• Lead Analyst , Claims…

    Molina Healthcare (Orem, UT)
    …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
    Molina Healthcare (06/18/25)
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  • Lead Analyst , Configuration…

    Molina Healthcare (Layton, UT)
    **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst , Configuration Oversight to support our Payment Integrity and Claims ... identify and troubleshoot claim discrepancies by utilizing benefit and provider contracts, regulatory requirements and various claims related resources + Strong… more
    Molina Healthcare (07/24/25)
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  • Lead Analyst , Payment Integrity

    Molina Healthcare (Provo, UT)
    …**Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan financial ... and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed… more
    Molina Healthcare (09/07/25)
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  • Lead Analyst , Healthcare Analytics-…

    Molina Healthcare (Salt Lake City, UT)
    …work PST hours. **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations. + Maintains SharePoint… more
    Molina Healthcare (09/11/25)
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  • Senior Internal Business Systems Analyst

    Highmark Health (Salt Lake City, UT)
    …MUST BE A US CITIZEN This position serves as a key liaison between Claims Operations, Customer Service, Regulatory Affairs, IT, Legal and other departments, ... proactively identifying, assessing, and mitigating compliance risks. The Analyst will monitor regulatory changes, interpret their impact on operational… more
    Highmark Health (07/11/25)
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  • Sr. Compliance Analyst - Remote

    Prime Therapeutics (Salt Lake City, UT)
    …passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints Senior ... and partners with key internal stakeholders to research and resolve regulatory inquiries/complaints related to claims , contracting and pharmacy reimbursement.… more
    Prime Therapeutics (08/14/25)
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  • Pricing Analyst Senior - Remote

    Prime Therapeutics (Salt Lake City, UT)
    …our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing Analyst participates ... of new or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation and analytic insight… more
    Prime Therapeutics (08/13/25)
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  • Pricing Analyst Sr - Strong SQL/GCP…

    Prime Therapeutics (Salt Lake City, UT)
    …fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Sr - Strong SQL/GCP - Remote **Job Description** The Senior Pricing ... Analyst participates in the assessment of value generated by...or enhanced financial pricing strategies. This position will also lead highly complex financial pricing analyses and provide consultation… more
    Prime Therapeutics (08/01/25)
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  • PBM Senior Reporting Analyst

    CVS Health (Salt Lake City, UT)
    …opportunity to join our PBM Finance Enablement group as a Senior Reporting Analyst within our PBM Customer Reporting team. CVS Health strives to continuously ... work with a collaborative, close-knit team on pharmacy and member specific claims data including, but not limited to, financial and operational information… more
    CVS Health (09/11/25)
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  • Health Informatics Analyst

    Prime Therapeutics (Salt Lake City, UT)
    …and drives every decision we make. **Job Posting Title** Health Informatics Analyst **Job Description** Design, document, develop and roll out financial, clinical ... quality. This position has the responsibility to participate and/or lead in defining the issues to be studied as...Performs exploratory data analysis and data mining of healthcare claims and authorizations data. + Designs, documents, develops and… more
    Prime Therapeutics (09/09/25)
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