Healthcare Payment Specialists Jobs in Utah

Medical Office Specialist PRN','24410-61352','United States-Utah-Salt Lake City-St Marks Obstetrics & Gynecology Associates','PRN/Per Diem','Admitting Registration Clerical & Scheduling','!*! The HCA Physician Services Group (PSG) is the physician and practice management solution for ..

Contract Administrative Specialist I The candidate will be responsible for facilitating the development and execution of contracts under the supervision of the Director of Physician Contracting. These responsibilities includes: the drafting, ..

Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..

Job Information Humana Lead Technology Leadership Professional in Ogden Utah Description The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead ..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

... develop in your career. Keeping healthcare healthy can be as fun ... condition of employment at CHG Healthcare you must be fully vaccinated ... data management software to create..

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on ..

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Sandy Utah Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..

Job Information Humana Lead Technology Leadership Professional in Salt Lake City Utah Description The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. ..

... Qualifications Minimum 5 years of healthcare fraud investigations and/or auditing experience ... of Florida and Wisconsin Medicaid healthcare payment methodologies Strong organizational, interpersonal, and ... the required qualifications. Understanding..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Ogden Utah Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Job Information Humana Pharmacy Claims Specialist, Remote in Sandy Utah Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..

Job Information Humana FP&A Lead, Medicaid Market in Sandy Utah Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South Carolina Medicaid ..

Job Information Humana Senior Integration Specialist - Cloud in Sandy Utah Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between development ..

Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influence specialist contract terms ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Salt Lake City Utah Description The Fraud and Waste Professional 2 conducts investigations of ..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Sandy Utah Description The Supervisor, Pre-Authorization Nursing will be managing the team that reviews prior authorization ..