Top 1059 Medical director Jobs in Utah

Remote Medical Director, Appeals
Centene —Utah
- $236,500 - $449,300 a year
- Weekends as needed
- Remote
- Medicine
- Fair chance
- Senior level
- Paid holidays
- Health insurance
Physician***PRN***
Altea Healthcare —Saint George, UT
- Part-time
- Skilled nursing facility
- Management
- Nursing home
- Referral program
Quick Apply
9d
Executive Director of Assisted Living
Cima Senior Living —Ogden, UT
- $85,000 - $90,000 a year
- Full-time
- CPR Certification
- Nursing
- RN License
- Health insurance
- Dental insurance
Quick Apply
5d
Physician***PRN***
Altea Healthcare —Ivins, UT
- Part-time
- Skilled nursing facility
- Management
- Primary Care
- Referral program
Quick Apply
10d
MEDICAL ASSISTANT, Phlebotomist, (with a minimum 8 years experience)
Medical Weight Loss & Hormone Clinic —South Ogden, UT
- $17 - $23 an hour
- Full-time
- Spanish
- Clinic experience
- 8 years
- Free parking
- Paid training
Quick Apply
Clinical Director
Weber Recovery Center —Ogden, UT
- From $95,000 a year
- Full-time
- Background check
- Psychiatry
- Addiction Medicine
- Health insurance
- Dental insurance
Quick Apply
BCBA Center Director
Little Champs ABA —Holladay, UT
- Full-time
- Background check
- HIPAA
- Clinic
- Continuing education credits
- Health insurance
Quick Apply
Chiropractic Physician
Chiropractic Offices of Cache Valley —Logan, UT
- Email
- Mid-level
- In-person
- Flexible schedule
Quick Apply
Senior Director, Plant Operations
Edwards Lifesciences —Salt Lake City, UT
- Full-time
- Engineering
- 11+ years
- Senior level
Physician
Sacred Circle —Wendover, UT
- $196,193 - $264,860 a year
- 12 hour shift
- CPR Certification
- Medicine
- BLS Certification
Quick Apply
Nurse Practitioner/Physician Assistant - Full Time
Integrated Pain Specialists, South Jordan —South Jordan, UT
- $100,000 - $120,000 a year
- Part-time
- Private practice
- Mid-level
- Patient care
- Health insurance
- Paid time off
Quick Apply
Assistant Director of Nursing
Stonehenge of Ogden —Ogden, UT
- $75,000 - $90,000 a year
- Weekends as needed
- Nursing
- Skilled nursing facility
- RN License
- Health savings account
- Health insurance
Quick Apply
Director of Nursing - Home Health & Hospice
Summit Home Health St. George —Saint George, UT
- $95,000 - $120,000 a year
- Full-time
- RN License
- Driver's License
- Home Health
Quick Apply
Assisted Living Executive Director
Confidential —Carbon County, UT
- Full-time
- Management
- Mid-level
- Supervising experience
- Health insurance
- Dental insurance
Quick Apply
13d
Chief Financial Officer
Feller Enterprises —Saint George, UT
- $100,000 - $200,000 a year
- Full-time
- CPA
- 5 years
- Office
- Health savings account
- Health insurance
Quick Apply
Program Director
Residential Treatment Facility —Davis County, UT
- $28 - $35 an hour
- Full-time
- Background check
- CPR Certification
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
General Medicine Physicians Needed for Veteran Disability Benefit Exams near Logan, UT
TDB Communications —Logan, UT
- Choose your own hours
- Private practice
- Medicine
- Mid-level
Quick Apply
Medical Assistant for Bariatrics
Utah Surgical Associates —Provo, UT
- Full-time
- Surgery
- Inventory management
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
3d
Family Nurse Practitioner/Physician Assistant
Sacred Circle —Wendover, UT
- $116,400 - $133,700 a year
- 12 hour shift
- CPR Certification
- Nursing
- RN License
- Paid holidays
- Loan repayment program
Quick Apply
Medical Assistant
Sacred Circle —Wendover, UT
- $18.23 - $22.79 an hour
- Weekends as needed
- CPR Certification
- Vital signs
- BLS Certification
Quick Apply
4d

