- Molina Healthcare (West Valley City, UT)
- **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing and executing new solutions. The position requires the ... lead a diverse team of technical experts and business analysts. The Solutions Director will interface with IT and business leaders to enable enterprise wide… more
- Molina Healthcare (West Valley City, UT)
- …. This includes qualitative analysis, reporting and development of program materials , templates or policies. Maintains productivity reporting, management and ... **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is...as Electronic Medical Record (EMR) access. This position oversees management of training for all CDA team members as… more
- Sharecare (Salt Lake City, UT)
- …in the lives of others through their work every day! **Job Summary:** The Director of Project Management will be culturally aligned with Sharecare by displaying ... to the Vice President of Partnerships & Administration, the Director of Project Management serves as the...PRINCE2, Certified Scrum Master (CSM), or other recognized project management certification + Experience in healthcare , technology,… more
- CenterWell (Salt Lake City, UT)
- … organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilizationmanagement ... toadaptand the courage to innovate. **Additional Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical … more
- Humana (Salt Lake City, UT)
- …on various behavioral health topics to the clinical operations team and healthcare organization. The Medical Director 's work includes computer based review ... value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop procedures,… more
- Humana (Salt Lake City, UT)
- … organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization ... to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- Humana (Salt Lake City, UT)
- … organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization ... 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)
- …members of the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Humana (Salt Lake City, UT)
- …members of the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Humana (Salt Lake City, UT)
- … organizations, hospitals/ Integrated Delivery Systems, health insurance, or other healthcare providers. + Utilization management experience in a medical ... of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations… more