262 Healthcare jobs in Draper

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary/Mission

The role of Medical Director - Clinical Support is an exciting opportunity for a physician to use their clinical background, skills, and experience to help improve the health and well-being of our members at the individual and population health levels. The Medical Director provides clinical leadership and support to our portfolio of clinical products and programs as well as sales and account management. Duties include support for - case management, clinical content research & development, chronic condition management, lifestyle and well-being programs, clinical support of prospects and existing clients, educational support to clinical staff, account & sales teams, and other clinically-related services as assigned.

Fundamental Components & Physical Requirements

• Collaborate with internal and external stakeholders to optimize member care and outcomes.

• Support clinical operations' delivery of population health interventions - including and not limited to reviewing care plans, conducting case reviews, providing clinical guidance.

• Identify areas for improvement and support initiatives to address gaps and optimize processes.

• Communicate effectively presenting clinical insights, strategies, and performance reports.

• Support research initiatives aimed at evaluating solution outcomes.

• Collaborate with the sales and business development teams to support client acquisition and retention efforts.

• Ensure provision of clinical expertise and insights during client meetings, presentations, and negotiations.

• Develop clinical content for sales collateral, proposals, and client communications to showcase the value of our population health solutions.

• Participate in client onboarding processes, ensuring smooth transitions and alignment of clinical services with client needs and goals.

• Act as a medical advisor and liaison for key client accounts, addressing clinical inquiries, concerns, and escalations.

• Represent the company in medical conferences, seminars, and industry events.

• Stay updated with the latest clinical research, trends, and technologies relevant to population health management.

• Support innovation by identifying opportunities for new programs, services, or partnerships that enhance member care and outcomes.

Required Qualifications

Minimum of 3 years of clinical experience in health care delivery (clinical practice)

Experience in managed care, care management, utilization management, quality management, or population health

MD or DO degree, Board Certification in a ABMS or AOA recognized specialty including post-graduate patient care training

Preferred Qualifications

Comprehensive knowledge of Microsoft Office Suite

Electronic Medical System experience (Epic will be most useful)

Strong organizational skills

Ability to set and achieve goals

Ability to multi-task effectively and efficiently

Strong oral, presentation, and written skills

Strong interpersonal skills

Ability to work independently and adapt to team approach as necessary

Strong ability to work in and affect change in a highly matrixed environment

Additional training or experience in Health IT and analytics

Education

MD or DO degree, Board Certification in a ABMS or AOA recognized specialty including post-graduate patient care training

Active and current state medical license (any state)

Ability to get additional state medical licenses as required for the business

Clinical Licensure Required

Current, unrestricted U.S. medical license

Board Certified MD

May be required to get additional state licenses

Location

• Work From Home - Mid-Atlantic or Southeast preferred (will consider any state) Work from Home - Ability to work East Coast hours.

• Travel: 20 %

Pay Range

The typical pay range for this role is:

$174,070.00 - $374,920.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit

We anticipate the application window for this opening will close on: 10/01/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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: 08-10-2025

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

Licensed Pharmacy Technician works under the supervision of a pharmacist and is responsible for assuring the pharmacy operations are compliant, efficient and meet the needs of our customers. This position will also serve as the primary point of contact with referral sources, physician's offices and patients/caregivers.

Responsibilities include:

• Process new referrals completely and accurately.
• Must be organized and be able to work with pharmacist to create and assure an efficient workflow and orders are timely and profitable.
• Communicate effectively and professionally with referral sources and patients.
• Verify all patient demographics including shipping address, pharmacy insurance coverage, allergy and medical conditions as necessary.
• Contact patients prior to their next order due date and process all patients' prescriptions; ensure prescriptions needed are current with refills and any authorizations necessary; verify ongoing pharmacy benefits for each customer; must insure accuracy of delivery address for customer every month/responsible for information patient of co-pay and attempt of collection prior to shipping order.
• Keep customer database current and accurate with order information, communications and activities as to be documents in patient notes.
• Identify and refer any clinical issues to the pharmacist for consultation.
• Must possess excellent communication skills with the ability to practice proper phone etiquette.
• Call Center Technicians: Ability to answer hi-volume in-bound calls via an automated phone system.
• Ability to make outbound calls to patients and referrals as necessary. Respond quickly and professionally to customer telephone questions and concerns. Work closely with all departments within the organization as necessary to ensure efficient processing and delivery of customers' orders. Must be able to accurately fill patient prescription orders if asked by the pharmacist. Assist pharmacist with ordering and inventory as needed. Assist pharmacist with other duties requested for the normal everyday operation of the pharmacy which are granted to a pharmacy technician under existing state law. Must possess working knowledge of Microsoft Office.

