- Cardinal Health (Salt Lake City, UT)
- …to negotiation, contracting strategies, and payer account management within the managed care industry + Experience cultivating strategic C-suite and senior ... covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with… more
- Cardinal Health (Salt Lake City, UT)
- …expanding the organization's strategic footprint and influence in value-based care contracting . Functioning as a strategic hunter, this Director is the deal ... OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual contributor responsible for developing… more
- Molina Healthcare (Orem, UT)
- …guidelines. + Experience in Utilization/Quality Program management + HMO/ Managed care experience **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** ... includes strategies that ensure a high quality of patient care , ensuring that patients receive the most appropriate ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Intermountain Health (Murray, UT)
- …management experience. + Experience with financial and medical expense management. + Knowledge of managed care products and processes as well as the impact of ... and fully funded and self-funded Commercial plan. The Medical Director leads the achievement of physician review goals of...managed care on the market and cost… more
- Highmark Health (Salt Lake City, UT)
- …Insurance, Consulting or related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population ... drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark Health… more
- Sumitomo Pharma (Salt Lake City, UT)
- …a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as the face ... through various payers (commercial and government payers to include FFS and Managed Medicaid) and remove reimbursement barriers to treatment + Build and maintain… more
- Molina Healthcare (UT)
- …* 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/ Managed Care experience * Experience demonstrating strong management and ... dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides Psychiatric leadership for utilization… more
- Molina Healthcare (Provo, UT)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy...large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Provider… more
- Molina Healthcare (Layton, UT)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... in negotiating different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare… more
- Molina Healthcare (UT)
- …equivalent combination of education and experience **Required Experience** + 4+ years managed care experience + Experience participating in value-based program & ... by supporting both the local markets and national value based contracting team. Ensures smooth communication, supports proposal and counter-proposal development,… more