Medical director jobs in Taylorsville, UT - 379 jobs

We are recruiting for an entrepreneurial Veterinarian leader who is interested in managing a NEW stand-alone GP hospital, as a co-owner, building and leading a veterinary team, while reaping the financial benefits of being a practice owner. The hospital will be located in the beautiful West Jordan, Utah - an attractive place to live that offers the perfect mix of suburban comfort and outdoor adventure. Nestled against the stunning Wasatch Mountains, residents enjoy easy access to world-class ski resorts like Snowbird, Alta, and Brighton-all less than an hour away. With scenic trails for horseback riding, hiking, and mountain biking right nearby, it's a great place for anyone who loves an active, outdoorsy lifestyle without giving up city conveniences The hospital is being built as you read this and anticipating opening summer 2026. If you come onboard now you can help design floor plans and order new equipment to suit your clinical interest and style of medicine. There's space for you to expand into advanced diagnostics like HBOT, Endoscopy, HFOT, & 3D CT and more! Above market compensation $250,000 - $400,000 and equity and profit sharing! No downpayment needed! If have been thinking about becoming a practice owner and set the tone for hospital direction and culture, don't pass this opportunity. This might be your calling! Confidential inquiries are welcome! Please reach out for a quick chat for more info! Feel free to schedule a quick call on my calendar directly - ********************************** Hope to chat soon! Anna Forsberg **********************************

JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated behavioral health care programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties - Provides behavioral health oversight and clinical leadership for health plan and/or market specific utilization management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to improve quality outcomes and decrease costs. - Facilitates behavioral health-related regional medical necessity reviews and cross coverage. - Standardizes behavioral health-related utilization management, quality, and financial goals across all lines of businesses. - Responds to behavioral health-related requests for proposal (RFP) sections and reviews behavioral health portions of state contracts. - Assists behavioral health medical director lead trainers in the development of enterprise-wide education on psychiatric diagnoses and treatment. - Provides second level behavioral health clinical reviews, peer reviews and appeals. - Supports behavioral health committees for quality compliance. - Implements behavioral health specific clinical practice guidelines and medical necessity review criteria. - Tracks all clinical programs for behavioral health quality compliance with National Committee for Quality Assurance (NCQA) and Centers for Medicare and Medicaid Services (CMS). - Assists with the recruitment and orientation of new psychiatric medical directors. - Ensures all behavioral health programs and policies are in line with industry standards and best practices. - Assists with new program implementation and supports for health plan in-source behavioral health services. Required Qualifications - At least 3 of relevant experience, including 2 years of medical practice experience in psychiatry/behavioral health, or equivalent combination of relevant education and experience. - Doctor of Medicine (MD) or Doctor of Osteopathy (DO). License must be active and unrestricted in state of practice. - Board Certification in Psychiatry. - Working knowledge of applicable national, state, and local laws and regulatory requirements affecting medical and clinical staff. - Ability to work cross-collaboratively within a highly matrixed organization. - Strong organizational and time-management skills. - Ability to multi-task and meet deadlines. - Attention to detail- available to work PST zone. - Critical-thinking and active listening skills. - Decision-making and problem-solving skills. - Strong verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency, and ability to learn new programs. Preferred Qualifications - Experience with utilization/quality program management. - Managed care experience. - Peer review experience. - Certified Professional in Healthcare Management (CPHM), Certified Professional in Health Care Quality (CPHQ), Commission for Case Manager Certification (CCMC), Case Management Society of America (CMSA) or other health care or management certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $186,201.39 - $363,093 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise. + Participate in protocol and guidelines development to ensure consistency in the review process. + Actively manage projects and/or participate on project teams that require a physician subject matter expert. + Other duties as assigned. **EDUCATION** **Required** + Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration/Management or Public Health **EXPERIENCE** **Required** + 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical Doctor or Doctor of Osteopathic Medicine (DO) + Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards + Active medical state licensure required. Additional specific state licensure(s) may be required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + Collaboration + Listening + Telephone Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other than English)** None **Travel Required** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** Position Type Office-Based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $170,000.00 **Pay Range Maximum:** $352,500.00 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J272806

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a FMD, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients' lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes. Collaboration Opportunities: + Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or required. What You Will Be Doing: + Serve as the Physician match reviewer in Radiation Oncology that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. + Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + Participates in on-going training per inter-rater reliability process. Qualifications- + MD/DO/MBBS + Minimum of five (5) years' experience in the practice of Medicine, post residency and Active Clinical practice within the last 2 years is preferred + Current, unrestricted clinical license in medicine or required specialty- + Obtaining and maintaining medical licenses in the state you reside, as well as, any license required per business needs + Active Board Certification in Radiation Oncology + Strong clinical, management, communication, and organizational skills + Energetic and curious with a passion for quality and value in health care + Computer Proficiency + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare. + No history of a major disciplinary or legal action by a state medical board To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $$130-140/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

Details This is an incredible opportunity to join a collegial academic environment and work in children's hospital with a childhood cancer program that U.S. News ranks among the top 20 in the nation. The Division of Pediatric Hematology Oncology in the Department of Pediatrics and the Division of Pediatric Neurosurgery, University of Utah School of Medicine are jointly recruiting a Pediatric Neuro-Oncologist physician who will also serve as the Medical Director for the Pediatric Neuro-Oncology Program. The Director will lead a multidisciplinary team of pediatric neuro-oncology professionals who will manage care of pediatric neuro-oncology patients at Primary Children's Hospital ( PCH ) in the Pediatric Hematology-Oncology Service Line outpatient and inpatient units. The Pediatric Neuro-Oncology team will work closely with colleagues and investigators in Pediatric Hematology-Oncology, Pediatric BMT , Pediatric and Adult Neurosurgery, Pediatric Neurology, Radiation Oncology, the Huntsman Cancer Institute ( HCI ) and the Department of Pediatrics. Pediatric Neurosurgery and Pediatric Neuro-Oncology see approximately 100 newly diagnosed pediatric brain tumor patients annually. The Director will oversee and provide leadership in the clinical, basic and translational research programs and will have the opportunity to implement early phase and investigator initiated clinical trials, as well as collaborations with the immunotherapy and cell therapy programs. The Director will also provide clinical patient care services. Opportunities to collaborate and/or lead clinical, translational and basic laboratory research projects/programs are available in the Department of Pediatrics and the HCI , which is a NCI designated comprehensive cancer center connected to PCH . There are ongoing projects in value-based care, supportive oncology/palliative care, clinical trials, cancer genetics, laboratory research, outcomes, late effects and AYA programs. Qualified candidates must be Board Qualified/Board Certified in Pediatrics and in Pediatric Hematology-Oncology with focused training in pediatric oncology, including neuro-oncology. Qualified candidates should also have a clinical and research (laboratory, translational, or clinical) focus in pediatric neuro-oncology. The selected candidate will receive a faculty appointment in the Department of Pediatrics on the Clinical or Tenure Track at the academic level commensurate with experience and qualifications. Interested individuals can apply at ******************************************** Cover letter and curriculum vitae are required. For additional information about the position, please contact: Richard S. Lemons, M.D., Ph.D., at *************************. Cover letter and curriculum vitae are required. For additional information about the position, please contact: Richard S. Lemons, M.D., Ph.D., at *************************. More information about the position: The Division of Pediatric Hematology Oncology is made up of 17 pediatric oncologists, including three pediatric BMT attendings, and two PhD investigators who focus in one of five areas: Oncology, Hematology, Bone Marrow Transplantation, Population Sciences and Cancer Control, or Pediatric Cancer Genetics. The Division houses the only pediatric BMT service in the Intermountain West, performs over 50 transplants annually, and has an active CAR T cell program. The Oncology section is made up of 12 physicians and the inpatient unit has 33 private patient rooms where all Hem/Onc patients are admitted. Inpatients are overseen by three Hem/Onc services - an inpatient attending/resident/fellow H/O service, a chemotherapy attending/advanced practitioner service, and a BMT service with advanced practitioner support. All medical, pathology, radiologic and surgical subspecialties are represented in the children's hospital. Primary Children's Hospital is ranked by US News in the top 20 childhood cancer programs and provides care to children with cancer across the 5 state Intermountain West region. The Department of Pediatrics ranks within the top 15 Pediatric Departments in NIH funding and has a premier research enterprise providing infrastructure, faculty mentoring and grant writing support. The University of Utah has a robust biotechnology and venture commercialization program. HCI is the only NCI -designated Comprehensive Cancer Center in the Mountain West and is a member of the National Comprehensive Cancer Network ( NCCN ), supporting and fostering a vibrant cancer research enterprise in a highly collegial environment. HCI has an outstanding history of academic achievement and impact, a collaborative environment, and a commitment to excellence in patient care, research, teaching, and service. Our integrated health system and HCI's participation in the ORIEN network of leading cancer centers provide outstanding opportunities for multidisciplinary collaborations in basic and translational laboratory-based cancer research, epidemiology and cancer biostatistics, as well as population-based studies of childhood cancers and outcomes. HCI has exceptional physical resources and recently completed a major expansion that includes a new 220,000 sq. ft. research building. In addition, the University of Utah and HCI are home to superb shared resources, such as the Utah Population Database with more than 16 million records linking genealogies, health records, and vital statistics. HCI and U of U Health provide access to state-of-the-art equipment and services through exceptional core facilities (see ******************** including genomics/metabolomics/proteomics, a GMP -certified cell therapy and regenerative medicine facility, and a comprehensive biospecimen repository, which serve to enhance both discovery and translational science. The University of Utah Health (U of U Health) is a patient focused center distinguished by collaboration, excellence, leadership, and respect. The U of U Health values candidates who are committed to fostering and furthering the culture of compassion, collaboration, innovation, accountability, diversity, integrity, quality, and trust that is integral to our mission.