Qualifications:

• High school diploma or equivalent; Experience in Third Party Claims processing; Knowledge in pharmacy operations and products utilized by our pharmacy; Knowledge in pharmacy regulations and documentation; Knowledge in pharmacy compliance issues; Knowledge in prescription authorization processes. Utah Pharmacy technician license active and in good standing.
• Ability to speak clearly and concisely via phone and in person. Ability to work as a member of a multidisciplinary team. Ability to communicate professionally with staff at all levels. Ability to explain issues professional and solve order problems when possible for staffs and customers. Ability to accommodate pharmacists' preferences and duties at all times.

Owens & Minor is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.

At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with facilities across the US and teammates in over 90 countries, we provide integrated technologies, products, and services across the full continuum of care. Our mission is to empower our customers to advance healthcare, and our success starts with our teammates.

Owens & Minor teammate benefits include:

• Medical, dental, and vision insurance, available on first working day
• 401(k), eligibility after one year of service
• Employee stock purchase plan
• Tuition reimbursement

The anticipated hourly range for this position is $24-$27 an hour. The actual compensation offered may vary based on job related factors such as experience, skills, education, and location.

Licensed Pharmacy Technician works under the supervision of a pharmacist and is responsible for assuring the pharmacy operations are compliant, efficient, and meet the needs of our customers. This position will also serve as the primary point of contact with referral sources, physician's offices, and patients/caregivers.

Responsibilities:

• Process new referrals completely and accurately.
• Must be organized and be able to work with pharmacist to create and assure an efficient workflow and orders are timely and profitable.
• Communicate effectively and professionally with referral sources and patients.
• Verify all patient demographics including shipping address, pharmacy insurance coverage, allergy, and medical conditions as necessary.
• Contact patients prior to their next order due date and process all patients' prescriptions; ensure prescriptions needed are current with refills and any authorizations necessary; verify ongoing pharmacy benefits for each customer; must insure accuracy of delivery address for customer every month/responsible for information patient of co-pay and attempt of collection prior to shipping order.
• Keep customer database current and accurate with order information, communications, and activities as to be documented in patient notes.
• Identify and refer any clinical issues to the pharmacist for consultation.
• Must possess excellent communication skills with the ability to practice proper phone etiquette.
• Call Center Technicians: Ability to answer hi-volume in-bound calls via an automated phone system. Ability to make outbound calls to patients and referrals as necessary. Respond quickly and professionally to customer telephone questions and concerns. Work closely with all departments within the organization as necessary to ensure efficient processing and delivery of customers' orders. Must be able to accurately fill patient prescription orders if asked by the pharmacist. Assist pharmacist with ordering and inventory as needed. Assist pharmacist with other duties requested for the normal everyday operation of the pharmacy which are granted to a pharmacy technician under existing state law. Must possess working knowledge of Microsoft Office.

Qualifications:

• High school diploma or equivalent; Experience in Third Party Claims processing; Knowledge in pharmacy operations and products utilized by our pharmacy; Knowledge in pharmacy regulations and documentation; Knowledge in pharmacy compliance issues; Knowledge in prescription authorization processes.
• Utah Pharmacy technician license active and in good standing.
• Ability to speak clearly and concisely via phone and in person. Ability to work as a member of a multidisciplinary team. Ability to communicate professionally with staff at all levels. Ability to explain issues professional and solve order problems when possible for staffs and customers. Ability to accommodate pharmacists' preferences and duties at all times.

If you feel this opportunity could be the next step in your career, we encourage you to apply. This position will accept applications on an ongoing basis. Owens & Minor is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state, or local law.

Big-D is looking for a dynamic Sr. PM with healthcare experience. This is a great opportunity to start a career with a company that is on a mission to be the most sought-after company in the business. We seek and employ exceptional, hard-working, lifetime learners; we give them the tools to succeed when we find them. We have a culture of growth and achievement powered by innovation, supported by purpose and joy.

Big-D Construction, is looking for a Sr. PM - Healthcare to join our team based in Salt Lake City, UT.

