• Director , Home Health…

    CenterWell (Salt Lake City, UT)
    …and compliance. Manages the Denials Management data analytics, denial and appeal process. The Director , Home Health Grievances & Appeals assists members, ... part of our caring community and help us put health first** The Director Denials Management provides...related field + 10-15 years progressively responsible experience in home health or hospice industry that includes… more
    CenterWell (01/08/26)
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  • Medical Director (Medicare)

    Molina Healthcare (Salt Lake City, UT)
    …care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization ... corrective actions. * Conducts retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. * Attends or chairs committees… more
    Molina Healthcare (01/07/26)
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  • Coordinator, Intake Utilization Management

    Evolent (Salt Lake City, UT)
    …requests and/or relevant health care experience in claims or appeal & grievances is required. + Ability to read, write and speak the English language fluently ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes...work collaboratively with other Utilization Management Leaders including our Director may also be available. **What You Will Be… more
    Evolent (01/06/26)
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