• Medical Director (AZ)

    Molina Healthcare (Provo, UT)
    …HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease management ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and...resource management . + Develops and implements a Utilization Management program and action plan, which… more
    Molina Healthcare (09/26/25)
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  • Medical Director (Medicare)

    Molina Healthcare (UT)
    …HMO regulations, managed healthcare systems, quality improvement, medical utilization management , risk management , risk adjustment, disease management ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and...resource management . + Develops and implements a Utilization Management program and action plan, which… more
    Molina Healthcare (09/12/25)
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  • Field Medical Director, Cardiology

    Evolent (Salt Lake City, UT)
    …Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
    Evolent (08/15/25)
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  • Academic Physician, Teaching Faculty, McKay-Dee…

    Intermountain Health (Ogden, UT)
    …of care implementation, family and community engagement, pathophysiology, mechanisms of disease , education, administration /service, and global health can all be ... clinical setting(s). Experience in documentation improvement projects and familiarity with utilization review. Experience with change management with the ability… more
    Intermountain Health (09/13/25)
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  • Case Manager, Registered Nurse - Fully Remote

    CVS Health (Salt Lake City, UT)
    …Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible ... interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing… more
    CVS Health (09/02/25)
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  • Part-Time Weekend Medical Director (Remote)

    Highmark Health (Salt Lake City, UT)
    …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... participates as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
    Highmark Health (09/11/25)
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  • Employee Wellness Navigator

    University of Utah (Salt Lake City, UT)
    …and positive outcomes. **Responsibilities** **Essential Functions:** + Health Risk Assessment Management + Manage Health Risk Assessment ( HRA ) dashboards and ... to continuously improve program offerings. + Prepare regular reports on program utilization and outcomes for internal review. + Collaboration and Teamwork: + Work… more
    University of Utah (09/13/25)
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  • Clinical Research Nurse

    University of Utah (Salt Lake City, UT)
    …related to research, prevention, clinical care, community engagement/outreach, training, administration , or other areas relevant to Huntsman Cancer Institute's ... to promote individual, groups and organizational performance. 11. Promotes the utilization of research findings in clinical practice. Facilitates and/or conducts… more
    University of Utah (08/07/25)
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