- Molina Healthcare (UT)
- **Job Description** **Job Summary** Provides entry level analyst support for claims research activities. This role plays a pivotal role in ensuring the ... them to the appropriate department or team for further research or correction. + Leverages knowledge of claims... research or correction. + Leverages knowledge of claims processing workflows, billing practices, and regulatory guidelines to… more
- Highmark Health (Salt Lake City, UT)
- …gaps and recommends process improvements for efficiencies. May provide guidance to Associate level employees. **This role sits within our Risk Adjustment team - ... is a remote based role - looking for someone who has some claims experience and looking to become familiar with risk adjustment.** **ESSENTIAL RESPONSIBILITIES** +… more
- Molina Healthcare (Salt Lake City, UT)
- …Related reports to facilitate and support Provider Services/Provider Problem Research & Resolution. **JOB QUALIFICATIONS** **Required Education** Associate ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider information on all claims… more
- Humana (Salt Lake City, UT)
- …and help us put health first** The Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral ... They will work closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the administration of Medicare business… more
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