- 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
- Molina Healthcare (Provo, UT)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… 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
- Caris Life Sciences (UT)
- **Position Summary** The Director , Market Access Medical Policy is the expert in Caris Life Science Products and their clinical application for the Market Access ... be responsible for developing strategies and value propositions to obtain favorable medical policies for Caris products with payers and laboratory benefit managers.… 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
- HomeSafe Alliance (Clearfield, UT)
- **Title:** Director of International, Global Household Goods Moving Services **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the Role** HomeSafe Alliance is seeking a highly skilled and motivated Director of International, Household Goods Moving Services to drive optimization and improve… 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
- Molina Healthcare (UT)
- …ESRD and Medicare Secondary Payer) and Pre-pay Editing for correct coding and medical payment polices. Many of these activities include oversight of vendors that are ... and responsible for assigning projects and activities involving inventory management , informational reporting, database configuration, procedures and workflows to… more
- ThermoFisher Scientific (Logan, UT)
- …Communicate and raise material claims and issues promptly in collaboration with Risk Management and Legal. + Perform all job duties in a safe manner, adhering to ... a consistent supply of quality products across all shifts. + Serve as Management Representative of the QMS and primary contact for site leadership, customers,… more
- Christian Center of Park City (Park City, UT)
- …Department : Counseling and Wellness Center Reports to: Counseling Programs Assistant- Director Pay Range: $23-$27/h Schedule: Mon-Fri 9a-5p (29 hours/week) Location: ... clients. This role manages relationships with billing service providers, coordinates claims and reimbursements, and ensures compliance with billing standards. The… more
- University of Utah Health (Salt Lake City, UT)
- … departmental goals. + Internal resources include but not limited to: case management medical director , nursing staff, social services, compliance, risk ... It utilizes skills and knowledge as a subject matter expert to guide case management and facility staff to improve patient care within these populations and to… 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
- CVS Health (Salt Lake City, UT)
- …and arranges for health care service delivery under the direction of nurse or medical director in the most appropriate setting at the most appropriate expense ... communication, both internally and externally to enhance effectiveness of medical management services (eg, health care providers,...- May assist in the research and resolution of claims payment issues. - Supports the administration of the… 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