- …AI, intelligent automation, and workflow orchestration. Position Summary As our Analyst , Payer Accountability, you will educate internal operating teams ... to understand and navigate payer guidelines. Every day you will research and interpret...guidelines. Every day you will research and interpret complex customer/ payer contract terms in order to identify and escalate… more
- 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
- Waystar (Lehi, UT)
- **ABOUT THIS POSITION** The role of the EDI Analyst is to work with trading partners to ensure timely and accurate posting of all responses to claim submission, ... industry mandates . Manage of current route connections and payer setups . Contribute to the continuing enrichment of... setups . Contribute to the continuing enrichment of Route/ Payer Account contacts in Salesforce . Assist team members… more
- Intermountain Health (Salt Lake City, UT)
- …and deployment of data analytics at Intermountain Health supporting Finance, Accounting, Payer Contracting, and related areas. As a Consultant Data Analyst , ... Provides expert support for management level leadership in Finance, Accounting, Payer Contracting, and Data Services. Develops a comprehensive understanding of… more
- Intermountain Health (Salt Lake City, UT)
- …and deployment of data analytics at Intermountain Health supporting Finance, Accounting, Payer Contracting, and related areas. As a Senior Data Analyst , ... Provides advanced support for management level leadership in Finance, Accounting, Payer Contracting, and Data Services. Develops a deep understanding of customer… more
- WelbeHealth (Salt Lake City, UT)
- The Lead Data Analyst is an analytically heavy hands-on role, utilizing processed business information points as the basis to further define and build out metrics, ... years' of experience in the healthcare industry, with exposure to provider and/or payer operations. + Minimum three years' of experience working with claims data and… 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
- 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
- Evolent (Salt Lake City, UT)
- …years of professional experience in claims-based healthcare analytics with a payer , provider, clinical vendor, managed care, or related healthcare consulting entity ... + Ability to communicate clearly with diverse stakeholders to solve problems; ability to translate between business needs and analytical needs + Exceptionally strong analytical abilities, with track record of identifying and communicating insights from… more
- Molina Healthcare (Salt Lake City, UT)
- …acceptable. **REQUIRED EXPERIENCE:** + 1-3 years of experience in Healthcare ( payer experience), Vendor Management, Data Analytics, Contract Terms and Conditions, ... Procurement, Project Management, or Account Management + Demonstrates familiarity in a variety of concepts, practices, and procedures applicable to job-related subject areas. + Proficient with Microsoft Office Suite, databases, advanced spreadsheets, pivot… 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
- 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
- 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