- Humana (Salt Lake City, UT)
- …a part of our caring community and help us put health first** The Claims Review Representative 3 makes appropriate claim decision based on strong knowledge of ... claims procedures, contract provisions, and state and federal legislation....**What Humana Offers** We are fortunate to offer a remote opportunity for this job. Our Fortune 100 Company… more
- Humana (Salt Lake City, UT)
- …to drive improvements in quality and/or reductions in total cost of care + Scorecard creation and reconciliation of provider performance based on contractual ... Qualifications:** + Bachelor's Degree + 3-5 years of experience in managed care operations, provider reimbursement and analytics, and value-based care +… more
- Marriott (Salt Lake City, UT)
- …as injured worker advocate assisting them to set goals and participate in their care . + Recommend referral to Associate Resource Line as needed. + Coordinate ... **Additional Information** Nurse CARE Manager ( CARE - Coordinated Action...jurisdiction. This position is responsive to Marriott's associates, Marriott Claims Services, business units, Risk Management and community health… more
- Humana (Salt Lake City, UT)
- …team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical ... depth of knowledge of administrative processes and organizational knowledge. **This is a remote position from anywhere in the US.** **What Humana Offers** We are… more
- Humana (Salt Lake City, UT)
- …This role will complete quality reviews on the coding processes within the Claims Cost Management organization, focusing on the review types of APC, E&M, SCR, ... impact** This role will complete quality reviews on the coding processes within the Claims Cost Management organization, focusing on the review types of APC and the… more
- Humana (Salt Lake City, UT)
- …to business & customers we serve using the latest in software technology? Our claims services team is best positioned in building modernized claims eco systems ... space lacking ongoing interruptions to protect member PHI / HIPAA information \#LI- Remote **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below… more
- University of Utah Health (Salt Lake City, UT)
- **Overview** **This position is primarily remote work, but candidate must reside within the state of Utah for this one.** **Preference for candidates with prior ... Health exists to enhance the health and well-being of people through patient care , research and education. Success in this mission requires a culture of… more
- University of Utah Health (Salt Lake City, UT)
- …Health exists to enhance the health and well-being of people through patient care , research and education. Success in this mission requires a culture of ... serve as a resource for other coders. This position is not responsible for providing care to patients. Corporate Overview: The University of Utah is a Level 1 Trauma… more
- Humana (Salt Lake City, UT)
- …The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems of ... of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products...protect member PHI / HIPAA information This is a remote position **Scheduled Weekly Hours** 40 **Pay Range** The… more
- Humana (Salt Lake City, UT)
- …for complex accounts + Experience analyzing a wide variety of health or claims related data **Additional Information** **Why Humana?** At Humana, we know your ... space lacking ongoing interruptions to protect member PHI / HIPAA information \#LI- Remote **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below… more
- Humana (Sandy, UT)
- …volumes of data + Good understanding of healthcare data eg, member, provider, claims and clinical data + Experience and understanding of data governance practices ... **Location/Work Style:** Hybrid Office in Louisville, KY is preferred but open to Remote US as well **Why Humana?** At Humana, we know your well-being is… more