Top Managed Care Executive jobs in Salt Lake City, UT

Top Managed Care Executive plans and directs all aspects of an organization's managed care function. Responsible for directing and implementing managed care systems for healthcare facilities. Being a Top Managed Care Executive requires a bachelor's degree. Typically reports to a top management. The Top Managed Care Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Top Managed Care Executive typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Director of Managed care/ insurance or healthcare
  • Top Tier Consulting LLC
  • Sandy, UT FULL_TIME
  • Responsibilities:
    -Director, Managed Care

    • Sandy, UT, United States
    • Full Time
    • 10 paid holidays, 6% 401 k match, PTO, tuition reimbursement, and more

    Position

    The Claims Services department has an immediate opening for someone who can demonstrate the WCF values to join their team as a full-time Director, Managed Care. This posting is open to internal and external candidates and will work out of the Sandy, Utah headquarters.

    Responsibilities

    • Oversee the overall performance and outcomes of the managed care departments including Utilization Review, Medical Case Management, Vocational Rehabilitation, and Bill Review.
    • Collaborate with internal stakeholders, such as claims management, underwriting, legal, and finance, to ensure effective coordination of managed care initiatives.
    • Build and maintain relationships with external partners, including medical providers, pharmacy benefit managers, and other vendors.
    • Develop and implement strategic initiatives to enhance our managed care programs, ensuring alignment with organizational goals and objectives.
    • Leverage data analytics and industry best practices to optimize patient outcomes, reduce costs, and streamline processes.
    • Collaborate with internal stakeholders, such as claims management, underwriting, legal, and finance, to ensure effective coordination of managed care initiatives.
    • Build and maintain relationships with external partners, including medical providers, pharmacy benefit managers, and other vendors.
    • Ensure compliance with all relevant state and federal regulations governing managed care programs, staying up to date on industry changes and implementing necessary adjustments to maintain compliance.
    • Develop and track key performance indicators (KPIs) to evaluate the success of managed care programs.
    • Provide regular reports and analysis to claims management, highlighting program performance, outcomes, and opportunities for improvement

    Qualifications

    The most qualified applicants will have:

    • At least 6-8 years of experience in managed care, healthcare administration, or a similar role within the insurance industry.
    • Strong knowledge of workers' compensation regulations, managed care principles, and medical treatment guidelines.
    • Familiarity with utilization review processes, case management principles, and pharmacy benefit management is highly desirable.
    • Proven experience in managing and leading cross-functional teams and departments.
    • Excellent communication and interpersonal skills, with the ability to build and maintain relationships with internal and external stakeholders.
    • Strong analytical and problem-solving abilities, with proficiency in data analysis and reporting.
    • Demonstrated ability to drive process improvements and implement innovative solutions.
    • Bachelor's degree in healthcare administration, business administration, or a related field. Master's degree preferred.

    An internal candidate should have six months in their current position, acceptable job performance, and must notify their current supervisor that they've applied for the position.

    INSURANCE DE&I MISSION

    Promote and embrace a diverse, inclusive, equitable, and safe workplace.

    INSURANCE IS AN EQUAL OPPORTUNITY EMPLOYER

    Insurance provides equal employment opportunity to all qualified applicants and employees regardless of race, color, religion, sex, age, national origin, veteran status, disability that can be reasonably accommodated, or any other basis prohibited by federal, state, or local law.

    Job Type: Full-time

    Pay: $155,000.00 - $165,000.00 per year

    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Experience level:

    • 6 years
    • 7 years
    • 8 years

    Schedule:

    • Monday to Friday

    Work Location: In person

  • 4 Days Ago

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Airport Rental Car Cleaner ($15.00 per hour • Daily Pay Access)
  • Managed Labor Solutions
  • Salt Lake, UT FULL_TIME
  • Do you enjoy late model cars, have a good attention to detail, and need a flexible schedule plus access to daily pay? Managed Labor Solutions (MLS), a leading nationwide rental car outsourcing company...
  • 21 Days Ago