CardioRenal Vision is a post-acute Cardiology, Nephrology, and Pulmonology established practice. Currently, we are looking for a Cardiologist to join this dynamic practice on a part-time basis. Cardiologist will oversee NPs working with sub-acute and long term patients. Approx. 5 - 10 hours per week coverage, and visiting the Skilled Nursing Facilities. We provide training, flexible schedules, full autonomy, and full clinical support. If you would like to be part of a group that's pioneering in this specialty in the post acute world, please send us your resume. Job Type: Part-time to start What We DoCRV, LLC is a Physician owned and led company focused on providing skilled Cardiac, Renal and Pulmonary care to Skilled Nursing Facilities, Assisted and Independent Living Facilities. Cardiac, Renal, and Pulmonary Disease encompass a significant portion of the Chronic Diseases seen in SNF/ALF/ILF/Home. CRV's mission is to tackle this issue by providing our services directly to the SNF, ALF, and ILF; lead to reduced Hospitalizations and improved patient outcomes. Who We AreCRV is a Physician owned and led national company focused on delivering highly specialized care to Post-Acute facilities. By practicing a preventive rather than a reactive approach, CRT has a proven model of reducing hospitalizations and improving outcomes for their patient. » Major void in the continuum of care » Full spectrum of specialties exist at hospital, LTACH, acute rehab but not SNF » Less patients going to LTACH level of care, and more now go to SNF's » Skilled nursing care now manage higher acuity patients requiring sub-specialty care » Outpatient sub-specialists will only see patients after discharged from rehab, but patient needs are now. » Under Patient Driven Payment Models, patient outcomes is tied to reimbursements for SNF's. Our MissionCardioRenal Vision is a Physician owned and led national company focused on delivering highly specialized care to Post-Acute facilities. By practicing a preventive rather than a reactive approach, CRV has a proven model of reducing hospitalizations and improving outcomes for their patient. Our primary goal is to help patients transition from the hospital to skilled rehab facilities and then to a stable home environment. Cardiac Vision has partnered with CRV to become a national physician owned practice that is providing cutting edge resources with multiple physician led specialties in other states such as Illinois, Texas, Florida and Washington State.

**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 Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in their daily work. The Medical Director's work includes computer based review of moderately complex to complex clinical scenarios, review of all submitted clinical records, prioritization of daily work, communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. Has discussions with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances these may require conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management. Medical Directors support Humana values, and Humana's Bold Goal mission, throughout all activites. **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The ideal candidate supports and collaborates with other team members, other departments, Humana colleagues and the Regional VP Health Services. After completion of mentored training, daily work is performed with minimal direction. Enjoys working in a structured environment with expectations for consistency in thinking and authorship. Exercises independence in meeting departmental expectations, and meets compliance timelines. Supports the assigned work with respect to market-wide objectives (e.g. Bold Goal) and community relations as directed. **Required Qualifications** + MD or DO degree + 5+ years of direct clinical patient care experience post residency or fellowship, which preferably includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted license in at least one jurisdiction and willing to obtain additional license, if required. + No current sanction from Federal or State Governmental organizations, and able to pass credentialing requirements. + Excellent verbal and written communication skills . + Evidence of analytic and interpretation skills, with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or post acute services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with national guidelines such as MCG or InterQual + Internal Medicine, Family Practice, Geriatrics, Hospitalist, Emergency Medicine clinical specialists + Advanced degree such as an MBA, MHA, MPH + Exposure to Public Health, Population Health, analytics, and use of business metrics. + Experience working with Case managers or Care managers on complex case management, including familiarity with social determinants of health. + The curiosity to learn, the flexibility to adapt and the courage to innovate **Additional Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director, depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an assigned market, member population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $223,800 - $313,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-15-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

