- Molina Healthcare (West Valley City, UT)
- …of the benefits, operations, communication, reporting, and data exchange of the Medicare product in support of strategic and corporate business objectives. Develops ... infrastructure, standards, and policies and procedures for the Medicare and Dual Eligible Program and participates in the strategic development of its products and… more
- Molina Healthcare (West Valley City, UT)
- …by owning Molina's entire CMS Complaints Tracking Module (CTM) life cycle. As Director of CTM Oversight & Resolution you set the standards and controls that ... for CMS audits and data-validation reviews * Ability to quantify financial, regulatory , and member-experience risk from complaint trends and to drive prioritized… more
- Molina Healthcare (Salt Lake City, UT)
- …Medical License without restrictions (free of sanctions from Medicaid or Medicare ) **PREFERRED EDUCATION:** Master's in Business Administration , Public Health, ... **Job Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of… more
- Molina Healthcare (Salt Lake City, UT)
- …medical director , and quality improvement staff. + Facilitates conformance to Medicare , Medicaid, NCQA and other regulatory requirements. + Reviews quality ... without restrictions to practice and free of sanctions from Medicaid or Medicare . **PREFERRED EDUCATION:** Master's in Business Administration , Public Health,… more
- Evolent (Salt Lake City, UT)
- …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...requesting physicians or ordering providers, when available, within the regulatory timeframe of the request by phone or fax.… more
- Molina Healthcare (UT)
- **Job Description** **Job Summary** The National Program Director - Value-Based Care is a strategic leadership role responsible for the development, implementation, ... evolution of value-based care (VBC) programs across all lines of business-Medicaid, Medicare , and Marketplace. This role is critical in driving clinical and… more
- Evolent (Salt Lake City, UT)
- …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review… more
- Evolent (Salt Lake City, UT)
- …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to… more
- Evolent (Salt Lake City, UT)
- …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of ... culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a key member...requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale… more
- Evolent (Salt Lake City, UT)
- …General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . . No history of ... culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of...requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale… more
- Otsuka America Pharmaceutical Inc. (Salt Lake City, UT)
- Director , Field Reimbursement Management (FRM) Position Overview We are seeking an experienced, transformative leader to serve as the Director , Field ... payers, and industry partners Qualifications + Bachelor's degree in Business, Healthcare Administration , or related field; advanced degree preferred + 10+ years of… more
- CenterWell (Salt Lake City, UT)
- …Education and/or Work Experience: * Graduate degree in Business or Healthcare Administration preferred * Previous experience supporting Medicare payment model ... will be responsible for supporting the CenterWell ACO and Medicare payment model programs via the Center for ...models. Under general direction and supervision from the ACO Director , the Senior Strategy Advancement Professional will bring a… more
- University of Utah (Salt Lake City, UT)
- …informed consent, disease outcome, AEs and toxicity, data quality, regulatory documentation, investigational drug records, and compliance with institutional ... related to research, prevention, clinical care, community engagement/outreach, training, administration , or other areas relevant to Huntsman Cancer Institute's… more
- University of Utah (Salt Lake City, UT)
- …by the Department. Basic knowledge of clinical documentation requirements related to regulatory and reimbursement rules, the Medicare system and proficiency with ... from medical records. Provides support to areas related to documentation, regulatory education and auditing. **Responsibilities** 1. Locates and compiles required… more
- University of Utah (Salt Lake City, UT)
- …Area** U of U Health - Academics **Department** 00848 - Pediatric Administration **Location** Campus **City** Salt Lake City, UT **Type of Recruitment** External ... as it pertains to various insurance companies, HMOs, PPOs, and Medicare /Medicaid. 9. Works with laboratories and insurance companies to facilitate completion… more