Medical Coding & Billing Specialist Stella Mental HealthMedical Coding & Billing SpecialistMurray, UtahThis role ensures billing processes are accurate, timely, and compliant while helping patients navigate insurance coverage, payment responsibilities, and billing inquiries with clarity and professionalism. Collaborate with Payor Relations, Credentialing, Clinic Operations, and Revenue Cycle team members to support accurate billing and continuity of care.
NewCoding Analyst I SelectHealthCoding Analyst IMurray, UtahThe Coding Analyst I for SelectHealth provides general expertise in the areas of all areas of coding (professional, facility (inpatient and outpatient), drug, Durable Medical Equipment (DME), and lab code sets) for highly-regulated, government insurance programs such as Medicare, Medicaid, Affordable Care Act (ACA), Children's Health Insurance Program (CHIP), Federal Employees Health Benefit (FEHB) program, and self-funded plans with unique plan designs, reimbursement, compliance initiatives, regulatory legislation, and billing practices. Responsible for compliance with all coding regulations for all provider specialties (surgical and non-surgical) and coding methodologies (including inpatient (Non DRG and DRG), outpatient (APC and non- APC), Ambulatory Surgical Centers (ASC), drugs and biologicals, lab and genetics, home health, DME and any other type of claim we may receive.
Medical Billing Claims Specialist Caddis Capital ManagementMedical Billing Claims SpecialistSalt Lake City, UTFull timeWe are currently seeking Medical Billing/Claims Specialist who will be responsible for billing insurance claims to patient's insurance companies, following up on Accounts Receivable and coordinating collections on unpaid claims, as well as answering billing inquiries and assisting patients on their accounts as necessary. What We'd Also Like to See: While not required, some big marks in your favor would include: prior experience with medical insurance providers, any previous HME experience, an Associate's degree, and bilingual skills (Spanish/English).
Billing Accounting Clerk II Myriad Genetics IncBilling Accounting Clerk IISalt Lake City, UTOur innovative genetic tests are used across specialties including oncology, women's health, and mental health, empowering clinicians to personalize treatment and help their patients take proactive steps toward better outcomes. For more than 30 years, Myriad Genetics has led the way in precision medicine by delivering important insights to help people make informed health decisions.
NewCoding Specialist Bristol Hospice, LLCCoding SpecialistSalt Lake City, UTBristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity.
Medical Coding Auditor/Educator Remote: UT, AZ, TX, KY, WY, ID, GA, AR Granger MedicalMedical Coding Auditor/Educator Remote: UT, AZ, TX, KY, WY, ID, GA, ARTaylorsville, UTRemoteFull timePerforms a comprehensive medical records review to assure the presence of all component parts including patient and record identification signatures, dates where required, and other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered. Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies as necessary or required.
Professional Coding Consultant Senior Intermountain Health IncProfessional Coding Consultant SeniorUT$31.01–$48.84 / hourJob Description: Provide intermediate-level expertise in the areas of national physician code sets, insurance reimbursement, coding compliance issues, and internal coding policies, procedures, and processes, to employed and contracted Intermountain primary care physicians, advanced practice clinicians (APC), their managers, and staff. We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
DRG Coding Auditor University of UtahDRG Coding AuditorSALT LAKE CITY, UTThis position audits the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data to support that appropriate reimbursement and clinical severity is captured for the level of service rendered. Reviews non-CC/MCC records to determine if the record was coded correctly or if additional codes may be reported by obtaining documentation supported by clinical indicators and treatment.
Pharmacy Technician II or III Home Infusion Billing University of UtahPharmacy Technician II or III Home Infusion BillingSALT LAKE CITY, UTThis position provides the technical functions associated with the delivery of clinical pharmacy services by maintaining proper stock levels in all pharmacy locations, compounding or otherwise preparing, filling, pricing, and delivering pharmaceuticals or other related items. The incumbent may perform duties such as entering prescriptions, completing reports, operating and maintaining automated dispensing devices, inputting computer data, and providing all aspects of customer service that are required to provide Pharmacy Department services.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorUT$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Coding Validation Coder I COTIVITI, INC.Coding Validation Coder ISOUTH JORDAN, UTResponsibilities Clinical Validation - Perform daily audits on provider appeals for completeness and accuracy based on specified coding guidelines to ensure appropriateness for reimbursement. Mental Requirements: * Ability to absorb new information quickly and train in a fast-paced environment and ability to learn, test and pass off new training concepts daily.