**Parexel** is in the business of improving the world's health. We do this by providing a suite of biopharmaceutical services that help clients across the globe transform scientific discoveries into new treatments. From clinical trials to regulatory, consulting, and market access, our therapeutic, technical, and functional ability is underpinned by a deep conviction in what we do. We believe in our values, Patients First, Quality, Respect, Empowerment & Accountability. **Parexel is looking for a Medical Director with a very strong background in Ophthalmology to join our Global Medical Sciences team.** **The role is remotely based in the US.** The Medical Director is a medical expert with specialized therapeutic expertise and some experience across indications, clients and drug development. They initiate and maintain medical and consultative relationships with clients, consult on early engagement and pre-award efforts and serve as a medical monitor for contracted projects. The Medical Director may take on leadership roles by participating in initiatives, mentoring junior MDs and/or, where appropriate, managing a team of physicians. Primary activities will focus on **Medical Monitoring Delivery & PV Support** . The medical monitor will independently deliver all medical support required for successful delivery of the projects according to contracted agreement with the sponsor (i.e., tasks and time per task contracted) and according to the assigned role (Global Lead Physician or Regional Lead Physician). **Medical Expertise** and experience in **Ophthalmology** is essential to the medical monitor role and will be manifested in high quality consultation on protocol development or drug development programs, medical review of various documents, collaboration on internal therapeutic area meetings, training module development, white papers, slide sets, publications etc. **Client Relationship Building & Engagement,** including soliciting and addressing client feedback and suggestions regarding medical study-related activities, are core skills required of the medical monitor. **Business Development:** the medical monitor will provide medical expertise / leadership in Proposal Development Teams (PDTs) for client bid pursuit meetings. **Skills** + Excellent interpersonal skills including the ability to interact well with sponsor/client counterparts + Client-focused approach to work + Excellent time management skills + Excellent verbal and written medical communication skills + Excellent standard of written and spoken English + A flexible attitude with respect to work assignments and new learning + Ability to manage multiple and varied tasks with enthusiasm and prioritize workload with attention to detail + Willingness to work in a matrix environment and to value the importance of teamwork. **Knowledge And Experience** + Experience in clinical medicine (general or specialist qualifications) with Fellowship or specialty training in **Ophthalmology** , which is expected to be kept up to date. + A background in clinical aspects of drug development, including all aspects of Medical Monitoring and study design/execution, preferred + Clinical practice experience + Good knowledge of the drug development process including drug safety, preferred + Experience in Pharmaceutical Medicine, preferred + Experience leading, mentoring and managing individuals/ a team, preferred **Education** + US Board certified in **Ophthalmology** + Experience as a Physician in Industry or as a clinical trial investigator is required + Previous CRO experience is strongly preferred + Medically qualified in an acknowledged medical school with completion of at least basic training in clinical medicine (residency, internship) The ability to travel 15% domestically or internationally is required. \#LI-REMOTE EEO Disclaimer Parexel is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to legally protected status, which in the US includes race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

We are interviewing immediately on behalf of a Utah-based pharmaceutical company with an immediate need for a Oncology/Hematology Medical Director. The company is extremely well funded, and specialize in phase 1 and 2 clinical trials. They are on pace to file 3 INDs this year. The company headquarters are at the base of the mountains and there are seven ski resorts within an hour of our clients new location. They offer outstanding compensation, sign on bonuses, executive relo package, stock, etc. Job Description The Medical Director contributes to the development and execution of early-stage clinical development. Prepares clinical trial protocols Monitors adverse events and study management Works closely with senior management developing and maintaining an innovative culture and environment. Qualifications Positions requires: M.D or D.O. with oncology research experience 3 years of industry experience OR outstanding educational/academic oncology/hematology clinical trials experience Additional Information Call me and I will be happy to go into further details. We are scheduling meetings immediately for the Utah company, and other nationwide clients, as well. re well situated, but know of colleagues considering changes, we offer up to $2000 referral rewards. A bit about us: Our partnership team specializes in placing clinical drug development professionals and represents clients ranging from small research labs to major biotech and pharma companies. Collectively we have orchestrated thousands of placements including over 300 with just one biotech client. I can be reached anytime (before and after hours and weekends are fine). I very much look forward to working with you. Always thanks. David Bates ***This position description is intended to identify some of the duties and responsibilities of this position. The employer reserves the right to modify, supplement, delete or augment the duties and responsibilities specified in this position description, at their sole and absolute discretion. Archer Hires is an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

The Medical Director, Rare Disease is a critical role responsible for shaping the strategic processes and planning for assets in across phases of development within the Rare Disease portfolio. This position manages the unique challenge of establishing an emerging portfolio, incorporating newly acquired assets, which requires significant scientific and strategic agility and a strong ability to balance competing priorities. This position reports directly to the Rare Disease Medical Business Unit (BU) Lead. **** **Key Responsibilities Include:** **Medical Strategy & Narrative** + Provide key medical input into the initial development of the Target Reimbursable Product Profile as well as early development plans ensuring scientific consistency and alignment across functions (e.g., R&D, Clinical, Global Medical Affairs) + Provide high-quality scientific/clinical input and review of early asset plans, ensuring content aligns with the overarching Medical Narrative + Lead and nurture strategic partnerships with stakeholders by ensuring clear, consistent communication and aligning initiatives with partner priorities to strengthen collaboration and drive shared success in the rare disease space + Serve as a primary scientific resource, providing guidance on the disease state and mechanism of action for the Rare Disease portfolio helping to translate science into value for patients and stakeholders + Lead the Strategy and Tactical Planning Process, identifying critical data needs for the emerging portfolio **Evidence Generation Process** + Oversee the Medical Evidence Generation Process in partnership with GIE&I, translating strategic data gaps into clear research priorities and providing expert input into the design and feasibility of innovative clinical trials and data generation initiatives + Support the planning and execution of Medical Affairs evidence generation activities relevant to the Rare Disease portfolio **External Stakeholder Engagement** + Identify and engage a wide variety of stakeholders, including KOL experts and patient advocacy groups to support collection, curation and communication of clinical Medical and methodological insights to inform understanding of unmet medical needs, emerging standard of care and development opportunities + Develop Key Intelligence Topics & Questions (KITs/KIQs) for relevant assets, serving as the blueprint for insight collection from Key Opinion Leaders + Lead the strategic planning, content development, and successful facilitation of consulting activities including Advisory Boards, ensuring objectives align with data gap analyses and asset/portfolio strategy + Lead scientific exchange with key opinion leaders (KOLs) to gather insights and validate development hypotheses + Support the development of scientific publications, abstracts, and presentations related to the Rare Disease portfolio **Cross-functional Integration & Planning** + Collaborate within the Rare Disease Medical Business Unit with the Rare Disease Medical Communications and Field Medical Affairs sub-teams + Partner with and serve as a scientific and clinical resource for cross-functional colleagues including Clinical Development, Global Integrated Evidence & Innovation, Regulatory and Global Marketing and Market Access + Support indication prioritization and portfolio planning for early assets + Manage assigned Rare Disease medical program budgets in partnership with the Rare Disease Medical BU lead, ensuring accurate forecasting, responsible resource utilization, and compliance with internal policies and external regulations + Consider technology and AI to support workflow improvement **Qualifications** **Education and Experience:** + Advanced scientific degree is required (PharmD, MD, PhD, or equivalent) with extensive expertise in Rare Disease + Minimum of 5+ years of relevant experience in the pharmaceutical industry, with strong preference for experience in Clinical Development, Research, or Medical Affairs + Experience supporting BD evaluations for potential acquisitions + Experience contributing to the integration and strategic planning for newly acquired or in-licensed assets + Proven experience managing Evidence Generation processes and executing scientific Advisory Boards **Skills and Competencies:** + Strong leadership presence and ability to present to executive leadership team + Skilled in cultivating strong relationships with global medical partners through proactive communication and strategic prioritization + Motivated and solution-oriented with the ability to work collaboratively across the organization, particularly with R&D and Clinical teams + Strategic agility required to build and adapt scientific strategy for an emerging portfolio + Excellent communication and interpersonal skills, including experience presenting complex development strategies to large internal groups and engaging a limited number of highly specialized external experts + Full understanding of rules and regulations in pharma, with the ability to apply knowledge of guidelines and regulations to early-stage Medical Affairs activities + Ability to work in a fast-paced, dynamic environment, with a proactive and problem-solving mindset + Strong understanding of drug development processes, especially early-stage development + Openness to travel up to ~25% for 3 - 6 conferences in US and globally **Competencies** **Accountability for Results -** Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change. **Strategic Thinking & Problem Solving -** Make decisions considering the long-term impact to customers, patients, employees, and the business. **Patient & Customer Centricity -** Maintain an ongoing focus on the needs of our customers and/or key stakeholders. **Impactful Communication -** Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka. **Respectful Collaboration -** Seek and value others' perspectives and strive for diverse partnerships to enhance work toward common goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $209,599.00 - Maximum $313,375.00, plus incentive opportunity: The range shown represents a typical pay range or starting pay for individuals who are hired in the role to perform in the United States. Other elements may be used to determine actual pay such as the candidate's job experience, specific skills, and comparison to internal incumbents currently in role. Typically, actual pay will be positioned within the established range, rather than at its minimum or maximum. This information is provided to applicants in accordance with states and local laws. **Application Deadline** : This will be posted for a minimum of 5 business days. **Company benefits:** Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits. Come discover more about Otsuka and our benefit offerings; ********************************************* . **Disclaimer:** This job description is intended to describe the general nature and level of the work being performed by the people assigned to this position. It is not intended to include every job duty and responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. Otsuka is an equal opportunity employer. All qualified applicants are encouraged to apply and will be given consideration for employment without regard to race, color, sex, gender identity or gender expression, sexual orientation, age, disability, religion, national origin, veteran status, marital status, or any other legally protected characteristic. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation, if you are unable or limited in your ability to apply to this job opening as a result of your disability. You can request reasonable accommodations by contacting Accommodation Request (EEAccommodations@otsuka-us.com) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of your personal information very seriously. Please be aware individuals may approach you and falsely present themselves as our employees or representatives. They may use this false pretense to try to gain access to your personal information or acquire money from you by offering fictitious employment opportunities purportedly on our behalf. Please understand, Otsuka will **never** ask for financial information of any kind or for payment of money during the job application process. We do not require any financial, credit card or bank account information and/or any payment of any kind to be considered for employment. We will also not offer you money to buy equipment, software, or for any other purpose during the job application process. If you are being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive such an offer of employment. Otsuka will also never ask you to download a third-party application in order to communicate about a legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo, Gmail, Hotmail, etc, and not from an official Otsuka email address. Please take extra caution while examining such an email address, as the scammers may misspell an official Otsuka email address and use a slightly modified version duplicating letters. To ensure that you are communicating about a legitimate job opportunity at Otsuka, please only deal directly with Otsuka through its official Otsuka Career website ******************************************************* . Otsuka will not be held liable or responsible for any claims, losses, damages or expenses resulting from job recruiting scams. If you suspect a position is fraudulent, please contact Otsuka's call center at: ************. If you believe you are the victim of fraud resulting from a job recruiting scam, please contact the FBI through the Internet Crime Complaint Center at: ******************* , or your local authorities. Otsuka America Pharmaceutical Inc., Otsuka Pharmaceutical Development & Commercialization, Inc., and Otsuka Precision Health, Inc. ("Otsuka") does not accept unsolicited assistance from search firms for employment opportunities. All CVs/resumes submitted by search firms to any Otsuka employee directly or through Otsuka's application portal without a valid written search agreement in place for the position will be considered Otsuka's sole property. No fee will be paid if a candidate is hired by Otsuka as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.

