- Highmark Health (Salt Lake City, UT)
- …URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + ... care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care… more
- Humana (Salt Lake City, UT)
- …reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those within the medical ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Humana (Salt Lake City, UT)
- …reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those within the medical ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Evolent (Salt Lake City, UT)
- …accountability for utilization management while working in conjunction with the Senior Medical Director . May assist the Senior Medical Director ... Be Doing:** As a Physician Clinical Reviewer, Interventional Pain Management , you will be a key member of the...process. + On a requested basis, may function as Medical Director for selecting health plans or… more
- CenterWell (Salt Lake City, UT)
- …Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical Director conducts Utilization review of the care ... **Become a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health… more
- Humana (Salt Lake City, UT)
- …relationships, value-based care, quality metrics, population health, and disease or care management . The Behavioral Health Medical Director may develop ... our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations.… more
- Humana (Salt Lake City, UT)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The … more
- Humana (Salt Lake City, UT)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The … more
- University of Utah (Salt Lake City, UT)
- Position Information **Position/Rank** Center for Medical Cannabis Research Director **Department** 00952 - Division of Epidemiology **City** Salt Lake City, UT ... University of Utah is seeking a nationally recognized cannabis researcher, to serve as the Director of the Center for Medical Cannabis Research ( CMCR ), a… more
- University of Utah (Salt Lake City, UT)
- Position Information **Position/Rank** Director of the Center for Medical Cannabis Research (CMCR) **Department** 00223 - Family and Preventive Medicine **City** ... on Qualifications **New Position to Begin** **Details** **Center for Medical Cannabis Research ( CMCR ) Director **...Systems at ### or ### or University Human Resource Management at ### if you have questions regarding the… more
- University of Utah (Salt Lake City, UT)
- Position Information **Position/Rank** Liver Transplant Medical Director , University of Utah Health **Department** 00229 - Gastroenterology **City** Salt Lake ... the University of Utah is recruiting a Liver Transplant Medical Director . The Medical ...criteria for Directorship. **Preferred:** + Broad capabilities in the medical management of Liver Disease. + Proven… more
- Humana (Salt Lake City, UT)
- …Become a part of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to ... and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical … more
- University of Utah (Salt Lake City, UT)
- Position Information **Position/Rank** Associate Trauma Medical Director /Academic Acute Care Surgeon - Assistant or Associate Professor **Department** 00257 - ... **New Position to Begin** Spring/Summer 2026 **Details** **Associate Trauma Medical Director / Academic Acute Care Surgeon...Systems at ### or ### or University Human Resource Management at ### if you have questions regarding the… more
- Evolent (Salt Lake City, UT)
- …non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... utilization management while working in conjunction with the Senior Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical… more
- Merck (Salt Lake City, UT)
- **Job Description** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD, DO) Vaccines/Infectious Disease expert who engages in ... from SLs, including questions about Company products. The work of a Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
- Evolent (Salt Lake City, UT)
- …for utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD/DO/MBBS Degree + ... culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key...Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On… more
- Otsuka America Pharmaceutical Inc. (Salt Lake City, UT)
- As a senior leader within Medical Affairs, the Executive Director will serve as a strategic thought partner and Chief of Staff to the Vice President of ... capabilities aligned with Otsuka's vision, direction, and growth strategy. The Executive Director , Medical Affairs Strategy, Excellence & Operations will lead… more
- Evolent (Salt Lake City, UT)
- …for utilization management while working in conjunction with the Senior Medical Director . **Qualifications - Required and Preferred:** + MD/DO/MBBS- Required ... **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key...Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On… more
- Parexel (Salt Lake City, UT)
- …we are expanding our esteemed Medical Sciences Team and seeking an Associate/ Medical Director to support the growth of our Global Immunology and Inflammation ... Therapeutic Franchise. As an Associate / Medical Director , you will work closely with...protocol Note that this does not include any direct medical advice on patient care or management … more
- Molina Healthcare (Layton, UT)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... medical personnel, not influenced by fiscal or administrative management considerations, and that the care provided meets the...experience, including: + 2 years previous experience as a Medical Director in a clinical practice. +… more