• Director , Provider Contracts (Must reside…

    Molina Healthcare (West Valley City, UT)
    …SKILLS & ABILITIES** : * 7+ years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with… more
    Molina Healthcare (10/05/25)
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  • Medical Director (AZ)

    Molina Healthcare (Salt Lake City, 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
    Molina Healthcare (09/26/25)
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  • Director Reimbursement Design & Market…

    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
    Highmark Health (07/30/25)
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  • Senior Medical Director (Medicare)

    Molina Healthcare (Orem, UT)
    …+ 10+ years relevant experience, including 5+ years of clinical practice and 3+ years HMO/ Managed Care experience **OR** 5 years experience as a Molina Medical ... inpatient concurrent review, discharge planning, case management and interdisciplinary care team activities. + Ensures that authorization decisions are...Director + Demonstrated experience in Utilization/Quality Program management +… more
    Molina Healthcare (09/12/25)
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  • Medical Director , Behavioral Health…

    Molina Healthcare (Orem, 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 (09/13/25)
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  • Director , Performance Suite Analytics

    Evolent (Salt Lake City, UT)
    …professional experience in claims-based healthcare analytics with a payer, provider, vendor, managed care , or related healthcare consulting entity + Extensive ... people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care … more
    Evolent (07/09/25)
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  • Provider Contracts Manager - Complex (Remote…

    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 (10/02/25)
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  • Sr Dir Pharmacy Trade Relations - Remote

    Prime Therapeutics (Salt Lake City, UT)
    …including pharmaceutical manufacturers, with specific emphasis on Medicare Part D and Managed Medicaid. The Sr Director , Pharm Trade Relations leads a ... Sr Dir Pharmacy Trade Relations - Remote **Job Description** The Sr Director , Pharmaceutical Trade Relations is responsible for managing Prime's Trade Relations… more
    Prime Therapeutics (08/08/25)
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