The Director, NORAM Medical Operations Director plays an integral role in overseeing and coordinating the department's core functions, with a focus on organizational efficiency, communications, project management, contract management, budget oversight, and coordination of medical training, medical education and communication of medical evidence. The Director, NORAM Medical Operations is a strategic and operational leader responsible for enabling high-performing Medical Affairs (MA) functions within bio Merieux. This role oversees team training and capability building, develops and maintains standard operating procedures (SOPs), drives medical strategy execution, oversees departmental budgeting, and implements continuous process improvements to ensure operational excellence. The Director serves as a key partner to Medical Affairs leadership, ensuring scientific, clinical, and operational alignment across programs and functions. The Director, NORAM Medical Operations is the owner of key departmental projects and leads the Medical Affairs Operations Team, partnering closely with other critical stakeholders at bio Merieux, including compliance, finance, legal, quality, purchasing, marketing, external vendors, as well as Global Medical Affairs. This is a key strategic role, defining and supporting necessary projects related to education, evidence, insights, and customer engagement. Primary Duties Supports the development, alignment, and implementation of short-term and long-term strategic goals to achieve operational excellence and meet deliverables. Partners with Medical Affairs leadership to develop, operationalize, and continuously refine the Medical Affairs strategy across therapeutic, diagnostic, and regional portfolios, helping to translate strategic objectives into actionable project plans, KPIs, and timelines that support scientific engagement, evidence generation, and medical education goals. Oversees and ensures the quality of the departmental strategic planning processes, including operations tasks, and other activities related to pipeline and established products and assets. Leads organization, updating and communication of strategic plans to stakeholders. Leads Quality Initiatives and Governance. Develop, maintain, and update Medical Affairs SOPs, work instructions, and quality documentation to support compliant, efficient, and consistent operations. Implement and refine operational governance frameworks for scientific review, medical communication standards, congress planning, evidence generation processes, and partnership evaluation. Ensure SOPs align with regulatory requirements, industry best practices (e.g., IVD, CLIA, CAP guidelines), and corporate quality management systems. Elevates business processes through close collaboration with Compliance, Regulatory, and Legal counterparts. Ensures material development for internal and external use is aligned with organizational goals and priorities, meets compliance, regulatory, and legal requirements. Leads Continuous Process Improvement. Leads ongoing evaluation of Medical Affairs business processes to identify efficiency gaps, operational risks, and opportunities for automation or streamlining. Implement process improvement methodologies to enhance program execution, documentation, and cross-functional workflows. Introduces toolkits and templates (ASANA) to standardize reporting, project management, communication, and scientific planning activities. Coordinates Financial Planning and Budget Management. Establish and oversee project management frameworks for all MA initiatives, including medical launches, clinical collaborations, evidence-generation programs, and scientific communication outputs. Monitor timelines, risks, and deliverables; provide transparent reporting to leadership on progress and resource needs. Coordinates cross-functional project teams to ensure timely execution and integration of medical insights into decision-making. Coordinates Medical Education, Medical Training, Onboarding and Development. Oversees Medical Education initiatives aligned with organizational priorities. Designs and leads a structured Medical Affairs training and competency development program, ensuring team members remain knowledgeable on clinical evidence, diagnostics technology, healthcare policy, and compliance requirements. Oversees onboarding programs for new hires, ensuring consistent integration into MA processes, systems, and scientific platforms. Identifies upskilling needs; partnering with HR/L&D to implement development plans, mentorship programs, and performance-support resources. Perform all work in compliance with company quality procedures and standards. Performs other duties as assigned. Experience Bachelor's degree in life sciences, public health, or business required Advanced degree strongly preferred 8+ years of experience in Medical Affairs, Clinical Affairs, or Operations roles within the diagnostics, medtech, or biotech industry including 3+ years of specific professional Team Management experience 4+ years practical experience in US healthcare environment preferred Knowledge, Skills & Abilities Proven leadership in medical operations, project management, process improvement, and staff development. Strong understanding of diagnostic technologies, evidence generation approaches, healthcare decision-making, and compliance frameworks. Exceptional skills in communication, cross-functional collaboration, budget management, and organizational planning. Demonstrated success with development, implementation, and management with strategic planning. Advanced knowledge of compliance, legal, and regulatory guidelines for medical support of IVD solutions. Advanced knowledge of best practices for partnership with 3rd party medical education providers. Advanced knowledge of budget management, including development, monitoring and forecasting. Demonstrated capabilities in the following areas: Strategic planning and execution Quality orientation and compliance mindset Operational excellence and process optimization Operational excellence and process optimization Team leadership, training, and coaching Cross-functional communication Change management The estimated salary range for this role is between $165,000 - $205,000. This role is eligible to receive a variable annual bonus based on company, team, and individual performance per bio Merieux's bonus program. This range may differ from ranges offered for similar positions elsewhere in the country given differences in cost of living. Actual compensation within this range is determined based on the successful candidate's experience and will be presented in writing at the time of the offer.In addition, bioMérieux offers a competitive Total Rewards package that may include: A choice of medical (including prescription), dental, and vision plans providing nationwide coverage and telemedicine options Company-Provided Life and Accidental Death Insurance Short and Long-Term Disability Insurance Retirement Plan including a generous non-discretionary employer contribution and employer match. Adoption Assistance Wellness Programs Employee Assistance Program Commuter Benefits Various voluntary benefit offerings Discount programs Parental leaves #LI-US #biojobs Please be aware that recruitment related scams are on the rise. Fraudulent job postings are being placed on other websites, and individuals posing as bioMérieux Talent Acquisition team members are reaching out via email or text message in an attempt to collect your personal and confidential information. In some cases, these scammers are also conducting bogus interviews prior to extending fraudulent offers of employment. Beware of individuals reaching out using general phone numbers and non-bio Merieux email domains (i.e. Hotmail.com, Gmail.com, Yahoo.com, etc.). If you are concerned that an interview experience or offer of employment might be a scam, please make sure you are searching for the posting on our careers site ******************************* or contact us at [email protected]. BioMérieux Inc. and its affiliates are Equal Opportunity/Affirmative Action Employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Please be advised that the receipt of satisfactory responses to reference requests and the provision of satisfactory proof of an applicant's identity and legal authorization to work in the United States are required of all new hires. Any misrepresentation, falsification, or material omission may result in the failure to receive an offer, the retraction of an offer, or if already hired, dismissal. If you are a qualified individual with a disability, you may request a reasonable accommodation in BioMérieux's or its affiliates' application process by contacting us via telephone at **************, by email at [email protected], or by dialing 711 for access to Telecommunications Relay Services (TRS).

