- 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
- Humana (Salt Lake City, UT)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Humana (Salt Lake City, UT)
- …help us put health first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Provider Services to serve in a strategic leadership role within ... Medicaid segment. The Medicaid Provider Services team, led by the Associate Director , is accountable for Humana's Medicaid segment strategy and operationalizing the… more
- Evolent Health (Salt Lake City, UT)
- …including the CEO, CFO, CMO, pharmacy leadership, clinical operations/UM, medical economics/actuarial services/analytics, and vendor management . **Performance ... Management ** - maintain overall accountability for medical expense and P&L performance of designated client partners, including the facilitation of… more
- Cardinal Health (Salt Lake City, UT)
- …future. The Director , Managed Care is responsible for strategy and management of managed care contracts and relationships with payers. They are responsible to ... implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing contracting… more
- Sumitomo Pharma (Salt Lake City, UT)
- …a dynamic, highly motivated, and experienced individual for the position of ** Director , Market Access Insights** to support US Market Access strategic and tactical ... navigating complex organizational structures / experience in highly matrixed environments. The Director will be a member of the Commercial Insights team. This… 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 Health (Salt Lake City, UT)
- …core Payer Data Warehouse datasets and Evolent Data Warehouse tables, including medical , pharmacy and ancillary claims data, membership data, clinical ... a growth mindset as we solve complex business problems. **Collaboration Opportunities** The Director , Client Analyst role will be serving as a strategic advisor to… more
- Evolent Health (Salt Lake City, UT)
- …models using healthcare data (ie, both structured and unstructured data from operations, claims , and medical charts) to solve complex problems, drive innovation, ... in everything from scrubs to jeans. **Position summary** As an Associate Director , Data Scientist (Machine Learning Engineer), you will be responsible for… more
- HomeSafe Alliance (Clearfield, UT)
- **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… 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
- Evolent Health (Salt Lake City, UT)
- …leaders across the organization, training and development, provider relations, member services, claims management and our implementation team will also be ... plans and serves in a supporting role to the Director , Intake and Utilization Management Operations. +...population management or managed care/insurance or hospital medical management department setting may be substituted… 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 ... $23.00-$25.00 per hour **Close Date** **Open Until Filled** Yes **Job Summary** **University Medical Billing ( UMB )** is a fully remote department that is viewed… more
- University of Utah (Salt Lake City, UT)
- …billing process from eligibility to completion of payment process. Providing medical billing and collection processes by verifying eligibility and benefits, ... obtaining pre-authorizations, entering medical codes, requesting payments and resolving account issues. This...and insurance companies for payment requests, overdue payments, denied claims and arranges payment plans. 3. May contact insurance… 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
- Prime Therapeutics (Salt Lake City, UT)
- …value based contracts, provider accountable care organization pharmacy metrics, medical policy, utilization management , medication adherence, and medication ... learning, predictive modeling, and reporting for complex pharmacy and medical health insurance clinical programs and services (eg, pharmaceutical manufacturer… more
- Marriott (Park City, UT)
- …States **Schedule** Full-Time **Located Remotely?** N **Relocation?** N **Position Type** Management **JOB SUMMARY** Manages the daily functions of the department to ... WORK ACTIVITIES** **Managing Security/Loss Prevention Operations** * Assists the Director of Engineering in administering fire prevention programs and emergency… more