Billing Specialist Summit Behavioral Healthcare LLCBilling SpecialistUTRemoteThis position will work under supervision of the Manager-Billing to resolve complex payer and operational issues to assist in the overall improvement of the daily operations necessary for a successful Centralized Business Office specializing in healthcare servicing multiple facilities. Ensure that daily rebills requested are rebilled the same day of request unless additional information is needed.
NewCoding Data Quality Auditor CVS Health CorpCoding Data Quality AuditorUT$18.50–$38.82 / hourResponsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with all State and Federal regulations and internal policies and procedures. Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other qualified healthcare providers in the office and/or facility setting.
Insurance Billing Specialist - Biller Non-Certified Uintah Basin HealthcareInsurance Billing Specialist - Biller Non-CertifiedRoosevelt, UTPart timeThe Insurance Billing Specialist provides timely and accurate payment collections from insurance carriers and or agencies in a professional, courteous, confidential, and timely manner. You will work closely with other departments to correct coding/billing errors and assist our patient financial advocates with patient questions.
Insurance Billing Specialist - Biller Non-Certified Uintah Basin Healthcare current open positionsInsurance Billing Specialist - Biller Non-CertifiedRoosevelt, UtahThe Insurance Billing Specialist provides timely and accurate payment collections from insurance carriers and or agencies in a professional, courteous, confidential, and timely manner. You will work closely with other departments to correct coding/billing errors and assist our patient financial advocates with patient questions.
NewEpic Resolute Hospital Billing Associate Analyst Deloitte Touche Tohmatsu LtdEpic Resolute Hospital Billing Associate AnalystSalt Lake City, UT$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorUT$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
NewEpic Quality Auditor - Remote Billing & Compliance University of UtahEpic Quality Auditor - Remote Billing & ComplianceSalt Lake City, UTRemote$75,000–$85,000 / yearSuccessful candidates must have a bachelor's degree in a related field and relevant experience, as well as strong coding skills in multiple specialties. The University of Utah is seeking a fully remote Information Systems Auditor for the University Medical Billing department.
Coding Services Quality Analyst AAPCCoding Services Quality AnalystSalt Lake City, UTRemoteFull timeData Analysis and Reporting Compile audit results and prepare detailed reports to identify trends, gaps, and areas for improvement. Certifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
Medical Auditor Project Lead AAPCMedical Auditor Project LeadSalt Lake City, UTRemoteFull timeEmbrace workforce transformation by engaging in continuous knowledge expansion across additional functional areas and/or upskilling (learning new skills) to support evolving organizational and client needs. Contribute to organizational optimization by collaborating to identify opportunities for process improvement and supporting continuous enhancements to workflows and operations that promote quality and efficiency.
Medical Coder - IMMEDIATE OPENING - Remote Position (UT, SC, AZ, TX, KY, WY, ID, GA, AR) - Full-Time Granger MedicalMedical Coder - IMMEDIATE OPENING - Remote Position (UT, SC, AZ, TX, KY, WY, ID, GA, AR) - Full-TimeTaylorsville, UTRemoteFull timeThis policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation and training. Candidates must live in one of these states: Utah, South Carolina, Arizona, Texas, Kentucky, Georgia, Arkansas, Idaho, or Wyoming.
Experienced Medical Biller CE Medical GroupExperienced Medical BillerMurray, UT$20–$25 / hourFull timeCE Medical Group is a national leader in Revenue Cycle Management , and we're expanding our in-office team in Salt Lake City, Utah . If you're passionate about healthcare, thrive in a team setting, and want to grow with a company that truly values its employees, we'd love to hear from you.
Medical Office Specialist -Float HCA Healthcare IncMedical Office Specialist -FloatBountiful, UTIn recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses "Good people beget good people."- With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network.
Medical Office Specialist Float HCA Healthcare IncMedical Office Specialist FloatKaysville, UTIn recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. Submit your application for the opportunity below: Business Office Specialist -Float Job Summary and Qualifications We are seeking a Business Office Specialist - float who contributes to the company's mission, vision, and values by handling various business office functions.