Opportunity to lead the Future of Hospice Care Nationwide Are you a visionary physician ready to shape the standard of hospice care across the country? As our National Medical Director, you'll provide clinical leadership and strategic direction for multiple locations, ensuring exceptional patient care and regulatory excellence. This is your opportunity to collaborate with top clinical leaders and executive teams, driving innovation and quality in end-of-life care. Join us and make a profound impact-nationwide. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated. Qualifications An Average Day: (Includes, but not limited to) Supervise all hospice physician employees and contract hospice physicians Act as a medical resource person to the IDT/IDG and attend IDT/IDG conferences Assure overall continuity of the hospice medical services Assure that the patient receives appropriate measures to control uncomfortable symptoms Collaborate with executive leadership to develop and execute the organization's clinical strategy Contribute to the growth and expansion of hospice services by identifying opportunities for new programs or services Collaborate with the IDT/IDG to ensure that the medical needs of the patient are met and provide oversight of the plan of care Certify that the patient meets the medical criteria for hospice admission based upon available diagnostic and prognostic indicators, related diagnosis(es) if any, current subjective and objective medical findings, current medication and treatment orders, information about the medical management of any of the patient's conditions unrelated to the terminal illness Collaborate with the patient's attending physician to develop and update the patient's plan of care, to identify needs not met by the attending physician, and to ensure pain and symptom management and control Re-certify patients, as appropriate, for continuation of Medicare Hospice Benefit at appropriate levels of care Serve as a medical resource to hospice staff, patients, families and attending physicians regarding pain and symptom control management Ensure the provision of direct medical services to patients either directly or through arrangements, as appropriate, in the absence of the patient's attending physician Participate in plan of care development and managing oversight of medications and treatment Document care provided in the patient's clinical record providing evidence of progression of the end-state-disease process Maintain current knowledge of the latest research and trends in hospice care and pain/symptom management Participate in performance improvement programs, as indicated Provide consultation and education to colleagues and attending physicians related to admission criteria for hospice and palliative care Develop and implement clinical protocols, policies, and procedures to ensure the highest standards of care Demonstrate knowledge in communications and counseling of the patient/family in dealing with end-of-life issues Participate in resolution of interpersonal conflict and issues of clinical and ethical concern Participate in the development and updating of patient care policies and emergency procedures Participate in the development of physician identification, contracting, on-boarding Act as a liaison to physicians in the community Other duties as assigned Requirements: Must be Board Certified in a related specialty. Must have expertise in the medical care of terminally ill individuals. Minimum of 5 years of clinical experience, with at least 2 years in a leadership role within hospice or palliative care. Must have and maintain current licensure in good standing. Must be available for travel, sometimes with little to no notice Be flexible with your time, having the ability to work after hours as needed Experience in multi-site clinical leadership and management is strongly preferred. We Got the Perks: (full-time benefits) Bonus Eligible Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more HSA & 401(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Bookmark this Posting Print Preview | Apply for this Job Posting Details The University of Utah, an AA/EO employer, encourages applications from all qualified individuals, and provides reasonable accommodation to the known disabilities of applicants and employees. The University of Utah values candidates who have experience working in settings with students, staff, faculty and patients from all backgrounds and possess a strong commitment to improving access to higher education, employment opportunities, and quality healthcare for historically underrepresented groups. Position Information Position/Rank Liver Transplant Medical Director, University of Utah Health Department 00229 - Gastroenterology City Salt Lake City, UT Track Track Dependent on Qualifications New Position to Begin When filled Details The Division of Gastroenterology, Hepatology and Nutrition at the University of Utah is recruiting a Liver Transplant Medical Director. The Medical Director will collaborate with the surgical directors of Living Liver Donation and Liver Transplantation and Transplant Service Line Director to expand the liver transplant program, promote cutting-edge evidence-based clinical services to achieve high-quality outcomes, and engage with community physicians to ensure regional access for transplant-eligible patients. The Medical Director will have a concentrated focus on the delivery of top-quality patient services, operational excellence, and service growth. The individual chosen will also be involved in all clinical and administrative activities of the Liver Transplant Program as well as academic activities of the Department and Division. Unique features of our program include a strong Comprehensive Multidisciplinary Liver Tumor Program in collaboration with Huntsman Cancer Institute, our affiliated NCI-designated Cancer Center. Our program has a strong focus on Liver Transplant oncology and living donor liver transplant. The individual chosen will demonstrate the ability to thrive within our outstanding multidisciplinary team to provide the best care possible for our patients. Academic track and rank will be commensurate with qualifications. Qualifications Required: * Eligible for unrestricted licensure in the state of Utah * MD with board certification in Hepatology and Transplant hepatology * Advanced expertise in Liver Transplant and living liver donation that meets or exceeds OPTN criteria for Directorship. Preferred: * Broad capabilities in the medical management of Liver Disease. * Proven leader with an integrated approach to care and program growth. * Effective collaborator and communicator with referring providers to expand referral network and provide the best possible care for patients. * Strong orientation towards patient-focused care, quality improvement, and team building. * Proven ability to actively participate in creating an environment that promotes initiative, innovation, and continued learning. * Demonstration of professional competence and ethical standards that allow the Medical Director to serve as a role model. * Engage in the teaching of students, residents, and fellows in the art and science of liver disease management including transplantation. * Promote and support research in hepatology and liver transplantation. * Develop an inclusive and equitable environment in which a diverse group of faculty can thrive. Contact for inquiries: Dr. Ann Flynn, Interim Chief, Division of Gastroenterology, Hepatology, and Nutrition ********************** To apply online submit CV with a letter of interest describing your research and/or teaching background, here: ******************************************** The University of Utah is in beautiful Salt Lake City, which offers an outstanding quality of life in a metropolitan area of 1.5 million residents, nestled in the foothills of the Wasatch Mountains. Utah's great outdoors are nearby, offering world-class skiing, hiking, and mountain biking activities in the spectacular surrounding canyons. The city is vibrant and cosmopolitan, with theater, the arts, sports, and nightlife. The area has received international recognition for its light rail system, downtown, library system, and increasing diversity. Salt Lake City is home to sizable Latinx and immigrant populations (21.5% and 11.5% of residents, respectively). More than a third of Utah's ethnic/racial minorities are children or youth under the age of 18 years, and the Salt Lake City School District is now a majority-minority district, with one in five Salt Lake County residents speaking a language besides English at home. The International Rescue Committee, headquartered in Salt Lake, is one of eight national resettlement committees committed to helping people with refugee status thrive in the United States. Per capita, Salt Lake City has the 11th largest LGBTQ population in the US and, among large US cities, has the highest percentage of same-sex couples (26 percent) raising children. The University of Utah Health (U of U Health) is a patient focused center distinguished by collaboration, excellence, leadership, and respect. The U of U Health values candidates who are committed to fostering and furthering the culture of compassion, collaboration, innovation, accountability, diversity, integrity, quality, and trust that is integral to our mission. EEO/Non-Discrimination Information All qualified individuals are strongly encouraged to apply. Veterans' preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities. The University of Utah is an Affirmative Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both. To request a reasonable accommodation for a disability or if you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity and Affirmative Action (OEO/AA). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at: *************************************** Online reports may be submitted at oeo.utah.edu Notice The University is a participating employer with Utah Retirement Systems ("URS"). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Human Resources at ************** for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS' post-retirement rules and restrictions. Please contact Utah Retirement Systems at ************** or ************** or University Human Resource Management at ************** if you have questions regarding the post-retirement rules. This position may require the successful completion of a criminal background check and/or drug screen and immunizations. ************************************ This report includes statistics about criminal offenses, hate crimes, arrests and referrals for disciplinary action, and Violence Against Women Act offenses. They also provide information about safety and security-related services offered by the University of Utah. A paper copy can be obtained by request at the Department of Public Safety located at 1658 East 500 South. Special Instructions for Candidates Please submit a CV with mm/yyyy format for start/end dates. Open Date 06/11/2024 Close Date Open Until Filled Yes Requisition Number PRN03586F Type Faculty Posting Specific Questions Required fields are indicated with an asterisk (*). * One measure of faculty diversity at the School of Medicine is the proportion of faculty members who come from a rural background. Did you graduate high school from a town with less than 10,000 persons? * Yes * No * How did you hear about this position? - University of Utah web page - Online - University of Utah employee referral - Career Services / Job Fair - Community / Government Agency - Other (Open Ended Question) Applicant Documents Required Documents * Curriculum Vitae Optional Documents * Cover Letter * Teaching Statement * Research Statement