I want to receive the latest job alert for medical director in utah

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

medical director jobs near utah

Medical Assistant jobs in South Ogden, UT

Medical Assistant jobs in Provo, UT

Physician jobs in Saint George, UT

Senior Director Of Operations jobs in Salt Lake City, UT

Nurse Practitioner jobs in South Jordan, UT

Medical Assistant jobs in Peoria, AZ

Library Assistant jobs in West Chester, PA

Medical Assistant jobs in Opelousas, LA

Medical Assistant jobs in Laredo, TX

Nursing Assistant jobs in Macon, GA

Medical Assistant jobs in Blacksburg, VA

Medical Assistant jobs in Baldwin Park, CA

Medical Assistant jobs in Reno, NV

Clinical Director jobs in Santa Barbara, CA

Clinical Research Coordinator jobs in Stanford, CA

Clinical Director jobs in Columbia, TN

Clinical Research Coordinator jobs in Tallahassee, FL

Clinical Director jobs in Mesa, AZ

Clinical Research jobs in Springfield, MA

Clinical Research Nurse jobs in Utah

Remote Medical Director, Appeals

Centene -
Utah

Apply Now

Job Details

Full-time
$236,500 - $449,300 a year

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Medical License

Full Job Description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose:
Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.

Provides medical leadership of all for utilization management, cost containment, and medical quality improvement activities.
Performs medical review activities pertaining to utilization review, quality assurance, and medical review of complex, controversial, or experimental medical services, ensuring timely and quality decision making.
Supports effective implementation of performance improvement initiatives for capitated providers.
Assists Chief Medical Director in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for members.
Provides medical expertise in the operation of approved quality improvement and utilization management programs in accordance with regulatory, state, corporate, and accreditation requirements.
Assists the Chief Medical Director in the functioning of the physician committees including committee structure, processes, and membership.
Conduct regular rounds to assess and coordinate care for high-risk patients, collaborating with care management teams to optimize outcomes.
Collaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals.
Participates in provider network development and new market expansion as appropriate.
Assists in the development and implementation of physician education with respect to clinical issues and policies.
Identifies utilization review studies and evaluates adverse trends in utilization of medical services, unusual provider practice patterns, and adequacy of benefit/payment components.
Identifies clinical quality improvement studies to assist in reducing unwarranted variation in clinical practice in order to improve the quality and cost of care.
Interfaces with physicians and other providers in order to facilitate implementation of recommendations to providers that would improve utilization and health care quality.
Reviews claims involving complex, controversial, or unusual or new services in order to determine medical necessity and appropriate payment.
Develops alliances with the provider community through the development and implementation of the medical management programs.
As needed, may represent the business unit before various publics both locally and nationally on medical philosophy, policies, and related issues.
Represents the business unit at appropriate state committees and other ad hoc committees.
May be required to work weekends and holidays in support of business operations, as needed.

Education/Experience:

Medical Doctor or Doctor of Osteopathy.
Utilization Management experience and knowledge of quality accreditation standards preferred.
Actively practices medicine.
Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is advantageous.
Experience treating or managing care for a culturally diverse population preferred.

License/Certifications:

Active Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association’s Department of Certifying Board Services.
Certification in Internal or Family Medicine specialty, preferred.
Current state license as a MD or DO without restrictions, limitations, or sanctions from government programs.

Pay Range: $236,500.00 - $449,300.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

medical director jobs in utah

Remote Medical Director, Appeals

PhysicianPRN

Executive Director of Assisted Living

PhysicianPRN

MEDICAL ASSISTANT, Phlebotomist, (with a minimum 8 years experience)

Clinical Director

BCBA Center Director

Chiropractic Physician

Senior Director, Plant Operations

Physician

Nurse Practitioner/Physician Assistant - Full Time

Assistant Director of Nursing

Director of Nursing - Home Health & Hospice

Assisted Living Executive Director

Chief Financial Officer

Program Director

General Medicine Physicians Needed for Veteran Disability Benefit Exams near Logan, UT

Medical Assistant for Bariatrics

Family Nurse Practitioner/Physician Assistant

Medical Assistant

I want to receive the latest job alert for medical director in utah

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected