- Molina Healthcare (Provo, UT)
- …Provides support for CA Medi-Cal and Marketplace benefits and services including reviewing and resolving member appeals and complaints, then communicating resolution ... to members or authorized representatives in accordance with the standards and requirements established by the CA Department of Managed Health Care (DMHC) and CA Department of Health Care Services (DHCS) **Essential Job Duties** * Facilitates comprehensive… more
- Molina Healthcare (Provo, UT)
- …Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with ... For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high speed required Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team will work on… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** The Lead Analyst, Reimbursement is responsible for administering complex provider reimbursement methodologies timely and accurately. Supports existing ... lines of business and expansion into new states. The Lead Analyst, Reimbursement will be primarily responsible for implementation, maintenance, and support of provider reimbursement for all provider types, including hospitals and facilities priced through PPS… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** We are seeking an experienced and forward-thinking Senior AI Security Architect to join our newly formed AI Security Architecture team. In this ... critical role, you will be responsible for designing and implementing the security framework for our cutting-edge artificial intelligence and machine learning systems. You will be the subject matter expert for securing AI/ML workloads operating within our… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** Molina Healthcare's Medicare Compliance team supports Medicare operations for the Molina Medicare product lines. It is a centralized corporate ... function supporting compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Compliance Analyst position is primarily responsible for Medicare Oversight. + Provide regulatory expertise to the Organization: both State and Federal + Have working knowledge of… more
- Molina Healthcare (Provo, UT)
- …Job SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution, ... evaluation and support, and ensuring compliance with regulatory and internal standards, practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties*… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** The Director of Cyber Recovery will oversee and manage Disaster Recovery related to the Information Technology (IT) organization's technology services ... to all customers working closely with the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities supporting the overall Business Continuity Management process,… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for ... primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records. **Job Duties** + Provides telephone, administrative and data entry support for the… more
- Molina Healthcare (Provo, UT)
- …Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine ... overpayment accuracy and provider compliance. Collaborates with health plans and vendors to facilitate recovery of outstanding overpayments. Monitors and controls backlog and workflow of claims and ensures that claims are settled in a timely fashion and in… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** Molina's Quality Improvement Abstraction team functions to conduct data collection and abstraction of medical records for HEDIS projects, HEDIS like ... projects and supplemental data collection. The abstraction team will meet chart abstraction productivity standards as well as minimum over read standards. **Job Duties** + Coordinates the HEDIS medical record review which includes ongoing review of records… more
- Nightingale College (Provo, UT)
- …The Assistant Professor for Nursing Education facilitates on-ground education instruction by incorporating innovative teaching methodologies, cutting-edge ... Must be willing to travel up to 100% of the time to various locations within the US during the clinical rotations. This is not a state specific travel position; assignments can be located in any of the Nightingale SOFE areas. Please see link below for the list… more
- Intermountain Health (Provo, UT)
- …A Medical assistant has accountability for providing care to patients in an ambulatory clinic setting. This will involve caring for patients with acute and chronic ... needs. A Medical Assistant will be responsible for communicating clearly with patients seeking care through different modalities including telephone and in-person interactions. **Shift Details** : Full-Time (40 hrs/wk - Tuesday to Friday 4 10 hour shifts with… more
- Acosta Group (Provo, UT)
- …**Overview:** The Associate is responsible for completing in-store food and non-food demonstrations. Acquires and maintains knowledge of products represented. ... Prepares, serves, and breaks down product, equipment, and supplies. Intercepts consumers and demonstrates products in a professional manner. Maintains an overall professional appearance consistent with the requirements of the job. Pay rate is $15/hour.… more
- H&R Block (Provo, UT)
- …Medical Coverage, 401k Retirement Savings Plan and Employee Stock Purchase Plan. + Check out all available benefits at www.blockbenefits.com ... Our Company At H&R Block, we believe in the power of people helping people. Our defining Purpose is to provide help and inspire confidence in our clients, associates, and communities everywhere. We also believe in a high performing, connected culture, where… more
- CDM Smith (Provo, UT)
- …We are seeking experienced Construction Managers to independently oversee, manage, and coordinate medium to high complexity Federal construction projects from ... planning through final delivery. Projects may include both vertical (buildings, facilities, utilities) and horizontal (civil, infrastructure, airfields, roadways) construction with agencies such as USACE, AFCEC, and NAVFAC. This position is a pipeline… more
- EquipmentShare (Provo, UT)
- …+ Territory management of a geographical area. Responsible for the full sales strategy execution from market analysis, sales forecasting, pipeline management and ... Future Territory Account Manager Opportunity with EquipmentShare! EquipmentShare is accepting applications for future Territory Account Manager openings in the Provo, UT area. At EquipmentShare, we're always looking ahead - and that means continuously building… more
- Intermountain Health (Provo, UT)
- …**Family Medicine APP (Family Medicine)** **Full-time, Utah Valley Clinic** **Provo, UT** Intermountain Health is an integrated, not-for-profit health system with ... hospitals and clinics throughout the Intermountain West. Based in Salt Lake City, Intermountain boasts a medical group, affiliate networks, homecare, telehealth, health insurance plans, and other services, along with wholly owned subsidiaries including… more
- Intermountain Health (Provo, UT)
- …Job Description Summary Join our dynamic team as an RN Liaison and play a vital role in bridging the gap between hospital care and healing at home. As a key member of ... Intermountain Home Services, you'll work directly within healthcare facilities to support seamless patient transitions to home-based care. This position is ideal for a compassionate, detail-oriented RN who thrives in a collaborative environment and is… more
- H&R Block (Provo, UT)
- …Medical Coverage, 401k Retirement Savings Plan and Employee Stock Purchase Plan. + Click here to check out all available benefits. (http://www.blockbenefits.com/) The ... Community You Will Join: At H&R Block we remain committed to building a Connected Culture - one in which trust, care, and connections are how we work together as we continue to create an environment where everyone feels safe to bring their authentic self to… more
- Intermountain Health (Provo, UT)
- …The Medical Technologist/Medical Laboratory Scientist performs a variety of laboratory tests of varying complexity to be utilized in the diagnosis and treatment of ... disease. Caregivers in this role will gain valuable experience and knowledge to help prepare them for workplace and career advancement. The Registered Med Tech/MLS performs testing in various departments of the clinical lab such as: Hematology, Chemistry,… more
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