- Molina Healthcare (Layton, UT)
- …**Job Summary** **Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical ... information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing, ... and deploying reports to other end users for operational and strategic analysis. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Medical Economics Team activities and personnel. Provides technical expertise, manages relationships with… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and… more
- Savers | Value Village (Layton, UT)
- **Job Title:** **Retail Store Associate** **Who we are:** As one of the largest for-profit thrift operators in the United States, Canada and Australia for value ... priced pre-owned clothing, accessories and household goods, our mission is to champion reuse and inspire a future where secondhand is second nature. We supply our stores with gently-used, one-of-a-kind items that have been donated by the community to local… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Develop ad-hoc reports using SQL programming, SQL Server Reporting Services… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and… more
- Molina Healthcare (Layton, UT)
- …**Required Education** : High School Diploma or GED equivalent **Preferred Education** : Associate degree **Required Experience** : 2 years' experience as a Pharmacy ... **Molina Healthcare** is hiring for **Pharmacy Technicians** who are State Licensed/Certified and/or PTCB certified. This role is 100% remote, and the hours will be **Mon-Fri 9am to 530pm or 11am to 730pm Eastern Standard Time.** This role will be reviewing… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** Analyzes complex claim inquiries and reimbursement issues.using data from internal and external sources to expeditiously resolve claim related ... concerns. Identifies and interprets trends and patterns in datasets to root cause and resolve outstanding issues. Creates reports and analysis based on business needs and required or available data elements. Collaborates with Health Plans to modify or tailor… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** Designs and implements processes and solutions associated with a wide variety of data sets used for data/text mining, analysis, modeling, and ... predicting to enable informed business decisions. Gains insight into key business problems and deliverables by applying statistical analysis techniques to examine structured and unstructured data from multiple disparate sources. Collaborates across departments… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** Responsible for leveraging technology for the benefit of the business. Interfaces with and manage strategic relationships with any business partners, ... both internal to Molina and external, by representing & promoting Information Technology (IT) capabilities. While reporting to the Director of Business Relationship Management, this role also works with health plan leadership in an indirect reporting… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** Collects, validates, analyzes, and organizes data into meaningful reports for management decision making as well as designing, developing, testing and ... deploying reports to provider networks and other end users for operational and strategic analysis. **Knowledge/Skills/Abilities** * Creates CR's for new reports. Creates reports to meet user requirements using SQL, Visual Basic and Microsoft SQL Reporting… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position collaborates with various ... departments and stakeholders within Molina to plan, coordinate, and manage resources and execute performance improvement initiatives in alignment with RQS's strategic objectives. **Job Duties** * Collaborate with Health Plan Risk and Quality leaders to improve… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** Molina Pharmacy Services/Management staff work to ensure that Molina members have access to all medically necessary prescription drugs and those drugs ... are used in a cost-effective, safe manner. These jobs are responsible for creating, operating, and monitoring Molina Health Plan's pharmacy benefit programs in accordance with all federal and state laws. Jobs in this family include those involved in formulary… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** This role will execute the enterprise data governance strategy and roadmap in alignment with the company's vision. This role is within the company's ... Enterprise Information Management (EIM) organization and reports directly to the Director of Enterprise Data Platform and Data Governance. **KNOWLEDGE/SKILLS/ABILITIES** Manages and provides direct oversight of Healthcare Analytics Team activities and… more
- Arby's (Layton, UT)
- …You're in the right place if you're here for: * Flexible Schedule * Free Shift Meals* * Best in Class Training & Continuous Learning * Advancement Opportunities * ... Medical, Dental and Vision* * Slip Resistant Shoes Programs You're also in the right place if you're looking for a company where you can dream big, work hard, get it done, play fair, have fun, and make a difference - a company that shares your values. *BRING… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** Manages a team responsible for estimating liabilities, establishing premium rates, financial analysis and reporting. Extracts, analyzes, and ... synthesizes data from various sources to identify risks as well as packaging and delivering the results to senior leadership. **Job Duties** + Perform IBNR estimates and rate adequacy studies and documents assumptions. + Oversee the creation of actuarial… more
- The Childrens Place (Layton, UT)
- …The Sales Associate will be responsible for supporting the Store Leadership Team to achieve all company goals and initiatives. The Sales Associate will model and ... maintain excellent customer service with effective communication, product knowledge, and appropriate selling techniques. The Sales Associate will maintain company standards of all merchandise presentation, replenishment, and sizing while maintaining a new and… more
- Molina Healthcare (Layton, UT)
- …**Job Summary** Under general direction, this position is responsible for supporting total quality methods, processes, and procedures for the Call Center division. ... This position will help preserve service excellence through monitoring and assessing customer interactions of Call Center Associates; documenting agent performance strengths and weaknesses using a Quality Management System (NICE); highlighting immediate… more