Medical Insurance Claims Specialist HCA Healthcare IncMedical Insurance Claims SpecialistKaysville, UTWhat you will do in this role: You will perform follow up activities on accounts to ensure prompt payment You will identify potential coding or billing errors from EOBs to work to resolve You will monitor insurance claims and contact insurance companies to resolve claims You will update the patient account record to identify actions taken You will identify accounts to be placed with the collection agency when applicable You will administer contracts in obtaining correct reimbursement You will propose payment plans on patient balances according to policy You are responsible for maintaining accounts receivable goals causing a reduction in bad debt Qualifications you will need: Minimum (1) year of experience in a medical office setting highly preferred. (i.e. ambulatory surgery center, hospital, doctors office) preferred Knowledge of managed care payers and medical terminology is preferred Benefits HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues.
Medical Assistant Midtown Community HealthMedical AssistantOgden, UTFull timeJoin us at Midtown Community Health Center as our Medical Assistant, where your organized approach ensures every patient receives safe, high-quality care they can trust. Demonstrates ability to relate well with others in a team based environment, works quickly and accurately under pressure, and has the ability to learn computer skills.
Medical Records Assistant FT - CCHC PACS Group IncMedical Records Assistant FT - CCHCUTEnsure that departmental computer workstations left unattended are properly logged off or the password protected automatic screen-saver activates within established facility policy guidelines. General Purpose The primary purpose of your job position is to maintain resident medical records and health information systems in accordance with current federal and state guidelines as well as in accordance with our facilitys established privacy policies and procedures.
Medical Assistant MIDTOWN COMMUNITY HEALTH CENTER, INC.Medical AssistantOgden, UTMinimum Qualifications: Completion of medical assistant program OR may substitute education for 1-year minimum experience in similar setting OR may substitute if CNA certification is up to date OR phlebotomist certification is up to date. Join us at Midtown Community Health Center as our Medical Assistant, where your organized approach ensures every patient receives safe, high-quality care they can trust.
Medical Oncology Research Advanced Practice Provider (Part-Time) IHC Health Services, Inc.Medical Oncology Research Advanced Practice Provider (Part-Time)Saint George, UTThis position is accountable for the provision of patient care and other duties as permitted by licensure and defined within Credentialing and Privileging documentation (hospital), Credentialing and Scope of Practice (Medical Group), Consultation and Referral Plan (NP), Delegation of Services Agreement (PA) (DOPL) or other similar documentation as appropriate. In this role, you will provide health maintenance and disease prevention; perform diagnosis, treatment, correction, consultation, and referral for common health conditions; and prescribe or administer medications and devices, including local anesthesia and Schedule II-V controlled substances in accordance with the consultation and referral plan.
NewCharge Nurse Medical Endocrine Intermountain Health IncCharge Nurse Medical EndocrineMurray, UT$41.20–$62.17 / hourFrequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Medical Oncology Research Advanced Practice Provider (Part-Time) Intermountain Health IncMedical Oncology Research Advanced Practice Provider (Part-Time)St George, UT$57.33–$88.47 / hourPosition Specific Duties: This position is accountable for the provision of patient care and other duties as permitted by licensure and defined within Credentialing and Privileging documentation (hospital), Credentialing and Scope of Practice (Medical Group), Consultation and Referral Plan (NP), Delegation of Services Agreement (PA) (DOPL) or other similar documentation as appropriate. In this role, you will provide health maintenance and disease prevention; perform diagnosis, treatment, correction, consultation, and referral for common health conditions; and prescribe or administer medications and devices, including local anesthesia and Schedule II-V controlled substances in accordance with the consultation and referral plan.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)West Valley City, UTRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
PS Medical Assistant I University of UtahPS Medical Assistant ISalt Lake City, UT$18.50–$24.96 / hourDo you have one of the following: Current Advanced EMT certification with the State of Utah, current certification to practice as a Paramedic in the State of Utah, current certification as a Certified Medical Assistant (CMA) through AAMA, current certification as a Registered Medical Assistant (RMA) through AMT, current certification as a National Certified Medical Assistant (NCMA) through NCCT, or current Clinical Medical Assistant Certification through NHA. As per University of Utah policy 5-108: Transfer of Benefits Eligible Staff Members, a new hire to the University of Utah who is still serving a 12 month probationary period will not be hired into another University of Utah job (a transfer) until the successful completion of the probationary period.
