- Molina Healthcare (Salt Lake City, UT)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... of the criteria for medical necessity. + Participates in and maintains the integrity of the appeals process, both internally and externally. Responsible for the… more
- Molina Healthcare (Orem, UT)
- …driving successful launches of new processes, systems, and operational models across Medicaid , Medicare, and Marketplace lines of business. We are seeking a leader ... process, and technology + Managing cross-functional programs focused on data integrity , workflow optimization, and service delivery + Overseeing implementation of… more
- University of Utah (Salt Lake City, UT)
- …are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity , quality and trust that are integral to our mission. EO/AA ... and substance use disorders. The IOC exclusively serves a Medicaid population and operates under a value-based care model...Health Plans. This position reports to the IOC Medical Director and will support the IOC patient population and… more
- University of Utah Health (Murray, UT)
- …that are committed to the values of compassion, collaboration, innovation, responsibility, integrity , quality and trust that are integral to our mission. EO/AA_ + ... Adjustment Analyst position provides support for our health plan's risk adjustment program . + This role is responsible for analyzing medical claims, encounter, and… more
- University of Utah Health (Salt Lake City, UT)
- …that are committed to the values of compassion, collaboration, innovation, responsibility, integrity , quality and trust that are integral to our mission. EO/AA_ The ... opportunities. + Participates in outcome measure initiatives to validate nutrition program performance and creates reports. + Maintains accurate record keeping of… more
- University of Utah Health (South Salt Lake, UT)
- …that are committed to the values of compassion, collaboration, innovation, responsibility, integrity , quality and trust that are integral to our mission. EO/AA_ This ... funding sources (s) including commercial insurance, government programs (Medicare, Medicaid ), Crime Victims, Affordable Care Act plans, Third Party Liability,… more
- HCA Healthcare (Salt Lake City, UT)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... reportable cases + Attend state and national educational activities as approved by Director + Submit data to the National Cancer Data Base (NCDB)in accordance with… more
- Public Consulting Group (Salt Lake City, UT)
- …in client management and project management, collaborating with Operations, Product, Program Integrity , and other staff to execute contractual obligations. ... delivery of health-related services by helping schools access critical Medicaid reimbursement. Client Success Partners (CSP) are key members...report to either a SBS COE Client Success Associate Director or a Client Success Lead. The position will… more
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