- Molina Healthcare (Provo, UT)
- …Job SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and assists with implementation of integrated ... behavioral health care programs within specific markets/regions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Provides behavioral health oversight and clinical leadership for health plan and/or… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized ... representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or… more
- Molina Healthcare (Provo, UT)
- …Provides strategy and leadership to teams responsible for enterprise-wide vendor management activities - ensuring comprehensive operational efficiency, functional ... leadership engagement, sustainable governance of vendor relationships, and transparency and accountability in the delivery of services and products to Molina enterprise. Responsible for building and maintaining relationships with vendors, stakeholders,… more
- AutoZone, Inc. (Provo, UT)
- …AutoZone's store teams are the frontline of WOW! customer service, ensuring that customers find the right parts and solutions for their automotive needs. Store ... employees maintain well-stocked inventory, assist customers with product selection, and provide expert advice to enhance the shopping experience. They play a vital role in driving sales, maintaining store operations, and fostering a positive, knowledgeable… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** Provides support to Molina functional areas through program management, including policy, workflow and process documentation, management of program ... controls, vendor practices, budgets, governance frameworks, playbooks and best practices, and champion networks, as applicable. **Job Duties** + Responsible for ensuring well-documented policies, workflows, program controls, internal and third-party practices,… more
- Molina Healthcare (Provo, UT)
- …Job SummaryLeads and manages a team of medical directors delivering oversight and expertise in appropriateness and medical necessity of services provided to members - ... ensuring members receive the most appropriate care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Leads a team of medical directors responsible for assessing… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial ... performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Negotiates agreements with Complex providers who are… more
- KeyBank (Provo, UT)
- …Be a problem solver, trusted advisor, and partner to the people and businesses in our KeyBank communities. As a Lead Teller, you act as a resource in identifying and ... resolving client servicing issues, serve as the primary troubleshooter for complex problems and client service needs, and enhance client relationships with Key by providing distinctive quality service in branch. Lead Tellers ask questions and listen to clients… more
- Allied Universal (Provo, UT)
- …+ Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers' compensation, general liability, property and casualty ... Company Overview: Advance Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services. Allied Universal(R) Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a… more
- Molina Healthcare (Provo, UT)
- …Reporting to the Director of Clinical Informatics for Analytics & Interfaces, the Clinical Informatics Data Analyst is responsible for the development, design, and ... maintenance of critical business reports based on data stored in multiple sources. This role will involve supporting the Care Connections team by extracting, validating, and analyzing data to measure and monitor department initiatives. Additionally, the… more
- Molina Healthcare (Provo, UT)
- …Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established ... clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job… more
- Intermountain Health (Provo, UT)
- …**Heart Failure Cardiologist - Utah Valley Hospital, Provo, UT** When you join us, you'll become a part of a nationally recognized health system dedicated to our ... mission of "helping people live the healthiest lives possible." **About this role:** As a Heart Failure Cardiologist, you will be part of a collaborative, multidisciplinary team dedicated to delivering high-quality, patient-centered care. In this role, you… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** Molina Health Plan Provider Network Management and Operations jobs are responsible for network development, network adequacy and provider training and ... education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Services staff are the primary point of contact between Molina Healthcare and… more
- Regions Bank (Provo, UT)
- …and experience for job opportunities and will not be used for marketing purposes, sold, or shared outside of Regions unless required by law. Such information will be ... Thank you for your interest in a career at Regions. At Regions, we believe associates deserve more than just a job. We believe in offering performance-driven individuals a place where they can build a career a place to expect more opportunities. If you are… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** Responsible for internal business projects and programs involving department or cross-functional teams of subject matter experts, delivering products ... through the design process to completion. Plans and directs schedules as well as project budgets. Monitors the project from inception through delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and… more
- Molina Healthcare (Provo, UT)
- …**Job Summary** Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or ... authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals, disputes, grievances,… more
- Qualtrics (Provo, UT)
- …But we are more than a platform-we are the creators and stewards of the Experience Management category serving over 18K clients globally. Building a category takes ... grit, determination, and a disdain for convention-but most of all it requires close-knit, high-functioning teams with an unwavering dedication to serving our customers. When you join one of our teams, you'll be part of a nimble group that's empowered to set… more
- Intermountain Health (Provo, UT)
- …When you join us, you'll become a part of a nationally recognized health system dedicated to our mission of "helping people live the healthiest lives possible." ... **About this role:** As an Neurological Surgeon part of the Neurosciences team at Intermountain Health, you will work with a large system-wide team of healthcare professionals committed to providing quality care and excellent patient experience. The… more
- Intermountain Health (Provo, UT)
- …This position is responsible for performing general housekeeping tasks to maintain the facility and associated buildings in a sanitary, safe, and attractive condition ... and to meet hospital and Joint Commission standards. **Essential Functions** + Clean and disinfect assigned areas using department cleaning procedures. + Uses cleaning chemicals properly according to Joint Commission and OSHA standards. + Understands… more
- Molina Healthcare (Provo, UT)
- …Job SummaryLeads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: care management, utilization ... management, behavioral health, care transitions, long-term services and supports (LTSS), and/or other special programs. Ensures members reach desired outcomes through integrated delivery and coordination of care across the continuum, and contributes to… more