- HCA Healthcare (Draper, UT)
- …the patient Demonstrates excellent customer service In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house Provide estimates to ... Assist patients with payment arrangements and in co-ordination with the Medicaid Eligibility Staff assists patient with financial applications Contact patient… more
- Valley Behavioral Health (Salt Lake City, UT)
- …obtain certification within the first 90 days and pay will be increased Certified Case Manager range starts at $18.75 - Certified CM pay is calculated based on years ... and encourages opportunities for success. Job Summary & Deliverables The Case Manager I is a certified position that provides targeted case management and… more
- Sumitomo Pharma (Salt Lake City, UT)
- …dynamic, highly motivated, and experienced individual for the position of Sr. Manager , Medicaid Contract Administration. This position is responsible for ... managing the Medicaid rebate team in receiving, processing, validating, trouble-shooting ...with internal departments (Internal Audit, Commercial Insights, Contracting, SOX Compliance , and Legal) to clarify policy compliance … more
- Humana (Salt Lake City, UT)
- …development; and + Creating and executing comprehensive test plans + Ongoing Medicaid pricer maintenance, quality assurance, and compliance + Determining root ... a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence… more
- Molina Healthcare (Orem, UT)
- …integration, and a strong understanding of data governance and compliance in healthcare environments. **Knowledge/Skills/Abilities:** * Architect and implement ... Deploy, monitor, and troubleshoot Hadoop-based infrastructure using tools such as Cloudera Manager , Ambari, and Zookeeper. * Enforce data quality, security, and … more
- Prime Therapeutics (Salt Lake City, UT)
- … with federal laws, state laws and standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each State Medicaid ... passion and drives every decision we make. **Job Posting Title** Manager Rebate Pharmacy Operations **Job Description Summary** This position provides administrative… more
- Molina Healthcare (Orem, UT)
- **Job Summary:** The Subrogation Manager is responsible for overseeing all aspects of healthcare subrogation operations across Medicaid , Medicare, and ... protocols to support efficient and compliant subrogation operations across Medicaid , Medicare, and Marketplace populations. + Collaborate with legal, claims,… more
- Waystar (Lehi, UT)
- **ABOUT THIS POSITION** The Internal Audit Sr Manager is a key leadership role responsible for developing, implementing, and overseeing the internal audit function ... The position will be focused on oversight of SOX compliance and may expand to cover risk based operational...of high-quality audit results across the company. The Sr Manager will work closely with executive leadership and the… more
- Datavant (Salt Lake City, UT)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Analytics Products, you will contribute to the strategy and ... and support value-based client delivery across Medicare Advantage, ACA, and Medicaid programs. The ideal candidate combines deep healthcare analytics expertise with… more
- Humana (Salt Lake City, UT)
- …a part of our caring community and help us put health first** The Manager , Technology Solutions devises an effective strategy for executing and delivering on IT ... business initiatives. The Manager , We are seeking a highly skilled and motivated...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Molina Healthcare (Orem, UT)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Negotiates agreements ... Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts including but not… more
- Waystar (Lehi, UT)
- **ABOUT THIS POSITION** Waystar is seeking a smart and creative Product Manager with hands on experience in Healthcare Revenue Cycle Management. We are looking for ... work closely with User Experience team and Technology teams. The Product Manager will lead cross departmental strategic product initiatives coordinating with key… more
- Sanofi Group (Salt Lake City, UT)
- **Job Title:** Immune Hematology Manager **Location** : US Remote/Field (Located in San Francisco, CA, Salt Lake City, UT or San Jose, CA) **About the Job** The ... Immune Hematology Manager (IHM) is responsible for effectively applying promotional and...the Sanofi Team including Marketing, Managed Care, Analytics, Accounting, Compliance , Legal and other team members. + Maintain extensive… more
- Molina Healthcare (Orem, UT)
- …position requires a current South Carolina pharmacist license **Job Summary** The Pharmacy Manager , Health Plan Pharmacy Services is an integral role of the Health ... the team in understanding pharmacy quality, cost effectiveness and compliance and working closely with the Pharmacy Director or...good standing. + Must be free of sanctions from Medicaid or any other government program and without restrictions… more
- Molina Healthcare (Orem, UT)
- …needs, support to other business units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends and provides ... + Ensures compliant with regulatory and company guidelines, including HIPAA compliance + This position primarily focuses on project/program management related to… more
- Humana (Salt Lake City, UT)
- …us put health first** We're seeking a strategic, results-driven Lead Product Manager to design and deliver innovative clinical solutions that improve health outcomes ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Cardinal Health (Salt Lake City, UT)
- …* Process all patient applications in accordance to set policy, procedures and PHI compliance * Speak with manufacturer field team members on case updates via phone ... benefits management experience preferred with specific knowledge of Medicare, Medicaid and commercially insured payer common practices and policies, preferred… more
- Molina Healthcare (Orem, UT)
- …our Payment Integrity and Claims Operations teams in ensuring the accuracy and compliance of Coordination of Benefits (COB) claim pricing and processing. This role ... will focus on identifying, reviewing, and validating Medicaid secondary payments to ensure alignment with internal configuration rules and regulatory guidance. The… more
- HCA Healthcare (Draper, UT)
- …patient + Demonstrates excellent customer service + In conjunction with the Medicaid Eligibility Staff visit all uninsured patients in-house + Provide estimates to ... + Assist patients with payment arrangements and in co-ordination with the Medicaid Eligibility Staff assists patient with financial applications + Contact patient… more
- Molina Healthcare (Orem, UT)
- …outreach and coordination of services, including MTM services for Medicare and Medicaid eligible members as well as Medication Adherence Programs for STAR, HEDIS ... to ensure prompt resolution of identified issues. * Ensures compliance with all CMS guidelines and reporting requirements for...recommended changes to drug therapy were implemented. * Assists Manager or Director in the collection and tabulation of… more