Director, Market Access Analytics and Enablement Danaher CorpDirector, Market Access Analytics and EnablementUTRemote$185,000–$215,000 / yearAssume full ownership of the development, refinement, and implementation of strategy for data analytics and enablement function including: development of market access enablement tools; market insights/trends generation; healthcare coding analyses (diagnosis codes, billing codes, code modifiers, etc.); pricing and fee schedule evaluations; payer coverage dashboards; team dashboards; analytics frameworks; operational tools; and utilization of AI-based tools to inform decision-making and accelerate business outcomes. Success in this position requires an opportunity mindset, strong executive presence, demonstrated leadership capabilities, innovative thinking to drive actionable insights and tools, the ability to communicate complex insights clearly across senior and cross-functional stakeholders, and disciplined execution to meet critical deadlines.
Engineering Manager, Platform and AI Infrastructure Anrok, Inc.Engineering Manager, Platform and AI InfrastructureSalt Lake City, UTAs we grow, well-designed platform spanning authn and authz, RBAC, FGAC, audit trails and more, along with AI infrastructure is the backbone that lets every other team move fast without compromising the compliance workflows our customers depend on. As the digital economy has grown 6x over the last decade, software businesses have gone from not worrying about sales tax to needing to monitor exposure, calculate rates, and file returns across 50 US jurisdictions and 100+ countries.
PS Medical Assistant Apprentice University of UtahPS Medical Assistant ApprenticeUT$16–$21.50 / hourAs per University of Utah policy 5-108: Transfer of Benefits Eligible Staff Members, a new hire to the University of Utah who is still serving a 12 month probationary period will not be hired into another University of Utah job (a transfer) until the successful completion of the probationary period. VP Area U of U Health - Academics Department 00848 - Pediatric Administration Location Other City Salt Lake City, UT Type of Recruitment External Posting Pay Rate Range $16.00 - $21.50 Close Date 10/06/2026 Priority Review Date (Note - Posting may close at any time) Job Summary.
Instrumentation Engineer and Instrumentation Designers Eichleay IncInstrumentation Engineer and Instrumentation DesignersUTWhile performing duties of this job, you would occasionally be required to stand, walk, sit, reach with hands and arms, climb or balance, stoop or kneel, talk and hear (this includes being able to hear and talk on site based communication equipment), distinguish between various colors, be able to hear safety tones/notifications, and use fingers and hands to feel objects, tools, temperature or controls. Ability to assemble I&C engineering, drawing and construction work packages for review and approval, that may include Instrument Index, I/O List, and design deliverables including loop diagrams, conduit and wiring diagrams, schematics, location plans and other project deliverables.
Business Office Manager Alta View Surgery CenterBusiness Office ManagerSandy, UTFull timeThe Business Office Manager also partners with the organization’s centralized business office (CBO), corporate revenue cycle teams, and third-party vendors to support billing operations, revenue cycle performance, and case costing initiatives. The BOM works closely with the Administrator and leadership team to coordinate scheduling, optimize patient flow, and maintain strong collaboration between clinical and administrative teams.
NewBusiness Office Manager Surgery Partners IncBusiness Office ManagerSandy, UTThe Business Office Manager also partners with the organization's centralized business office (CBO), corporate revenue cycle teams, and third-party vendors to support billing operations, revenue cycle performance, and case costing initiatives. The BOM works closely with the Administrator and leadership team to coordinate scheduling, optimize patient flow, and maintain strong collaboration between clinical and administrative teams.
NewCertified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)UT$43,888–$93,574 / yearThe Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. Uses department resources regularly and follows workflows with minimal assistance or intervention to perform daily work to meet metrics.
