- Humana (Salt Lake City, UT)
- …content. **Preferred Qualifications** + Experience in managed care, value-based care, or quality /risk programs (Stars, HEDIS, MRA). + Prior involvement in ... part of our caring community and help us put health first** At Humana, we're transforming the future of...strategic interoperability and seamless data connectivity. As the Associate Director of Enablement - Interoperability, you will lead a… more
- MTC (Clearfield, UT)
- …8hr shifts, Monday thru Friday **Our staff also enjoy these benefits:** + Health , dental, vision, prescription drug and life insurance + Short & long-term disability ... Corps Center in Clearfield, UT** where our staff provide quality services to our local youth. We value our...and implement departmental changes as approved by the center director prior to implementation. 3. Develop departmental budget; monitor… more
- Prime Therapeutics (Salt Lake City, UT)
- …our passion and drives every decision we make. **Job Posting Title** Product Director **Job Description** The Product Director is accountable for developing and ... initiatives on Prime's product roadmap across the Commercial and Government Programs strategic business units. This position will be responsible for building… more
- Evolent (Salt Lake City, UT)
- …management, communication, and organizational skills + Energetic and curious with a passion for quality and value in health care + Computer Proficiency + Not ... Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as...current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid,… more
- Sedgwick (Salt Lake City, UT)
- …state regulations, and client service requirements and assure efficient, cost effective, quality program delivery for medical and disability management. + ... Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports escalated due to deficient… more
- BD (Becton, Dickinson and Company) (Sandy, UT)
- …of the largest global medical technology companies in the world. Advancing the world of health (TM) is our Purpose, and it's no small feat. It takes the imagination ... to ensure sustainable optimization of performance in the areas of safety, quality , delivery, and cost.. **II. Main Responsibilities** **1.** **Key tasks and… more
- Molina Healthcare (West Valley City, UT)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... data synchronized across appeals & grievances, enrollment, claims, pharmacy, and quality functions. You surface systemic issues, steer partners toward durable fixes,… more
- American Express (Sandy, UT)
- …sound manner within global regulatory expectations. The Information Security Risk Director is a leadership position within GRC's Cybersecurity, Technology, and ... Resiliency Risk Oversight (CTRRO) team. The Director will lead a team of colleagues who execute...Strong written and verbal communication skills to deliver high quality , actionable feedback to client management on control issues… more
- American Express (Sandy, UT)
- …a Professional Practices group responsible for managing audit operations, quality , and standards; regulatory relations; reporting; training and professional ... key internal capabilities and technologies. **About the Role:** The Director of Audit will lead the function responsible for...you and your loved ones' physical, financial, and mental health , as well as providing the flexibility you need… more
- Evolent (Salt Lake City, UT)
- **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health ... care, we seek to connect the pieces of fragmented health care system and ensure people get the same...You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role… more