- Molina Healthcare (Layton, UT)
- **Job Description** **Job Summary** Provides entry level analyst support for claims research activities. This role plays a pivotal role in ensuring the ... them to the appropriate department or team for further research or correction. + Leverages knowledge of claims... research or correction. + Leverages knowledge of claims processing workflows, billing practices, and regulatory guidelines to… more
- Highmark Health (Salt Lake City, UT)
- …gaps and recommends process improvements for efficiencies. May provide guidance to Associate level employees. **This role sits within our Risk Adjustment team - ... is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk adjustment.** **ESSENTIAL RESPONSIBILITIES** +… more
- Molina Healthcare (Layton, UT)
- …tables through the user interface. + Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) ... accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes… more
- Molina Healthcare (Layton, UT)
- …for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims ... Provider Related reports to facilitate and support Provider Services/Provider Problem Research & Resolution. + QNXT + SQL-Advanced + Python **JOB QUALIFICATIONS**… more
- Molina Healthcare (Layton, UT)
- **JOB DESCRIPTION** Candidate must reside in Georgia **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab ... management, Operations, Core EIM teams. **JOB QUALIFICATIONS** **Required Education** Associate degree or equivalent combination of education and experience… more
- Humana (Salt Lake City, UT)
- …and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... They will work closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the administration of Medicare business… more