- Sedgwick (Salt Lake City, UT)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Senior Life Science Claims Specialist (REMOTE US) **PRIMARY PURPOSE** ... advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall.… more
- CVS Health (Salt Lake City, UT)
- …handle customer service inquiries and problems. **Additional Responsibilities** - Reviews pre-specified claims or claims that exceed specialist adjudication ... day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject… 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 (Layton, UT)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… 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
- 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. ... + Experience working with healthcare data and understanding RCM processes ( claims , billing, payments). + Familiarity with data orchestration tools (eg, Airflow,… 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)
- …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...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… 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...employee groups, or past claim experience to determine what benefits can be offered and to set the rates.… more