- Molina Healthcare (Salt Lake City, UT)
- **Job Description** **Job Summary** The Senior Claims Research Analyst provides senior-level support for claims processing and claims research . ... The Sr. Analyst , Claims Research serves as a senior-level subject matter expert in...regulatory and contractual requirements. + Leads and manages major claims research projects of considerable complexity, initiated… more
- Molina Healthcare (Layton, UT)
- JOB DESCRIPTION Job Summary Provides analyst support for claims research activities including reviewing and researching claims to ensure regulatory ... inquiries and projects. * Interprets and presents in-depth analysis of claims research findings and results to leadership and respective operations teams. *… more
- Highmark Health (Salt Lake City, UT)
- …and claims staff regarding the final adjudication of complex claims . Research and investigate conflicting benefit structures in multi-payor situations. ... is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various… more
- Molina Healthcare (Provo, UT)
- …system tables in the user interface. * Applies experience and knowledge to research and resolve claim/encounter issues and pended claims , and updates system(s) ... JOB DESCRIPTION Job Summary Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely… more
- Evolent (Salt Lake City, UT)
- …contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... Evolent and its customers in the Performance Suite where Evolent does not pay claims . + Support the design of data transfer protocols during client onboarding and… more
- Evolent (Salt Lake City, UT)
- …models and approaches aimed at quantifying and articulating our value. + Perform research and analysis of complex healthcare claims , eligibility, and pharmacy ... positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Analyst , Performance Suite Analytics utilizes and develops analytic tools to… more
- Baylor Scott & White Health (Salt Lake City, UT)
- **JOB SUMMARY** The Sr. Data Governance Analyst plays a key role in advancing BSWH data governance initiatives and driving data-informed decision-making across the ... organization. The Data Governance Analyst provides data analytics, data management, data architecture support...experience._** **ESSENTIAL FUNCTIONS OF THE ROLE** + Study and research features of new database versions and tools to… more
- Humana (Salt Lake City, UT)
- …and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team ... it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of… more
- Norstella (Salt Lake City, UT)
- Sr. Medical Analyst , RWD Company: MMIT Location: Remote, United States Date Posted: Jan 5, 2026 Employment Type: Full Time Job ID: R-1548 **Description** At ... to extract meaningful insights from **real-world data (RWD)** sources, including ** claims , laboratory results, billing codes, and electronic health records (EHRs)**… more
- Molina Healthcare (Provo, UT)
- … research , financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...basis using SQL, Excel, and other reporting software. * Research , develop, analyze and recommend cost savings opportunities in… more