• Medical Director -- Claims

    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 (10/29/24)
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  • Claims & Customer Service Auditor I

    University of Utah Health (Murray, UT)
    …years of experience collecting, organizing and maintaining health insurance and processing medical claims , enrollment, and familiarity with medical coding, ... that are integral to our mission. EO/AA_ + This position is responsible for auditing claims and customer service calls for UUHP. + The Claims and Customer… more
    University of Utah Health (01/03/25)
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  • Assoc. Dir., Risk Mngmt Claims

    University of Utah Health (Salt Lake City, UT)
    …**University of Utah Health is seeking a new and experienced leader as an Associate Director for Risk Management Claims .** This position is responsible for ... to reduce risk and improve patient care systems, litigation support, clinical risk management , claims management , program administration and risk … more
    University of Utah Health (01/07/25)
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  • Medical Director - Florida

    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 (12/14/24)
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  • Medical Director - National Medicare…

    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
    Humana (11/08/24)
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  • Director , Medical Affairs - NYC…

    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
    Merck (12/19/24)
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  • Director , Risk Management

    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
    Western Digital (12/27/24)
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  • Medicare Grievances and Appeals Corporate…

    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
    Humana (01/07/25)
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  • Director of Risk Management

    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
    Apartment Management Consultants, LLC (12/24/24)
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  • Associate Executive Director , Revenue…

    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
    University of Utah Health (11/26/24)
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  • Director , Medicaid Trend Mitigation…

    Humana (Salt Lake City, UT)
    …functions strategy. + Establishes and oversees Medicaid segment trend mitigation strategy ( claims and revenue management ) + Researches industry trends and ... part of our caring community and help us put health first** The Director , Medicaid Trend Mitigation Strategy provides data-based strategic direction to identify and… more
    Humana (01/08/25)
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  • Director Healthcare Economics & Trend…

    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, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott &… more
    Baylor Scott & White Health (12/21/24)
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  • Actuarial Director , Medicaid Trend…

    Humana (Salt Lake City, UT)
    …our caring community and help us put health first** The Actuarial Director , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Director , Actuarial Analytics/Forecasting requires an in-depth understanding of how organization… more
    Humana (01/03/25)
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  • Associate Director , Global Labeling Lead…

    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
    Takeda Pharmaceuticals (10/16/24)
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  • Sales Administrator

    Fujifilm (Salt Lake City, UT)
    …Sales Administrator for Latin America and the Caribbean will report to the Director of Sales for ID/Optical Devices/ EID. The primary responsibility of this position ... be to support sales for Latin America and Caribbean accounts currently under management by FNAC. Achieve the division sales plan, provide weekly and monthly detail… more
    Fujifilm (01/07/25)
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  • PS Patient Financial Advocate

    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
    University of Utah (11/05/24)
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  • Principal Client Solution Architect - State…

    Mathematica (Salt Lake City, UT)
    …or APCD claims data; EHR and/or HIE data; healthcare informatics; medical coding). * Ability to describe difficult technical problems and solutions to a ... data pipelines and analyses involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs and… more
    Mathematica (01/04/25)
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  • AVP, Human Resources Business Partner

    SitusAMC (Salt Lake City, UT)
    …team! This role is responsible for aligning business goals with employees and management . The position should anticipate HR needs in a proactive manner and ... communicate these requirements and potential solutions to the management team. This position is the HR point of contact for management and employees for their… more
    SitusAMC (01/04/25)
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  • Assistant Project Manager

    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
    Stantec (01/03/25)
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  • Outpatient/Provider Coder III

    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 Health (11/06/24)
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