- Molina Healthcare (Orem, UT)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Molina Healthcare (Orem, UT)
- …workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity . + Technology Enablement: Oversee requirements, ... (Healthcare/Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment integrity , provider data, appeals/grievances, and audit/compliance… more
- Nelnet (Draper, UT)
- Nelnet Business Services (NBS), a division of Nelnet, Inc., provides payment technology, education services, and learning management solutions to education and ... for people where they live, learn and work. The Head Start National Sales Manager serves as the official Head Start sales representative for FACTS Education Services… more
- Qualtrics (Provo, UT)
- …Join over 5,000 people across the globe who think that's work worth doing. **Senior Manager - Finance Systems** **Why We Have This Role** The Senior Manager of ... NetSuite, Coupa, Concur, Stripe, Divvy, Adaptive, etc The Senior Manager will also playing a key role in the...process renovations. + Measuring and tracking systems performance, data integrity , and process efficiency. + Staying agile and adaptable… more
- Nelnet (Draper, UT)
- Nelnet Business Services (NBS), a division of Nelnet, Inc., provides payment technology, education services, and learning management solutions to education and ... clients. + Build positive line of communication (based on mutual respect, trust, integrity , and clear, honest and open dialog) to maintain and enhance relationships… more
- Molina Healthcare (Orem, UT)
- …level of care, inpatient readmission, and any opportunities identified by the payment integrity analytical team; makes decisions and recommendations pertinent to ... + Supplies criteria supporting all recommendations for denial or modification of payment decisions. + Serves as a clinical resource for utilization management, CMOs,… more
- LEES MARKETPLACE (Vineyard, UT)
- …with, and assist customers with use of, Lee's Marketplace website and rewards program . **Product Handling:** + Proactively watching for the quality of all items ... + Operate POS system efficiently and accurately. + Confidently accept various forms of payment , including cash, card, check, WIC, and EBT + Follow store policies on… more