- Prime Therapeutics (Salt Lake City, UT)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Claims Operations Business Analyst - Remote **Job Description ... Summary** Serves as liaison between departmental team business owners, end users, IT, Claims and...Medicare, requires 3+ years of experience working in Medicare Operations . **Work Experience** Work Experience - Required: Business… more
- Humana (Salt Lake City, UT)
- …caring community and help us put health first** The Senior Pharmacy Claims Operations Professional oversees the business processes and ensures accuracy ... of sale transition adjudicated claims logic. The Senior Pharmacy Claims Operations Professional...**Responsibilities** The Senior Pharmacy Claims Operations Professional analyzes, monitors and enhances business … more
- Prime Therapeutics (Salt Lake City, UT)
- …make. **Job Posting Title** Claims Technical Analyst, Sr. **Job Description** The Senior Claims Technical Analyst is responsible for serving as the claims ... This role is also responsible for providing training and mentorship to Claims Technical Analysts and Associate Analysts, along with leading process improvement and… more
- HealthEdge Software Inc (Salt Lake City, UT)
- …integrated solutions suite includes the industry's leading, digital, next-generation claims administration processing system, business intelligence, integration ... **Overview** ** Senior Manager, Product Operation** **Position Overview:** We areseekinga...our product teams to solve hard problems-customer problems and business problems-in ways that our customers love and that… more
- CVS Health (Salt Lake City, UT)
- …which contain multiple issues and may require coordination of responses from multiple business units. Appeals are typically more complex and may require outreach and ... Serves as point person for newer staff in answering questions associated with claims /customer service systems and products. Educates team mates as well as other… more
- Sedgwick (Salt Lake City, UT)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Vice President Business Development **PRIMARY PURPOSE:** To expand and ... their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our… more
- Zurich NA (Salt Lake City, UT)
- Senior US International Reverse Flow Underwriter 117849 Zurich is seeking a senior level US International Reverse Flow Underwriter to join our International ... Operations team in our Schaumburg, IL North America Headquarters....provide US underwriting support for incoming received country (RC) business from non-US producing countries. In this model the… more
- Evolent Health (Salt Lake City, UT)
- …products. You will collaborate with cross-functional teams, including solution strategy, business operations , engineering, quality assurance, and IT, to ensure ... You'll Be Doing:** **What You'll Be Doing:** As a Senior Product Analyst, you will have the opportunity to...market, and the customers. They collaborate with implementation teams, business operations , engineering, and growth teams to… more
- Prime Therapeutics (Salt Lake City, UT)
- …across the organization to validate regulatory requirements are met and that business operations are aligned with expectations of applicable regulatory guidance ... guidance and regulatory issues that impact Prime's compliance programs or business operations ; document requirements or disciplinary actions and escalate… more
- Stantec (Salt Lake City, UT)
- Senior Document Controls Manager - ( 240003NP ) **Description** We are strategizing, planning, and implementing projects that help clients achieve their ... as if they were our own, our project management business , and technical experts work with clients to strategize,...to wind farms. **Your Opportunity** Stantec is seeking a Senior Document Controls Manager to join our growing team!… more
- Humana (Salt Lake City, UT)
- …support the strategic direction and growth of the Medicaid and Duals lines of business . This is a unique opportunity for a motivated individual to influence the ... successfully position Humana to enter new markets enabling the future of the business . As a centrally positioned strategic function this team coordinates with growth… more
- Fujifilm (Salt Lake City, UT)
- …please visit_ _healthcaresolutions-us.fujifilm.com_ _._ **External US** **Job Title:** ** Senior Compliance Specialist** **Job purpose** The accomplished Senior ... Compliance Specialist will support FUJIFILM's Corporate compliance program operations to ensure high ethical standards are observed and compliance program is… more
- Cardinal Health (Salt Lake City, UT)
- …colleagues as a coveted member of the Product Experience organization. As a Senior Product Experience Designer, you will define, lead, and implement the analytics ... their practices' financial performance. These products help monitor drug utilization, claims payment and denials, reimbursement trends, margins, and provide insights… more
- American Express (Sandy, UT)
- …consumer compliance, technology, operational risk, financial accounting, data analytics, and banking operations . Our audit teams align to key risk areas and ... business units to ensure IAG can provide comprehensive and...has a Professional Practices group responsible for managing audit operations , quality, and standards; regulatory relations; reporting; training and… more
- Cardinal Health (Salt Lake City, UT)
- …of data to create innovative solutions that improve patient outcomes, streamline operations , and enhance the overall healthcare experience. We are seeking a highly ... Difference: Contribute to cutting-edge solutions that improve patient care, enhance healthcare operations , and drive positive change in the industry. + Work with a… more
- CVS Health (Salt Lake City, UT)
- …abuse. + Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants and customers. + Researches and ... tools, social media and internet research. + Ability to Travel for Business purposes. **Preferred Qualifications** + Certified Professional Coder (CPC), AHFI, CFE +… more
- Intermountain Health (Murray, UT)
- …The Business Analyst Manager is responsible for the day to day operations of the business analysis function within Pharmacy Services. This includes the ... documentation of business workflow and...Special Skills: + Minimum 10 years Pharmacy/PBM experience + Senior Level SQL skillset + Previous Supervisor experience +… more
- Humana (Salt Lake City, UT)
- …remote In this lead role you'll have the opportunity to analyze complex business and clinical issues leveraging healthcare and operational data to support healthcare ... collaboratively with clinicians, data scientists, actuaries, subject matter experts, and business owners across Humana to drive solutions forward. In this role… more
- Humana (Salt Lake City, UT)
- …to evaluate claims data to drive deeper insights into the business and identify opportunities + Coordinate Value-Based impacts across Humana and CenterWell ... Experience in managing data to support and influence decisions on day-to-day operations , strategic planning, and specific business performance issues. + Advanced… more
- Walgreens (Salt Lake City, UT)
- …customers and developing strong patient relationships. Pharmacy is the core of our business , and our pharmacy technicians enjoy all the tools and support - including ... until satisfied, etc.). + Develops strong relationships with most valuable customers. ** Operations ** + Under the supervision by the pharmacist, assist in the… more