- Molina Healthcare (Orem, 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 (Orem, 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
- Walgreens (Orem, UT)
- …Our pharmacy technician positions have undergone an exciting transformation, moving from a transaction-based environment to a much more patient-centric one. As a ... Walgreens Pharmacy Technician or Pharmacy Technician Apprentice, you'll be front and center - interacting with our customers and developing strong patient relationships. Pharmacy is the core of our business, and our pharmacy technicians enjoy all the tools and… more
- Molina Healthcare (Orem, 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 (Orem, 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
- Walgreens (Orem, UT)
- …+ Opens and closes the store in the absence of store management, including all required systems start-ups, required cash handling, and ensuring the floor and stock ... room are ready for the business day. Responsible for opening back door of store for deliveries. + Completes product returns, order voids, customer refunds, cash drops to the safe, and provides change as requested to cash registers. + Models and delivers a… more
- Michaels (Orem, UT)
- …Ensure all customers receive a fast and friendly checkout experience. Complete truck unloading and merchandise duties throughout the store including maintaining store ... recovery standards to deliver our Brand Promises. + Help customers shop, locate products, and provide them with solutions + Provide a fast and friendly checkout experience; execute cash handling to standards + Engage customers on the benefits of the Rewards… more
- Molina Healthcare (Orem, 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 (Orem, 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
- Molina Healthcare (Orem, 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
- Molina Healthcare (Orem, 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
- Walmart (Orem, UT)
- …Additional compensation includes annual or quarterly performance incentives. Additional compensation in the form of premiums may be paid in amounts ranging from $0.35 ... per hour to $3.00 per hour in specific circumstances. Premiums may be based on schedule, facility, season, or specific work performed. Multiple premiums may apply if applicable criteria are met. Employment Type: **Full-Time** Available shifts: Location… more
- HCA Healthcare (Orem, UT)
- …This position is incentive eligible. **Introduction** **We are seeking a Patient Care Representative like you who provides expertise and is a champion of patient ... care. We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do.** **Benefits** CareNow offers a total rewards package that supports the health, life, career and… more
- Molina Healthcare (Orem, 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
- Kneaders Bakery & Cafe (Orem, UT)
- Kneaders Bakery & Cafe, North State Street, Orem, UT, USA | Orem Utah Kneaders Bakery & Cafe | Hourly | 14-16 per hour Depending on experience and availability | Full ... Time | Medical, dental, vision health insurance options for full-time employees; wellness benefits including EAP and pet insurance for all full & part time employees. **FULL-TIME POSITION AVAILABLE** **MUST HAVE AFTERNOON/EVENING AVAILABILITY** + Health… more
- CDM Smith (Orem, UT)
- …CDM Smith is seeking a Design Practice Manager to join our Digital Engineering Solutions team. This individual will lead the Design Practice group, helping to drive ... the firm's digital transformation through the strategic implementation of digital design tools, technologies and processes. This group plays a key role in advancing digital enablement programs and technology execution plans that enhance design workflows across… more
- Molina Healthcare (Orem, 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 (Orem, 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
- Molina Healthcare (Orem, 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 (Orem, UT)
- …**Job Summary** The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the ... appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems. **Knowledge/Skills/Abilities** + Facilitates the resolution of claims issues, including… more
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