Scope: The Medical Director, Surgical Neurosciences Market serves as a physician leader for the market assigned within Intermountain Health and works collaboratively in partnership with operational, nursing, and clinical leadership. The Medical Director will report to the respective Senior Medical Director of Surgical Neurosciences. Job Profile: The Medical Director is a model clinical leader as evidenced by integrity, passion, and energy; being a champion of Intermountain's mission, vision, and values. This role will have collaborative oversight for the effective implementation of the operating model including quality and clinical care models; professional demeanor and presentations; professional proposals and business plans for this specialty. **Essential Functions** **Leadership** + Lead defined specialty Physicians, APPs, and others in collaborations and implements care models that best meet the patient needs and the fundamentals of extraordinary care. + Ensure that evidence-based clinical care standards, in partnership with the Clinical Programs, are established and effectively implemented within the care site for appropriate caregivers. + Lead implementation of clinical best practices and programmatic improvements as supported by the Clinical Excellence team. + Set a culture of team-based care and develop standards and processes to optimize high- functioning clinical care teams. + Create an environment that maximizes the engagement and professional satisfaction of physicians and APPs. + Build and foster physician and APP alignment across the service line/department. + Participate in physician and clinical caregiver recruitment, retention, and professional development. + Intermountain Operating Model (IOM) and KPIs + Assist in quality improvement focused programmatic development in collaboration for specialty. + Assist in development and implementation of departmental KPIs in alignment with the IOM. + Direct oversight of relevant process improvement with responsibility for leading to achievements of goals. + Partner with physician leaders to ensure seamless coordination of the services and clinical programs across the care continuum. + Created a collaborative partnership with physician leads and medical directors. + Partner in regional and enterprise collaboratives and councils that support the specialty specific programs and initiatives. + Provide care site representation in specialty specific consultation as requested by DTS or other system operational units. + Drive engagement of physicians and advanced practice providers, assures clinical best practices are achieved within the framework of the clinical programs for specialty. + Align practice(s) with operational efficiency and productivity across the department/service line. + Provides leadership, oversight, and support for the development of a culture of high reliability and Just Culture identifying opportunities, building relationships, and executing on strategies to drive the performance and measured improvement of the service line/unit/department. + Work collaboratively with the CMO and ACMO as well as Service Line Executive Lead in coordination of support services including Clinical Programs, Clinical Shared Services, Research, Medical Education, and Clinical Excellence. **Stewardship** + Collaborate with departmental director(s) and other physician leaders to optimize management of cost controls and efficiencies. **Physician Partnership and** **Support:** + Meet regularly with leadership to develop strong relationships with providers and to discuss information that is essential to the successful performance of the unit(s)/department(s). **Skills** + Leadership + Interpersonal Communication + Relationship Building + Strategic Planning + People Management + Continual Improvement Process + Workforce Planning + Health Administration + Medical Staff Training + Health Care **Minimum Qualifications** + MD or DO with ABMS or equivalent AOA Board Certification in a relevant specialty. + Active Medical Licensure + Minimum three years of clinical experience in relevant specialty and experience in leading successful quality improvement projects within the clinical setting. + Effective verbal, written, and interpersonal communications skills. **Preferred Qualifications** **Physical Requirements** + Interact with others requiring employee to verbally communicate as well as hear and understand spoken information. + Operate computers, telephones, office equipment, and manipulate paper requiring the ability to move fingers and hands. + See and read computer monitors and documents. **Location:** Intermountain Health Intermountain Medical Center **Work City:** Murray **Work State:** Utah **Scheduled Weekly Hours:** 4 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $7.25 - $999.99 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.

