- Intermountain Health (Murray, UT)
- **Job Description:** The Medical Director of Clinical Pathology is a system-wide role, responsible to oversee Clinical Pathology for PALM Services ... work to equal a full time po The Medical Director of Clinical Pathology...third party reimbursement sources (public or private) covering the Medical Director 's services . **Records** .… more
- Highmark Health (Salt Lake City, UT)
- …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
- Humana (Salt Lake City, UT)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
- Molina Healthcare (Orem, UT)
- …Board Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... case management programs for mental health and chemical dependency services . Works closely with the Regional Medical ...* Supports BH committees for quality compliance. * Implements clinical practice guidelines and medical necessity review… more
- Molina Healthcare (West Valley City, UT)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. ... and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge...experience, including: + 2 years previous experience as a Medical Director in a clinical … more
- University of Utah (Salt Lake City, UT)
- …Track Dependent on Qualifications **New Position to Begin** When Filled **Details** ** Clinical Laboratory Immunology Medical Director ** **ARUP Laboratories, ... service . The ideal candidate will have a strong clinical and academic background appropriate to their level of...sexual misconduct including sexual harassment, you may contact the Director /Title IX Coordinator in the Office of Equal Opportunity… more
- Humana (Salt Lake City, UT)
- …regulations. + Cultivate effective partnerships in a matrix environment of coding educators, medical director , clinical and market operations. + Facilitate, ... and coding improvement opportunities and give guidance around operational and clinical best practices in the risk adjustment methodology. This role reports… more
- HCA Healthcare (Kaysville, UT)
- …supply chain leadership + Interacts with HealthTrust corporate supply chain, HCA Clinical Services Groups, division supply chain, division and facility ... Do you have the career opportunities as a Market Clinical Resource Director you want with your...colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services … more
- Prime Therapeutics (Salt Lake City, UT)
- …our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions...the development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership… more
- Cognizant (Salt Lake City, UT)
- …submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... denials including but not limited to referral, preauthorization, medical necessity, non-covered services , investigational/experimental and billing resulting… more