- Molina Healthcare (Salt Lake City, UT)
- …of knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, ... & Regulatory Acumen (Healthcare/ Claims )** + Deep understanding of claims lifecycle, EDI transactions, payment integrity, provider data, appeals/grievances,… more
- CVS Health (Salt Lake City, UT)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Salt Lake City, UT)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- Danaher Corporation (Salt Lake City, UT)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- Humana (Salt Lake City, UT)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- Molina Healthcare (Salt Lake City, UT)
- …and rejection inventory, and works with other areas including IT, health plan, claims , provider , enrollment, regulators, and external vendors, as needed, to ... departments for error resolution, follow up, and performance monitoring. + Understands provider , member, and, inbound claims data compliance in relation to… more
- Walgreens (Salt Lake City, UT)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Cardinal Health (Salt Lake City, UT)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- Fujifilm (Salt Lake City, UT)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
- Cardinal Health (Salt Lake City, UT)
- **Job Summary:** The Manager , Revenue Cycle Management, is responsible for overseeing the insurance collection follow-up team to ensure timely and accurate ... resolution of outstanding insurance claims . This role leads strategy development, performance monitoring, and process improvement initiatives to optimize cash flow,… more
- CenterWell (Salt Lake City, UT)
- …CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of ... Medical Director, Primary Care relies on medical background and reviews health claims . The Medical Director, Primary Care work assignments involve moderately complex… more
- Walgreens (Draper, UT)
- …Co. Pharmacy Code of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including utilizing pharmacy systems to ... pharmacist, including those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient… more
- Walgreens (Draper, UT)
- …certification/registration. Otherwise, earns PTCB certification as condition of promotion to senior technician. + Attends training requested by Manager and ... of Conduct. + Performs duties as assigned by Pharmacy Manager , Staff Pharmacist and Store Manager including...those to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a… more
- Stantec (Salt Lake City, UT)
- …Practice for North America and North America Exports, including supervising and directing the Senior Risk Manager and Risk Manager . - During pursuits where ... to join our Energy and Resources Business Operating Unit (E&R BOU). This senior leadership role partners with operations, pursuit, and project teams to guide… more
- Public Consulting Group (Salt Lake City, UT)
- …more, visit www.publicconsultinggroup.com . Summary: We are seeking a senior -level, detail-oriented and self-motivated Medicaid Waiver Evaluation Consultant to join ... understanding of Medicaid waivers. **Duties and Responsibilities** + Serves as project manager and subject matter expert within the practice including management of… more
- Prime Therapeutics (Salt Lake City, UT)
- … Manager provides information, analyses, and consulting to Health Plan and Prime senior management. The Account Manager supports senior management and ... functions such as but not limited to customer service, claims , benefits, prior authorizations, rebates, and networks. + Build...different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved… more