- CVS Health (Salt Lake City, UT)
- …and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee ... provider systems or groups. + Proven working knowledge of provider financial issues and competitor strategies, large/complex contracting options, financial/… more
- CenterWell (Salt Lake City, UT)
- …performs analysis regarding pharmacy claims and network composition to identify contracting needs to provide adequate coverage for Humana Health Horizons ... caring community and help us put health first** The Senior Pharmacy Contracting Professional is responsible for...put patients at the center. As the nation's largest provider of senior -focused primary care, one of… more
- Molina Healthcare (Midvale, UT)
- **JOB DESCRIPTION** **Job Summary** Provider Network Administration is responsible for the accurate and timely validation and maintenance of critical provider ... requirements of internal customers as it pertains to other provider network management areas, such as ...Provider Services/ Provider Inquiry Research & Resolution, Provider Contracting / Provider Relationship Management). +… more
- CVS Health (Salt Lake City, UT)
- …guidelines in support of global and regional network strategies. Expand International provider network by contracting new direct pay providers and manage ... , medical cost management and overall claim/customer service strategies. Provide concierge level of service to our members via...regarding your assigned TPA(s). + Manage day to day provider operations, either direct or through network … more
- Prime Therapeutics (Salt Lake City, UT)
- …risk 20% + Develops and maintains a strong positive working relationship with Senior leadership in many areas, including Sales, Network Management, Trade ... It fuels our passion and drives every decision we make. **Job Posting Title** Senior Principal, Health Plans Underwriter - REMOTE **Job Description** The Senior … more
- Cardinal Health (Salt Lake City, UT)
- …At-Home Solutions ("AHS") business clients, a leading home healthcare medical supplies provider serving people with chronic and serious health conditions in the ... a direct-to-home medical supplies distributor, and (4) Velocare, a supply chain network and last-mile fulfillment solution capable of quickly reaching patients with… more
- Cardinal Health (Salt Lake City, UT)
- …VP, Revenue and Payor Operations **Location** Nationwide, US **Position Summary** Senior executive leader responsible for leading all aspects of Navista's Physician ... members, and innovation + Develops and implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible… more
- CenterWell (Salt Lake City, UT)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... Kentucky, Tennessee, Louisiana, and more. The PCO has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and is… more
- Humana (Salt Lake City, UT)
- …skills. + Experience working collaboratively across multiple functional areas (eg operations, provider network , contracting ) while fostering teamwork. + ... company committed to improving the health of the communities it serves. The Senior Insurance Product Content Professional will oversee and manage projects for member… more
- Intermountain Health (Murray, UT)
- …rotations and project(s) + Commercial products and sales + Government products + Provider development/ contracting + Health plan operations + 30% of time for ... the future of healthcare. The fellowship is intended to provide broad and diverse learning opportunities, helping you to...Work side-by-side with key members of the Select Health Senior Leadership team to gain understanding of basic health… more
- Prime Therapeutics (Salt Lake City, UT)
- …that have financial implications + Prepares materials and reports, and presents to Senior Leadership and Executive Leadership teams + Acts as a primary source of ... financial truth in legal contracting of new and existing clients, ensuring detailed contract...working relationship with leadership in many areas, including Sales, Network Management, Trade Relations, and Client Engagement, as well… more