At Navista, our mission is to empower community oncology practices to deliver patient-centered cancer care. Navista, a Cardinal Health company, is an oncology practice alliance co-created with oncologists and practice leaders that offers advanced support services and technology to help practices remain independent and thrive. True to our name, our experienced team is passionate about helping oncology practices navigate the future. The Chief Medical Officer, Navista serves as the clinical leader for Navista's oncology solutions platform, providing strategic, clinical, and operational oversight to ensure high-quality, evidence-based cancer care delivery across participating practices and health system partners. This role guides clinical strategy, supports the development and adoption of clinical pathways, collaborates with technology and product teams, and acts as a trusted clinical voice for customers and internal stakeholders. The Chief Medical Officer will help advance value-based oncology care, drive utilization of Navista's tools, support business development, and represent the medical perspective in product innovation and practice engagement. This position reports to SVP/GM of Navista. **Responsibilities** **Clinical Leadership, Governance, & Strategy** + Provide medical leadership for Navista's oncology services across the alliance with a focus on supporting emerging therapies and care advancements. + Guide the creation, maintenance, and governance of evidence-based clinical pathways and quality standards. + Oversee quality assurance programs and partner on the P&T committee to support pharmacy operations. + Collaborate with practice leadership to monitor provider performance, define clinical priorities, and develop long-term strategic plans to support the practice of the future. + Monitor emerging research, guidelines, regulations, and value-based care models to ensure Navista offerings remain clinically current and competitive. + Serve as Navista's clinical liaison to the payer team, providing expertise in value-based care and guiding clinical considerations during negotiations + Serve as Navista's clinical liaison to the RCM team, providing expertise in guiding clinical standards and workflows **Physician Engagement & Collaboration** + Act as liaison between Navista and alliance physicians, fostering strong relationships and ensuring alignment on clinical priorities and future strategies. + Facilitate communication across multidisciplinary care teams, including nursing, pharmacy, radiation services, and supportive care teams. + Participate in physician recruitment, onboarding, and retention strategies. **Technology Solutions Collaboration** + Serve as the clinical voice for technology solutions, informing requirements, workflows, user experience, and technology integrations. + Collaborate with analytics teams to validate clinical logic, measure outcomes, and improve performance across practices. + Evaluate opportunities for clinical AI, predictive analytics, care management, and advanced clinical decision-support capabilities. **Program Development & Support** + Lead strategic clinical initiatives to enhance oncology service lines and support deployment of new clinical programs. + Act as a trusted advisor to oncology practices, health systems, and payer partners to implement care pathways, utilization management strategies, and value-based care programs. + Provide clinical insights to the operations team with a focus on continuous operational improvement + Lead clinical discussions during practice integrations, optimizations, and performance reviews. + Provide clinical education on pathways, value-based care, and the use of Navista tools to improve outcomes and reduce variation. **Business Development Support** + Provide support in business development efforts through meeting with potential alliance partners to share our clinical and clinical business based priorities. + Be viewed as an industry thought leader by presenting at national events to demonstrate our relevance in the field of oncology care. + Proactive outreach to practice connections in community oncology. **Quality, Safety, & Performance Improvement** + Ensure compliance with all regulatory, accreditation, and clinical quality standards. + Develop metrics and dashboards to monitor pathway adherence, quality outcomes, and practice performance. + Partner with practices to identify opportunities to improve care quality, operational efficiency, and outcomes under value-based reimbursement models. + Support development of clinical research programs and real-world evidence initiatives leveraging Navista data. + Stay current with oncology advancements and emerging therapies to inform Navista strategy. **External Representation** + Represent Navista at professional meetings, stakeholder forums, advisory committees, and industry events. + Build relationships with key oncology leaders, societies, and innovators. + Contribute to publications, white papers, and thought leadership on oncology care transformation. **Qualifications** + MD or DO with board certification in Medical Oncology or Hematology/Oncology required + Minimum 10+ years of clinical oncology experience preferred + Demonstrated expertise in evidence-based oncology practice, care pathways, and/or value-based care models + Strong communication skills with experience engaging both clinicians and non-clinical stakeholders + Ability to interpret clinical data and partner effectively with analytics and technology teams + Experience in clinical leadership roles at provider organizations, payer organizations, or healthcare technology companies + Familiarity with clinical informatics, EHR workflows, or decision-support systems + Experience with OCM, EOM, or other value-based oncology payment models + Prior involvement in guideline or pathway development + Understanding of healthcare economics and quality improvement methodologies **Anticipated salary range** : $176,400 - $330,865 **Bonus eligible** : Yes **Benefits** : Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close** : 2/2/2026 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide: + Award-winning culture + Inclusion and diversity as a priority + Performance Based Incentive Plans + Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid time to volunteer!) + Up to 9.5% 401(k) employer contribution + Mental health support + Career advancement opportunities + Student loan repayment options + Tuition reimbursement + Flexible work environments **_*All the benefits listed above are subject to the terms of their individual Plans_** **.** And that's just the beginning... With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today! **General Summary:** This position is responsible for providing expert medical analysis of claims files (or underwriting applications) across Unum US product lines. The incumbent provides high quality, timely, and efficient medical consultative services to the Benefits Center. The Medical Consultant adheres to current regulatory, claim process, and internal workflow standards as set forth in the Benefits Center Claims Manual, underwriting manual, and associated documentation. The incumbent adheres to accepted norms of medical practices and Code of Conduct guidelines. Physicians and psychologists conduct their reviews and analyses within appropriate ethical standards and maintain their professional licenses and Board certifications. This role is expected to provide excellent customer service and to interact on a regular basis with business partners, health care providers, and other specialized resources. **Principal Duties and Responsibilities** + Provide timely, clear medical direction and opinions to team partners, with reasoned forensic analysis to support the medical opinions + Partner/consult with fellow medical consultants when appropriate to ensure the completion of a whole person analysis + Apply medical knowledge to determine functional capacity through assessment of medical and other data related to impairment, regarding accuracy of diagnoses, treatment plans, duration guidelines, and prognosis + Provide relevant medical education and knowledge to others in terms appropriate and understandable to the intended audience + Perform telephone contacts with the insured's healthcare providers to gather medical information and to facilitate a better understanding of the claimant's functional abilities + Make timely and appropriate referrals for second opinion reviews when appropriate or required according to current guidelines and best practices + Demonstrate ability to manage and complete high volumes of assigned work, maintain consistently good turnaround times, and operate with a sense of urgency + Focus not only on individual workload, but on the team/group work volumes to ensure organizational success + Receive feedback and follow through with appropriate behaviors/actions + Perform other duties as assigned **Job Specifications** + Professional Degree (MD, DO, PhD, PsyD) + Active, unrestricted US medical license + Board certification required for physicians in their area of specialty + Minimum of five years of clinical experience in medical specialty + Strong team and collaborative skills. Ability to work in a fast paced, team based, corporate environment + Ability to mentor others and to give and receive constructive, behaviorally based feedback with peers and partners \#IN1 \#LI-RA1 Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide. Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status. The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience. $133,500.00-$274,100.00 Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans. Company: Unum

