- Humana (Salt Lake City, UT)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- Humana (Salt Lake City, UT)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Conviva (Salt Lake City, UT)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Physician Leadership in Population Health Strategy at Primary Care Organization. The Medical Director conducts Utilization Management of the care received by… more
- Humana (Salt Lake City, UT)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- Merck (Salt Lake City, UT)
- **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
- Western Digital (Salt Lake City, UT)
- …of action. + Develop, formulate and coordinate property and casualty insurance claims control function at all locations. + Continue review of existing safety, ... environment, loss prevention, employment and security programs as related to the management of risk or accidental loss. + Maintain historical record of all losses,… more
- Humana (Salt Lake City, UT)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Apartment Management Consultants, LLC (Salt Lake City, UT)
- We are currently seeking a Director of Risk Management ! The Head of Risk Management will develop, execute, and administer the insurance and risk strategy for ... of AMC. Responsibilities include: + Lead the design, implementation, and ongoing management of the company's new Master Insurance Program, ensuring consistency of… more
- University of Utah Health (Salt Lake City, UT)
- …the University of Utah Hospitals and Clinics. This roleensures seamless management of patient billing, insurance verification, claims processing, collections, ... Administration, or related area or equivalency. + Six years of progressive management experience, preferably within an academic medical center or complex… more
- Baylor Scott & White Health (Salt Lake City, UT)
- … claims data to uncover trends and assist in managing and understanding incurred medical and pharmacy cost. - The Director will design, develop, and support ... **Position Overview:** Reporting to the VP, Value-based Care Analytics, he Director of Healthcare Economics and Trend Analytics will support the Baylor Scott & White… more
- Takeda Pharmaceuticals (Salt Lake City, UT)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- Evolent (Salt Lake City, UT)
- …Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for processing ... medical treatment requests in accordance with departmental policies, regulatory...contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Intake Utilization … more
- Evolent (Salt Lake City, UT)
- …and LPCs, Clinical Reviewers. Opportunities to work collaboratively with other Utilization Management Leaders including our Director may also be available. ... culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of...also works with our clinical team, which includes our medical reviews: LVNs, LPNs, and RNs along with our… more
- Prime Therapeutics (Salt Lake City, UT)
- …+ Experience writing SQL queries + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... as assigned **Minimum Qualifications** + Bachelor's Degree in Business Administration, Management , Economics or related area of study, or equivalent combination of… more
- University of Utah (Salt Lake City, UT)
- …managers/case workers, and patients, regarding the status of funding. Works with Medical Director , physicians, and billing offices to determine cost estimates ... Seldom: Bending, reaching overhead. **Minimum Qualifications** Four years experience with medical accounts receivable, insurance claims , or equivalency (one year… more
- Stantec (Salt Lake City, UT)
- … activities as assigned by and in support of Project Manager / Project Director + Conducts budget and schedule management + Participate in activities of ... help clients achieve their organization's objectives. Join our award-winning program management team and bring transformational project solutions to life. By… more
- University of Utah (Salt Lake City, UT)
- …**VP Area** U of U Health - Academics **Department** 00209 - Univ Medical Billing - Oper **Location** Other **City** Other **Type of Recruitment** External Posting ... Posting may close at any time)** **Job Summary** **University Medical Billing ( UMB )** is a fully remote...Researches and resolves high volume accounts and complex, suspended claims . 5. Interprets and applies basic regulatory guidelines to… more
- University of Utah Health (Salt Lake City, UT)
- …billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This ... hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes. **Responsibilities** + Performs the… more
- University of Utah (Salt Lake City, UT)
- …to appointment. + Participate in the annual CPT change/update review. + Enters medical codes for visits or procedures and ensures compliance and correct coding ... resolving issues with insurance companies regarding incorrect registration information, claims processing, pre-authorization requirements, and coding issues. This position… more
- R1 RCM (Salt Lake City, UT)
- … at the Director + level. + Previous experience with revenue cycle management or adjacent concepts such as claims processing is desirable For this ... fault-tolerant, and secure systems to support our revenue cycle management platform. **Responsibilities:** + Design and architect highly scalable, fault-tolerant,… more