Patient Service Representative Desert Southwest Utah Market Medical GroupPatient Service RepresentativeCedar City, UtahCoordinate with the provider to ensures all necessary surgical/procedure equipment is requested for any special item that needs to be pulled from Hospital supplies or special equipment that needs to be brought in by surgical supply Reps. Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
NewCoder SOUTHWEST UTAH COMMUNITY HEALTH CENTER, INC.CoderSaint George, UTThe Medical Coder plays a key role in minimizing denials, protecting revenue integrity, and supporting the organization's FQHC compliance and reporting requirements (including UDS and Section 330 obligations where applicable). Summary: The Medical Coder is responsible for reviewing clinical documentation and assigning accurate ICD-10-CM, CPT, and HCPCS codes for services rendered across all clinic sites.
Patient Service Representative Intermountain Health IncPatient Service RepresentativeCedar City, UT$19.85–$30.21 / hourCoordinate with the provider to ensures all necessary surgical/procedure equipment is requested for any special item that needs to be pulled from Hospital supplies or special equipment that needs to be brought in by surgical supply Reps. Frequent interactions with providers, colleagues, customers, patients/clients and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistUT$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Field Reimbursement Manager (Seattle, Denver or Salt Lake City) Recordati SpAField Reimbursement Manager (Seattle, Denver or Salt Lake City)Salt Lake City, UTRemoteServe as subject matter experts on issues of coverage, access and reimbursement by providing compliant, limited support to US health care providers (HCPs) and their office staff in navigating the reimbursement landscape for products of Recordati Rare Diseases Inc. (RRD) after the HCP made an independent decision to prescribeCollaborate with HCP staff and Specialty Pharmacy to follow up with accounts that have outstanding prior authorization or appeals submissions. The FRM is responsible for providing access and reimbursement education to healthcare providers (HCPs)and office personnel, including information regarding medical policies, prior authorization requirements, coding and billing, product access via buybill or specialty pharmacy with the goal of minimizing barriers to therapy.
Enterprise Technical Support Analyst Waystar Holding CorpEnterprise Technical Support AnalystLehi, UTWaystar's healthcare payments platform combines innovative, cloud-based technology, robust data, and unparalleled client support to streamline workflows and improve financials so providers can focus on what matters most: their patients and communities. We are deeply committed to living out our organizational values: honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun.
NewSoftware Engineer (Salesforce) (US REMOTE) Motorola Solutions IncSoftware Engineer (Salesforce) (US REMOTE)UTRemote$100,000–$110,000 / yearRequired Skills & Qualifications: Salesforce Certifications (preferred): Salesforce Certified Application Architect, Salesforce Certified Advanced Developer, Salesforce Revenue Cloud Consultant, Salesforce CPQ Specialist, or equivalent. Integration & Maintenance: Design and develop integrations between Salesforce and other enterprise systems (ERP, marketing automation, etc.) using tools like MuleSoft, REST/SOAP APIs, and middleware platforms.
NewCharge Master Analyst Sutter HealthCharge Master AnalystUT$106,745.60–$160,118.40 / yearPosition Overview: Serves as a subject matter expert for Charge Description Master (CDM) regulatory requirements and guidelines and payer contractual obligations in order to ensure CDM line items are aligned with current billing, coding regulations, guidelines, and contractual obligations. Maintains the CDM data elements (billing description, Current Procedural Terminology/Healthcare Procedure Coding System codes, revenue codes for Inpatient/Outpatient and appropriate modifiers) in the CDM software.
NewEducation Specialist AAPCEducation SpecialistSLC, UTRemoteFull timeCollaborate with a team of internal and external experts Positively contribute to AAPC’s well-established team of coding educators in providing industry-best training and membership experience. Responsibilities: Support AAPC learners in Practicode, self-paced, and other online courses Instruct and encourage learners by accurately answering questions via email and phone.
Pharmacy Services Technician Cambia Health Solutions IncPharmacy Services TechnicianUTRemote$20.50–$30.80 / hourAssist with auditing and investigations of medication-related claims, cases, and providers to identify misuse of medications, misuse of resources, substance abuse, and erroneous and fraudulent billing practices; investigate and organize workflow for claims referred to Pharmacy Services for review and allowable determination including miscellaneous J codes, providers on review, and reconsiderations. Support wellness and disease state management programs for Pharmacy Service and corporately which contribute to NCQA accreditation and ongoing quality improvement; contribute to and support the corporation's quality initiatives through process improvement teams and by encouraging team and individual contributions toward quality improvement efforts.