Description & Requirements This federally funded initiative delivers medical readiness services - including physical exams, screenings, dental care, and preventative health - to military personnel in remote or underserved areas. Services are provided through a network of providers and mobile teams, ensuring consistent access to care and compliance with Department of Defense readiness standards. The Regional Medical Officer (RMO) Region 4 (Pacific) serves as the senior clinical leader overseeing medical readiness operations across the U.S. Pacific region that includes remote mainland locations and U.S. territories in the Pacific. This role supports a federally funded medical readiness initiative delivering physical exams, screenings, dental services, and preventative care to military personnel, including those in urban centers, remote locations, and underserved communities. Region 4 (Pacific) Coverage: WA, OR, CA, NV, ID, MT, UT, AZ, NM, AK, HI, Guam, American Samoa, Northern Mariana Islands ***Please note that this position is contingent upon bid award*** Essential Duties and Responsibilities: - Serve as the regional clinical lead, overseeing medical readiness operations within assigned geographic area. - Coordinate and monitor delivery of services (physical exams, immunizations, dental screenings) to meet DoD readiness requirements. - Ensure compliance with federal regulations, HIPAA, and program protocols. - Collaborate with chief medical officer, clinicians, mobile teams, subcontractors, and scheduling units to optimize service delivery. - Provide clinical oversight, review documentation, and address escalated medical concerns. - Support credentialing, audits, quality assurance reviews, and reporting requirements for federal stakeholders. - Act as a liaison between program leadership and regional providers to maintain operational efficiency and quality of care. Minimum Requirements - Doctor of Medicine (MD) or Doctor of Osteopathy (DO) from an accredited institution. - Active, unrestricted medical license in the U.S. - 5+ years of clinical experience, preferably in occupational health, preventive medicine, or military readiness programs. Additional Minimum Requirements: - Ability to travel frequently within the assigned region, including weekend overnight stays, to support mobile or remote readiness events. - Experience supporting DoD or federal healthcare programs. - Familiarity with medical readiness requirements and electronic health record systems. (Preferred) - Leadership experience managing dispersed clinical teams. (Preferred) - Specialty in Primary Care, Occupational Medicine, Pediatrics, or Preventative Medicine. (Preferred) Region 4 (Pacific) Coverage: WA, OR, CA, NV, ID, MT, UT, AZ, NM, AK, HI, Guam, American Samoa, Northern Mariana Islands #LI-AM1 #maxcorp #HotJobs1230LI #HotJobs1230FB #HotJobs1230X #HotJobs1230TH #TrendingJobs #c0rejobs #HotJobs0106LI #HotJobs0106FB #HotJobs0106X #HotJobs0106TH #HotJobs0113LI #HotJobs0113FB #HotJobs0113X #HotJobs0113TH EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 199,920.00 Maximum Salary $ 270,480.00

**Become a part of our caring community and help us put health first** The Director Denials Management provides leadership for the audit, appeal and review process to preserve and recover revenue while maintaining the highest level of clinical and regulatory integrity and compliance. Manages the Denials Management data analytics, denial and appeal process. The Director, Home Health Grievances & Appeals assists members, via phone or face to face, further/support quality related goals. Investigates and resolves member and practitioner issues. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy. **Responsibilities:** + Oversee the process for direction and support to clinical and operational leadership regarding Medicare and governmental audit trends, denials, and any CMS initiative and/or demonstration projects. + Collaborates with leadership team in the development of an education plan to improve processes to preserve and recover revenue. + Analyzes region-wide outcome indicators to measure achievement of quantitative and qualitative standards. Assists in the development, implementation and analysis of internal and external benchmarking programs to measure the region's effectiveness in improving performance + Maintains region-wide Performance Improvement program which includes Customer Satisfaction, complaints, infection monitoring, Incident Reporting, and quarterly branch PI activity + Provides feedback and recommendations for changes to policies and processes, procedures and systems to enhance measures taken to improve performance + Communicate with Corporate leadership, Regional and Divisional leaders as appropriate to resolve issues that may place patients or the company at risk + Oversee educational in-services based on analysis of PI data and activities Acts as a resource for the Operations Support team and communicates Performance Improvement results + Participate in special projects and performs other duties as assigned. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree in Nursing or related field + 10-15 years progressively responsible experience in home health or hospice industry that includes performance improvement and outcomes measurement + 5 years' experience in a supervisory or teaching role + Thorough knowledge of health care policy, industry and related clinical practice + Knowledge in the interpretation and application of regulations and performance improvement standards + Strong Project management principles and clinical policy development/implementation required + Expert knowledge of all Medicare regulations and appeals processes + Excellent analytical skills with ability to interpret and apply regulatory requirements + Excellent verbal/written communication and presentation skills + Advanced knowledge with Payer requirements, ADR requests, Denials, Appeals, RAC/ZPIC and CERT responses + Must be able to work well independently and in a team environment + Excellent communication and organization skills + Strong attention to detail + Healthcare industry experience preferred + Must read, write and speak fluent English + Must have good and regular attendance + Approximate percent of time required to travel: 30% + Performs other related duties as assigned **Preferred Qualifications** + Master's Degree preferred + Licenses/Certification: RN, PT or OT preferred + More than 3 years of grievance and appeals experience + Strong knowledge in Microsoft Access or experience with SQL Server databases + Previous experience processing medical claims + Bilingual (English and Spanish); with the ability to read, write, and speak English and Spanish **Additional Information** **SSN Alert Statement** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. **WAH Internet Statement** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-30-2026 **About us** About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: 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 home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. 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Job DescriptionBenefits: PTO and other great benefits Continuous clinical and business training Company-paid CEUs Company-paid MalPractice Insurance Lead Doctor of Chiropractic/Clinic Director Are you passionate about Chiropractic care? Do you love helping people feel their best? If you answered YES and Chiropractic is your calling, not just a job, youre our kind of Chiropractor! We are seeking a Lead D.C./Clinic Director to become an integral part of our team! New state-of-the-art clinic looking for the right doctor who wants to lead the clinic towards success. This position includes an opportunity to become a partner in our clinic! At HealthSource Chiropractic, we deliver the highest-quality chiropractic care, rehab, and wellness services. We personalize every patients treatment plan to meet their unique needs. HealthSource experts are backed by the largest chiropractic system in the nation. Schedule: Monday to Friday Some Weekends You will LOVE working with us if you can: Passionately share Healthsource' Beliefs and Values Be self-driven in nature Be not only passionate about living a healthy way of life but live one themselves Be passionate about learning and receptive to teaching Connect with others with great communication skills Be passionate about educating others Possess a desire to be part of a team and be willing and able to work with a team of people Provide fun, creative, and energetic patient care Possess exceptional manual skills Responsibilities: Consult with patients by reviewing health and medical histories; questioning, observing, and examining patients. Evaluate patients neuromusculoskeletal systems and the spine using chiropractic diagnosis to determine neuromusculoskeletal and spine-related conditions. Perform manual adjustments to the spine, or other articulations of the body, in order to correct the musculoskeletal system, where necessary. Educate patients on the quality of life benefits of routine chiropractic care. Provide a recommended course of treatment. Coordinate, track, and report key metrics/measurements related to patient management Maintain accurate case histories of patients. Obtain and record patients' medical histories, as indicated. Take diagnostic x-rays, when medically necessary. Analyze X-rays in order to locate the sources of patients' difficulties and to rule out fractures or diseases as sources of problems. Building positive doctor-patient relationships Maintaining accurate and timely patient records Sales of wellness membership packages Participate in community outreach and marketing initiatives Participate/lead weekly training for staff Strong attention to detail with demonstrated process management skills. Ability to work independently and with some late evenings and weekend hours as necessary. Qualifications Required: A doctor of chiropractic degree from an accredited chiropractic college Valid Utah DC license Fully eligible for Malpractice Insurance in Utah Minimum 2 years of experience required. Have a teachable attitude and demeanor. Excellent written and verbal communication skills in English. You are applying to work with a franchisee of HealthSource Chiropractic. If hired, the franchisee will be your only employer. Franchisees are independent business owners who set their own terms of employment, including wage and benefit programs.