• Claim Benefit Specialist…

    CVS Health (Salt Lake City, UT)
    …And we do it all with heart, each and every day. Reviews and adjudicates routine claims on HRP system in accordance with claim processing guidelines. Claims ... Aetna compliance and business requirements. Analyzes and approves routine claims that cannot be auto adjudicated. - Applies medical...applies all cost containment measures to assist in the claim adjudication process. - Proofs claim or… more
    CVS Health (05/03/25)
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  • Specialist , Pharmacy Ops

    Molina Healthcare (UT)
    …+ Review and interpret member's eligibility, claim history, and pharmacy benefit information using the PBM claims software to provide information to ... **JOB DESCRIPTION** **Job Summary** The Specialist , Pharmacy Operations is responsible for the oversight...be the primary contact for affiliated health plans, Pharmacy Benefit Managers and Corporate shared services with respect to… more
    Molina Healthcare (04/20/25)
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  • Specialist Data Engineer

    Waystar (Lehi, UT)
    …engineer with specialist -level depth in data modeling, performance engineering, ML Ops , and cloud data platform optimization. The ideal candidate will have a ... Cycle Management (RCM) technology company, is seeking an expert-level Specialist Data Engineer to join our Data Architecture team....will also play a key role in implementing ML Ops practices to operationalize machine learning models and drive… more
    Waystar (04/25/25)
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