- Sharecare (Salt Lake City, UT)
- **Job Description:** **Job Summary:** The Care Manager supports the implementation of the Value Based Care Management program in an appropriate and efficient ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary care … more
- Highmark Health (Salt Lake City, UT)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… more
- Highmark Health (Salt Lake City, UT)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. Effectively function in accordance with ... **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote - Part Time - Weekends Required.** This job implements the effective utilization… more
- Zions Bancorporation (Midvale, UT)
- …You bring the talent; we bring the opportunity. We are seeking a Bankcard Account Manager to join Zions Bancorporation. The Bankcard Account Manager will be an ... sell product and resolve client issues. The Bankcard Account Manager will serve as a subject matter expert and...education may meet requirements. Location: This position can be remote within AZ, CA, NV or UT. However, the… more
- Prime Therapeutics (Salt Lake City, UT)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Manager IT - Operations Observability Engineering Remote **Job Description** The ... of assigned resources for the IT Operations technology engineering team. The Manager promotes Employee engagement. This role is responsible for working in… more
- Wolters Kluwer (Salt Lake City, UT)
- …will live in the eastern time zone area._** The **Customer Success Manager , Lippincott Solutions** is responsible for driving the implementation of all Nursing ... the industry. **Additional Information** : Lippincott Solutions for Patient Care | Wolters Kluwer (https://www.wolterskluwer.com/en/solutions/lippincott-solutions) **Responsibilities:** * Maintains, extends,… more
- Prime Therapeutics (Salt Lake City, UT)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Manager Financial Systems - Remote **Job Description** The Manager , Financial ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Prime Therapeutics (Salt Lake City, UT)
- …and drives every decision we make. **Job Posting Title** Sr. Health Plan Account Manager - Remote **Job Description** The Sr Health Plan Account Manager ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Prime Therapeutics (Salt Lake City, UT)
- …our passion and drives every decision we make. **Job Posting Title** Employer Account Manager - Remote **Job Description** The Account Manager is responsible ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Prime Therapeutics (Salt Lake City, UT)
- …our passion and drives every decision we make. **Job Posting Title** Pharmacist Account Manager - New York Remote **Job Description** + Leads the development of ... and operational framework. + Revenue Generation - Works jointly with Account Manager to ensure revenue goals, administrative expenses are managed. + Develops strong… more
- UMB Bank (Salt Lake City, UT)
- …supporting each other to achieve this goal. As a **Senior Project Manager ** , you will lead multiple enterprise projects interacting with cross-functional teams ... Thu on-site) for candidates in the Kansas City area and open to qualified remote candidates outside of the Kansas City area but within the US.** **_How you'll… more
- Prime Therapeutics (Salt Lake City, UT)
- …fuels our passion and drives every decision we make. **Job Posting Title** Manager , Operations ( Remote ) **Job Description** + Operations: Manages team members in ... for proactively addressing the constant changes in today's health care industry. Our employees are involved, empowered, and rewarded...and work collaboratively to provide the highest quality of care and service to our members. If you are… more
- Highmark Health (Salt Lake City, UT)
- **Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** **Fully Remote ** This job has primary ownership and oversight over a specified panel of members ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Sharecare (Salt Lake City, UT)
- …individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com ... . **Job Summary:** The Manager of Operations, Medical Record Retrieval has an overall...in a consistent, timely, and highly professional manner. The Manager of Operation ensures objectives, principals, values, mission and… more
- Molina Healthcare (West Valley City, UT)
- **Job Description** **Job Summary** The Lead Risk and Quality Performance Manager supports Molina's Risk & Quality Solutions (RQS) team by overseeing large programs ... quality strategies and solutions to close quality and risk care gaps. * Identify potential risks and execute mitigation...mastery of the drivers of value in managed health care as well as in-depth knowledge of the healthcare… more
- Molina Healthcare (West Valley City, UT)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support Molina's Risk ... through sequential transformations and identify opportunities to close quality and risk care gaps. * Identify potential risks and execute mitigation strategies. *… more
- Molina Healthcare (West Valley City, UT)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... through sequential transformations and identify opportunities to close quality and risk care gaps. * Proactively communicate risks and issues to stakeholders and… more
- Molina Healthcare (West Valley City, UT)
- …experience. + Operational Process Improvement experience. + 2-3 years of Managed Care experience. + Experience with Microsoft Project, Excel, Teams, PowerPoint and ... : * 5-7 years of Program and/or Project management experience.* Managed Care experience. * Experience working in a cross functional highly matrixed organization.… more
- Molina Healthcare (West Valley City, UT)
- …+ Understanding of complex configuration solutions + Advanced knowledge of health care benefits. + Advanced knowledge of healthcare claims and claim processing from ... receipt through encounter submission. + Ability to adopt and utilize work tracking software + Strong business writing skills; proficient user of Microsoft Products including Word, Excel, Outlooks, Teams, SharePoint, PowerPoint, and Visio + Advanced knowledge… more
- Molina Healthcare (West Valley City, UT)
- …Education** Advanced clinical degree or advanced public health or health care administration degree **Preferred Experience** * State QI experience * Medicaid ... and/or Medicare QI + **Databricks** + **Development leading indicators and data visualization** + **Informatics** + **SQL** + **Power BI** **Preferred License, Certification, Association** * Black Belt in Lean/Six-Sigma To all current Molina employees: If you… more