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Limpiador de Coches de Alquiler ($15.00 por hora)
  • Managed Labor Solutions
  • Salt Lake, UT FULL_TIME
  • Te gustan los coches de ultimo modelo y tienes buena atencion a los detalles? Managed Labor Solutions (MLS), una empresa de subcontratacion de vehiculos de alquiler a nivel nacional, esta contratando ...
  • 10 Days Ago

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Roofing Sales ( 5 Years Of Roofing Experience Required)
  • On Top Roofing
  • Park, UT FULL_TIME
  • DO NOT APPLY IF YOU DO NOT HAVE A MINIMUM OF 5 YEARS OF ROOFING SALES EXPERIENCE On Top Roofing is the premier and fastest growing roofing company in Utah. We provide high end residential and commerci...
  • 1 Month Ago

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Senior Manager - Managed Services
  • Connor Group
  • Salt Lake, UT OTHER
  • Connor Group has several offices with hybrid work arrangements. We are also hiring remote professionals for this position.Are you an intellectually curious, deal-oriented professional who enjoys produ...
  • 13 Days Ago

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Employee Benefits/Executive Compensation Attorney
  • Ascension Global Staffing & Executive Search
  • Salt Lake, UT FULL_TIME
  • Ascension Global Staffing & Executive Search, a Hispanic Women Owned & Operated National Recruiting Firm stands at the forefront of innovation and excellence. Led by a visionary team with a deep commi...
  • 20 Days Ago

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0 Top Managed Care Executive jobs found in Salt Lake City, UT area

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Sales Floor Associate
  • Savers Thrifts Stores
  • Salt Lake City, UT
  • Job Title: Sales Floor Associate Who we are: As one of the largest for-profit thrift operators in the United States, Can...
  • 3/28/2024 12:00:00 AM

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Adecco - selling Branch Manager
  • Adecco Group Inc.
  • Salt Lake City, UT
  • Adecco - Selling Branch Manager About the role The Branch Manager is responsible for building and executing business pla...
  • 3/28/2024 12:00:00 AM

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Provider Contracts Specialist
  • Molina Healthcare
  • Salt Lake City, UT
  • Job Description Remote and must live in Idaho or Utah JOB DESCRIPTION Job Summary Responsible for accurate and timely ma...
  • 3/28/2024 12:00:00 AM

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Adecco - Selling Branch Manager
  • Adecco.
  • Salt Lake City, UT
  • Job DescriptionAbout the role The Branch Manager is responsible for building and executing business plans designed to br...
  • 3/28/2024 12:00:00 AM

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Customer Success Manager
  • Red Points
  • Salt Lake City, UT
  • Company Description What's Red Points all about? Red Points is the most widely used solution to recover digital revenue....
  • 3/27/2024 12:00:00 AM

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Internal Revenue Agent (Examiner) 12 MONTH ROSTER 'AMENDED'
  • Department Of The Treasury
  • Salt Lake City, UT
  • Duties WHAT IS THE SMALL BUSINESS/SELF EMPLOYED (SBSE) DIVISION? A description of the business units can be found at: ht...
  • 3/27/2024 12:00:00 AM

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Division Laboratory Director
  • MountainStar Healthcare
  • Salt Lake City, UT
  • Description This position is incentive eligible. Introduction Do you have the career opportunities as a Division Laborat...
  • 3/26/2024 12:00:00 AM

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Division Laboratory Director
  • Appcast Exchange
  • Salt Lake City, UT
  • Description This position is incentive eligible. Introduction Do you have the career opportunities as a Division Laborat...
  • 3/26/2024 12:00:00 AM

Salt Lake City has an area of 110.4 square miles (286 km2) and an average elevation of 4,327 feet (1,319 m) above sea level. The lowest point within the boundaries of the city is 4,210 feet (1,280 m) near the Jordan River and the Great Salt Lake, and the highest is Grandview Peak, at 9,410 feet (2,868 m). The city is in the northeast corner of the Salt Lake Valley surrounded by the Great Salt Lake to the northwest, the steep Wasatch Range to the east, and Oquirrh Mountains to the west. Its encircling mountains contain several narrow canyons, including City Creek, Emigration, Millcreek, and Par...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Top Managed Care Executive jobs
$202,038 to $358,445
Salt Lake City, Utah area prices
were up 2.3% from a year ago

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