- CVS Health (Salt Lake City, UT)
- …it all with heart, each and every day. **Position Summary** In this position, the senior Claim Benefit Specialist (OPS) reviews, researches and ... processing guidelines. May be required to learn multiple Medicaid plans. Medical claims processing experience is a basic requirement. * Works to research and… more
- Fujifilm (Salt Lake City, UT)
- **Position Overview** The accomplished Senior Corporate Compliance Specialist will support FUJIFILM's Corporate Compliance Program's operations to ensure high ... regulations (including Anti-Kickback Statute, Foreign Corrupt Practices Act (FCPA), False Claims Statute, and OIG's guidance of an effective compliance program) as… more
- Molina Healthcare (West Valley City, UT)
- …timely validation and maintenance of critical provider information on all claims and provider databases. This multifaceted role supports both operational efficiency ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- CVS Health (Salt Lake City, UT)
- …- Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists. - Makes outbound calls to obtain required information ... handle customer service inquiries and problems. Additional Responsibilities - Reviews pre-specified claims or claims that exceed specialist adjudication… more
- Waystar (Lehi, UT)
- …evolution of Waystar's data ecosystem. This role is ideal for a senior engineer with specialist -level depth in data modeling, performance engineering, ... Healthcare Revenue Cycle Management (RCM) technology company, is seeking an expert-level Specialist Data Engineer to join our Data Architecture team. In this… more
- Waystar (Lehi, UT)
- …Healthcare Revenue Cycle Management (RCM) technology company, is seeking a seasoned Senior Data Engineer to support and evolve our Data Licensing product team. ... measurable business value and directly improve customer outcomes (eg, better claim processing insights, faster payment reconciliation). + Establish KPIs to track… more
- UIC Government Services and the Bowhead Family of Companies (Hill AFB, UT)
- **Overview** CYBER SECURITY SPECIALIST (WSSA): Bowhead seeks a Cyber Security Specialsit to join our team at Hill AFB, UT to support the A-10 Weapon System Support, ... perform strong verbal and written communication skills, and work alongside senior level officials. **Qualifications** * Bachelor's Degree in relevant field is… more
- Highmark Health (Salt Lake City, UT)
- …months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health InsurancePlans (AHIP) **Language ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more
- United Therapeutics (Salt Lake City, UT)
- …first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter ... you drive a culture of compliance with confidence and enthusiasm. The Senior Corporate Compliance Manager - Training, Communications and Policy will be responsible… more
- Highmark Health (Salt Lake City, UT)
- …twelve months in either Life Office Management Association (LOMA) Certified Employee Benefit Specialist (CEBS), or America's Health Insurance Plans (AHIP) ... structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The...type of industry, characteristics of employee groups, or past claim experience to determine what benefits can… more