- Healthfirst (UT)
- … business rules within the claims processing system. + Identify claims configuration and contract implementation defects and improve departmental performance ... are adequately implemented based on technical planning documents. + Ensure post implementation accuracy of claims configuration implementations and mass claim… more
- Healthfirst (UT)
- …the development and configuration of new business, member benefits and products, claims editing, reference data and their enhancements including claims ... enhancements. + Follow the annual product development processes to manage major claims configuration projects, including claims business rule set up outlier… more
- Molina Healthcare (UT)
- **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, and ... reports. As the senior level team member, this role leads efforts to ensure the claims teams and other departments have access to quality claims data through… more
- Evolent (Salt Lake City, UT)
- …be doing** : This individual will spearhead the requirements management for implementation projects across our client and Evolent organizations. By driving Evolent's ... + 5-8+ years of IT and / or business experience in an HMO / PPO Claims , Medicaid, Medicare and / or managed care healthcare environment + Knowledge of the Affordable… more
- Pacificorp (Salt Lake City, UT)
- Insurance Analyst (Mid/Sr. Levels) - Salt Lake City, UT - #112960 **Date:** Dec 13, 2024 **Location:** SALT LAKE CITY, UT, US, 84116 **Company:** PacifiCorp **JOIN ... Develop, recommend and implement risk-assessment models and methodologies. Evaluate the implementation of risk reduction strategies. Plan, develop and assist in… more
- Intermountain Health (Murray, UT)
- **Job Description:** As a Business Systems Analyst , you will work closely with the business areas to identify and understand their needs and requirements. The major ... to major projects. Requirements may be specific to healthcare insurance products, claims , sales activities or other service-related processes; all in support of… more
- Cushman & Wakefield (Salt Lake City, UT)
- **Job Title** Facility Analyst **Job Description Summary** Under the supervision of the Facilities Manager, the Facility Analyst will manage and troubleshoot ... and aesthetic issues that arise in the client retail stores. The Facility Analyst is charged with ensuring that vendors and projects are managed appropriately,… more
- Lincoln Financial Group (Salt Lake City, UT)
- …73933 **Role at a Glance** Lincoln National Corporation seeks an Analyst , Application Development in Radnor, PA to consult/analyze and deliver assignments/projects ... for Group Protection IT Claims of application development responsibility. Act as a resource...and existing programs to determine requirements, solution, test and implementation plans. Create Group Protection systems, tools and functionality,… more
- Molina Healthcare (Layton, UT)
- **JOB DESCRIPTION** **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… more
- Molina Healthcare (Salt Lake City, UT)
- …DESCRIPTION** **Job Summary** **Job Summary** Responsible for accurate and timely implementation and maintenance of critical information on claims databases. ... claims databases. Synchronizes data among operational and claims systems and application of business rules as they...execution of some test plans. + Participates in the implementation and conversion of new and existing health plans.… more
- HealthEdge Software Inc (Salt Lake City, UT)
- …implementing proprietary healthcare edits that drive cost savings and accuracy in claims processing. The successful candidate will be responsible for taking a senior ... level role in analyzing claims data, as well as translating contract terms, policies,...and maintaining detailed documentation to support the building and implementation of proprietary healthcare edits, including specifications, test plans,… more
- Molina Healthcare (Provo, UT)
- **JOB DESCRIPTION** **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… more
- Molina Healthcare (Salt Lake City, UT)
- …stages of project development including research, design, programming, testing and implementation to ensures the released product meets the intended functional and ... operational processes including but not limited to Enrollment, UM, Claims & Care Management** **Preferred License, Certification, Association** Certified Business… more
- Army National Guard Units (Draper, UT)
- …practices. Notifies team leader of any significant trends in hardware / software implementation issues and any potential problems that may have a detrimental effect ... in work such as computer operator or assistant, computer sales representative, program analyst , or other positions that required the use or adaptation of computer… more
- Prime Therapeutics (Salt Lake City, UT)
- …in the project management, programming, testing and documentation aspects of the analyst responsibilities to drive the highest level of performance and meet or ... reporting requirements and testing of new reporting development prior to implementation to Production. + Participates in initiatives or projects that support… more