- Molina Healthcare (Layton, UT)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Layton, UT)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Layton, UT)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Evolent (Salt Lake City, UT)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- Molina Healthcare (Layton, UT)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Sedgwick (Salt Lake City, UT)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** To ensure clients and ... MCO provider on physician credentialing, MCO additions and removals, network and problematic issues. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **ARE YOU AN… more
- Datavant (Salt Lake City, UT)
- …to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...across different facets within prospective and concurrent solutions. + Provide mentorship, performance management , and career development… more
- HCA Healthcare (Kaysville, UT)
- …or healthcare related experience preferred + Leadership experience (CNO, ACNO, Director , etc.) preferred + Multi-facility (Integrated Delivery Network , IDN) ... have the career opportunities as a Market Clinical Resource Director you want with your current employer? We have...Supply Chain which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** HealthTrust Supply… more
- University of Utah (Salt Lake City, UT)
- …across colleges/regions in accordance with University and USHE policy. The Senior Director leads a network of Directors, Associate Directors, and Assistant ... Details **Open Date** 10/03/2025 **Requisition Number** PRN43256B **Job Title** Director , Student Activities & Advising **Working Title** Senior Director for… more
- Intermountain Health (Ogden, UT)
- …ensuring sound prospect management by participating in regular, ongoing, gift- management meetings. The Director of Philanthropy works with the Executive ... healthcare across the region. Together, they form a powerhouse network where groundbreaking ideas flourish and every initiative is...and the unwavering drive to improve lives. Summary The Director of Philanthropy of the North Market is a… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 10/07/2025 **Requisition Number** PRN43274B **Job Title** Associate Director , Student Services **Working Title** Associate Director , Office ... - Posting may close at any time)** **Job Summary** The Associate Director of the Office of Transformative Student Experiences provides cross-cohort leadership and… more
- University of Utah (Salt Lake City, UT)
- …growth. + Effective collaborator and communicator with referring providers to expand referral network and provide the best possible care for patients. + Strong ... Position Information **Position/Rank** Liver Transplant Medical Director , University of Utah Health **Department** 00229 - Gastroenterology **City** Salt Lake City,… more
- Datavant (Salt Lake City, UT)
- …of Internal Audit will evaluate the effectiveness of internal controls, risk management practices, and governance processes across Datavant's Provider , Payer, ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee… more
- University of Utah (Salt Lake City, UT)
- Details **Open Date** 09/09/2025 **Requisition Number** PRN43070B **Job Title** Associate Director , Research & Science **Working Title** Associate Director , ... for a connector, strategist, and startup champion to help drive it. The Associate Director , Innovation & Venture Development will play a key role in shaping and… more
- Cardinal Health (Salt Lake City, UT)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- Pfizer (Salt Lake City, UT)
- **ROLE SUMMARY** The ** Director , HV&E, Solid Tumors** will support the strategic goals of the Oncology Division by driving optimal patient access for our medicines. ... therapy being studied for the treatment of multiple solid tumors. The HV&E Director will be responsible for developing and executing against the global evidence… more
- Highmark Health (Salt Lake City, UT)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Molina Healthcare (Layton, UT)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… more
- Bristol Myers Squibb (Salt Lake City, UT)
- …environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work ... lives. Read more: careers.bms.com/working-with-us . **Position Summary:** The Associate Director of Strategic Accounts will be responsible for optimizing access… more
- Molina Healthcare (Layton, UT)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more