical filing systems</p><p>&middot; Manages the lawyer or firm&rsquo;s legal library</p><p>&middot; Schedule meetings, interviews, mediations, and evaluations</p><p><b>Qualifications</b></p><p>&middot; Strong organizational skills with attention to detail</p><p>&middot; Excellent written and verbal communication skills</p><p>&middot; Proficiency with Microsoft Office and legal case management software (Clio experience preferred but not required)</p><p>&middot; Ability to handle confidential information with discretion</p><p>&middot; Reliable, professional, and able to work independently and as part of a team</p><p>&middot; Previous law office or administrative assistant experience preferred (family law experience a plus)</p><p>&middot; Ability to interact with clients compassionately and professionally during stressful situations</p><p><b>Benefits</b></p><ul><li>Health, dental, and vision insurance</li><li>401(k) matching</li><li>Paid sick time and paid time off</li></ul><p><b>Schedule</b><br/>Mon &ndash; Thurs: 9:00am&ndash;5:00pm<br/>Fri: 9:00am&ndash;1:00pm</p><p><b>Job Type:</b> Full-time</p><p><b>Work Location:</b> In person</p><p>Job Type: Full-time</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Disability insurance</li><li>Flexible schedule</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Opportunities for advancement</li><li>Paid sick time</li><li>Paid time off</li><li>Parental leave</li><li>Retirement plan</li><li>Vision insurance</li><li>Work from home</li></ul><p>Work Location: Hybrid remote in Boise, ID 83705</p>

Paralegal

<p><b>Overview</b><br/>Hardee Pi&ntilde;ol &amp; Kracke is a well-established and growing family law firm located in Boise, Idaho. We&rsquo;re known for providing compassionate, effective representation to our clients during some of their most challenging moments. We&rsquo;re currently seeking a reliable and detail-oriented Legal Assistant to provide essential administrative support to our attorneys and ensure our office runs smoothly.</p><p><b>Responsibilities</b></p><ul><li>Manage attorney calendars, schedule appointments, and coordinate meetings and court dates</li><li>Draft, proofread, and format correspondence, legal documents, and pleadings (under attorney and paralegal supervision)</li><li>Assist with preparation and organization of mandatory disclosures, discovery responses, trial exhibits, and trial binders</li><li>Maintain and organize case files, both electronic and hard copy</li><li>Handle client communication with professionalism and confidentiality</li><li>File documents with the court (electronic and in-person, as required)</li></ul><p><b>Qualifications</b></p><ul><li>Strong organizational skills with attention to detail</li><li>Excellent written and verbal communication skills</li><li>Proficiency with Microsoft Office and legal case management software (Clio experience preferred but not required)</li><li>Ability to handle confidential information with discretion</li><li>Reliable, professional, and able to work independently and as part of a team</li><li>Previous law office or administrative assistant experience preferred (family law experience a plus)</li><li>Ability to interact with clients compassionately and professionally during stressful situations</li></ul><p><b>Benefits</b></p><ul><li>Health, dental, and vision insurance</li><li>401(k) matching</li><li>Paid sick time and paid time off</li></ul><p><b>Schedule</b><br/>Mon &ndash; Thurs: 9:00am&ndash;5:00pm<br/>Fri: 9:00am&ndash;1:00pm</p><p>Job Type: Full-time</p><p>Benefits:</p><ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Disability insurance</li><li>Flexible schedule</li><li>Free parking</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Opportunities for advancement</li><li>Paid sick time</li><li>Paid time off</li><li>Parental leave</li><li>Retirement plan</li><li>Vision insurance</li><li>Work from home</li></ul><p>Work Location: Hybrid remote in Boise, ID 83705</p>

Legal Assistant

Explore 32+ Analyst health care quality management work at home in Boise United States this November. Find roles across top companies and apply now to boost your career.