- R1 RCM (Salt Lake City, UT)
- …analytics, AI, intelligent automation, and workflow orchestration. As our R37 GenAI Lab Process Analyst in the Perfect Claim pillar, you will play a key role in both ... enabled product platform. **Here's what you will experience working as a Process Analyst :** + Analyze and optimize current edits in claim scrubbers to improve claim… more
- Intermountain Health (West Valley City, UT)
- **Job Description:** The RCO Revenue Integrity Analyst is responsible for appropriate charge capture, assigned account, claim edits and/or charge edits for an ... ensure regulatory compliance and revenue optimization for assigned service line(s). **Revenue Integrity Analyst I** Schedule: Monday - Friday from 8 AM - 5 PM (with… more
- Intermountain Health (Salt Lake City, UT)
- …the patient's account within Intermountain's policies and procedures. Revenue Integrity Analyst II 1.Analyze data, develop reports, review trends, and recommend ... aligned with procedure performed, and charges/coding are consistent with Federal, State, and payer guidelines. 9. Acts as a subject matter resource to team and… more
- Highmark Health (Salt Lake City, UT)
- …remain up to date on industry trends and patterns.Collaborate with Lead Analyst on his/her meetings with Government Affairs and key internal/external stakeholders to ... control frameworks, and assessment methodologies, particularly as applied to healthcare ( payer and provider) business processes + Knowledge of relevant regulatory… more
- Evolent (Salt Lake City, UT)
- …contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... years of professional experience in claims-based healthcare analytics with a payer , provider, clinical vendor, managed care, or related healthcare consulting entity-… more
- University of Utah Health (Salt Lake City, UT)
- …outcome, expected cost and then recommendeds a discharge plan. + Ensures the payer is represented in staffing conferences when requested. **Knowledge / Skills / ... Abilities** + Ability to perform the essential functions of the job as outlined above. + Demonstrated organizational, human relations and effective communication skills. + Ability to provide care appropriate to the population served. + Demonstrated knowledge… more
- Highmark Health (Salt Lake City, UT)
- …data + 3 years of project leadership in a complex, matrixed environment ( payer and/or provider preferred) + 3 years of providing analytical consultation to clinical, ... administrative, operational and financial stakeholders **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Demonstrated record of data-driven discovery, intense intellectual curiosity, and a passion for… more
- Cardinal Health (Salt Lake City, UT)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas,… more
- Highmark Health (Salt Lake City, UT)
- …data + 5 years of project leadership in a complex, matrixed environment ( payer and/or provider preferred) + 5 years of providing analytical consultation to clinical, ... administrative, operational and financial stakeholders **Preferred** + None **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Demonstrated record of data-driven discovery, intense intellectual curiosity, and a passion for… more
- Norstella (Salt Lake City, UT)
- …and Senior Analysts), particularly on clinical content & guidance, and oversee analyst workstream progress to ensure project timelines are met, and provide feedback ... clinical oncology landscape (eg, health systems, cancer centers, practices, VA system, payer organizations, pathways, and EMR / data vendors). + Analyze clinical… more
- Maxim Healthcare Services (Sandy, UT)
- …or certification in good standing in behavioral field (eg Board Certified Behavior Analyst , Licensed Behavior Analyst when applicable by state) and four years ... in hiring, training and employee development + Experience in regulatory or payer audits or other required contracts + Proficiency with computers, including Microsoft… more