- Molina Healthcare (Salt Lake City, UT)
- …Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years of experience in ... more
- Molina Healthcare (West Valley City, UT)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... more
- Molina Healthcare (West Valley City, UT)
- …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... more
- Molina Healthcare (West Valley City, UT)
- …retrospective reviews of claims and appeals and resolves grievances related to medical quality of care. + Attends or chairs committees as required such as ... more
- CVS Health (Salt Lake City, UT)
- …wellness through integration. + Through the use of clinical tools and information/data review (eg, assessments, claims , etc..) conducts an evaluation of member's ... more
- CVS Health (Salt Lake City, UT)
- …Direct and oversee complex reviews. Ensure timely and accurate reporting of review findings and coordinate with investigative to take appropriate action. Conducts ... more