• Program Director , Quality…

    Molina Healthcare (Provo, UT)
    …NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Program Director is a key Quality Improvement (QI) ... Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of… more
    Molina Healthcare (08/02/25)
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  • Sr Director of Product Management - AI…

    Evolent (Salt Lake City, UT)
    …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Sr Director of Product Management - AI & Healthcare Innovation** Evolent is seeking ... a strategic and experienced Sr ** Director of Product Management** to lead the vision, planning,...ideal candidate will bring a deep passion for applying data -driven approaches to transform healthcare and operational… more
    Evolent (07/22/25)
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  • Director Case Management

    HCA Healthcare (Ogden, UT)
    …Do you want to join an organization that invests in you as a(an) Director Case Management? At Ogden Regional Medical Center, you come first. HCA Healthcare ... + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program more
    HCA Healthcare (08/02/25)
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  • Division Director Financial Operations

    HCA Healthcare (Kaysville, UT)
    …eligible. **Introduction** Are you passionate about the patient experience? At HCA Healthcare , we are committed to caring for patients with purpose and integrity. ... We care like family! Jump-start your career as a(an) Division Director Financial Operations today with HealthTrust Supply Chain. **Benefits** HealthTrust Supply… more
    HCA Healthcare (07/05/25)
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  • Program Director , Value-Based Care…

    Molina Healthcare (Salt Lake City, UT)
    …populations. + Analyzes industry trends, health plan and provider performance data , and regulatory developments to inform innovative and compliant value-based ... in competitive procurements. + Collaborates with cross-functional stakeholders to ensure program alignment with clinical models of care, quality strategies, and… more
    Molina Healthcare (07/23/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (West Valley City, UT)
    …medical oversight and expertise in appropriateness and medical necessity of healthcare services provided to members, targeting improvements in efficiency and ... and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality… more
    Molina Healthcare (06/29/25)
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  • Director , Operational Oversight…

    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 ... internal teams and delegated vendors must follow, and you keep complaint data synchronized across appeals & grievances, enrollment, claims, pharmacy, and quality… more
    Molina Healthcare (07/13/25)
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  • Director , Appeals & Grievances (Medicare…

    Molina Healthcare (Orem, UT)
    …Health Plan requirements * Works with Claims, Configuration, Contracting, Provider Data Management, and other business partners to resolve provider concerns related ... performance indicators (KPI's) with multiple targets depending on Medicare Program and State requirements. **Job Qualifications** **Required Education** Associate's… more
    Molina Healthcare (07/18/25)
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  • Senior Medical Director (Medicare)

    Molina Healthcare (Salt Lake City, UT)
    …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... Assists in recruitment, hiring and training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts… more
    Molina Healthcare (06/13/25)
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  • Director , Operational Oversight - Medicare…

    Molina Healthcare (Layton, UT)
    …delegation oversight committees. * Liaison to Special Investigative Unit regarding program integrity and oversight cost expenditure. * Monitor internal compliance of ... Corporate Operations units via establishment of an internal compliance program , including annual, periodic, focal, etc. audits. * Request, review and perform… more
    Molina Healthcare (07/19/25)
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