Experience/Training:

• Bachelor's degree in construction management or other related field
• Ground-up healthcare projects is required
• 8+ years of related experience working on ground-up $25M commercial construction projects; or equivalent combination of education and experience

• Proficient in Procore, Suretrak, Bluebeam, MS Office
• Excellent computer skills
• Outstanding, Decisive Leadership
• Ability to coach, mentor and teach team members
• Strong Organizational and Communication Skills (verbal and written)
• High ethical standards
• Exhibits strong "can do" attitude
• Problem solver
• Able to provide technical and procedural construction direction to teams
• Good time management skills
• Excellent attention to detail
• Work well in a team environment

• Able to perform all job duties of Project Manager
• Oversees and provides input regarding all issues that require risk management
• Develops solutions to ensure issues never become problems
• Develops contingency plans to mitigate potential risks to projects
• Studies bids and construction plans carefully, looking for potential issues before we start project
• Attend at least one business development function a quarter
• Recruit high caliber personnel from outside sources to work at Big-D
• Teaches other team members to identify, document and plan to avoid risks
• Build strong win-win relationships with other departments within Big-D, including accounting, marketing, business development, field managers
• Leads their teams in such a way to maximize the contributions of each team member
• Recognize the skills of project personnel, nominating worthy individuals for Big-D awards and advancement
• Reviews (and fully understands) prime contract with Project Director and provides red line changes
• Provide detailed contractual interpretations to team regarding prime contracts and subcontract agreements
• Minimum of 10 years of experience managing projects in various construction delivery methods to include Design Build, Construction Manager/General Contractor (CMGC) and Hard bid formats
• Works with Project Director and Vice President of Field Operations to select team members best suited for project
• Make recommendations in project delivery method and contract award designation process
• Supervise and provide input on methods to manage Owner furnished material or work

• Takes initiative and is involved during the proposal phase including, but not limited to writing project management plans, creating proposal schedules, reviewing proposals
• Manages the job closeout process from day one of project. This includes but is not limited by the following: ensure financial obligations to subcontractors are settled within 30 days of substantial, and that the final payment is received within 60 days.
• Delegates and manages the compilation of operations & maintenance (O&M) manuals and submits them in accordance with contract documents.

• 100% Medical & Dental premiums paid for you and your family
• Health Savings Account (HSA) with Employer Contribution
• PTO & Paid Holidays
• 401k with match
• Life Insurance & Disability paid for
• Supplemental Benefits available
• Vehicle Allowance, Phone, and computer

If you're passionate about building a better future for individuals, communities, and our country-and you're committed to working hard to play your part in building that future-consider WGU as the next step in your career. Driven by a mission to expand access to higher education through online, competency-based degree programs, WGU is also committed to being a great place to work for a diverse workforce of student-focused professionals. The university has pioneered a new way to learn in the 21st century, one that has received praise from academic, industry, government, and media leaders. Whatever your role, working for WGU gives you a part to play in helping students graduate, creating a better tomorrow for themselves and their families. The salary range for this position takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At WGU, it is not typical for an individual to be hired at or near the top of the range for their position, and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is: Grade: Management_Executive 610 Pay Range: $122,100.00 - $19,800.00

Job Description Essential Functions and Responsibilities:

* PandL ownership experience with managing over INSERT+ PandL with focus on achieving WGU contribution margins and net new student growth

* Program management and program marketing experience in launching new and revised programs into the education market and operating programs using data and insights; data-driven portfolio management experience

* Drive a culture of continuous experimentation, measurement, and learning from data to rapidly improve the quality and delivery to students

* Strong people leader to directly or indirectly lead a diverse team of INSERT+ people including program managers, instructional faculty, and student coaches/mentors

* Influences Others and Communicates Effectively: Communicates to improve and promote teamwork, decision making, and problem solving. Listens and responds effectively to the reactions and positions of others and encourages the expression of diverse ideas and opinions. Adjusts message and style to fit the audience. Provides timely and helpful feedback. Communicates appropriately to win support with all audiences.

* Collaborates: Works cooperatively with others across the organization to achieve shared objectives. Represents own interests while being fair to others and their areas. Partners with others to get work done. Credits others for their contributions and accomplishments. Gains buy-in, trust and support of others.

* Manages Ambiguity: Deals comfortably with the uncertainty of change. Effectively handles risk. Can decide to act without the total picture. Is calm and productive, even when things are up in the air. Deals constructively with problems that do not have clear solutions or outcomes.

* Drives for Results: Has a strong outcomes-based orientation. Persists in accomplishing objectives despite obstacles and setbacks. Has a track record of successfully achieving goals. Pushes self and helps others achieve results. Has a continuous improvement mindset.

* Builds Effective Teams: Forms teams with appropriate and diverse mixes of styles, perspectives, and experience. Establishes common objectives and a shared mindset. Creates a feeling of belonging and strong team morale. Shares wins.

Western Governors University is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation or any other classification protected by federal, state or local law.