| Employer: | Regence |
| Job Location: |
Salt Lake City - Salt Lake County |
| Employment Type: | Full Time |
Description: |
| reaffirm PRIDE
It feels good to make a difference. To be a part of a company that improves people's lives every day. That's pride from the inside out. We're Regence, and we're striving to transform health care with everything we do.
As the region's largest not-for-profit health insurance plan, Regence has more than 6,500 employees in Washington, Oregon, Idaho, and Utah. We're innovators. Advocates for change. And we're looking for passionate individuals who will forge a path with us. Performance Integrity Analyst Salt Lake City, UT
Bring your knowledge of performance analysis to the following role: - Examine and validate Plan and employee performance according to established policies, procedures and mandated audit guidelines
- Monitor accuracy and timeliness of claims, membership and customer service to meet performance and service level goals
- Provide reports, feedback and recommendations for quality improvement to management
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Qualifications: |
Combine your claims experience with the following skills and abilities: - 4 years of experience in Claims, Membership or Customer Service depending on current business need, or an equivalent combination of education and job-related experience
- Knowledge of claims coding, Blue Card, membership/customer service processes, applicable systems including pricing and provider contract language
- Audit experience desirable
- Ability to understand and apply mathematical concepts
- Proficient in Word, Excel and Lotus Notes
Hard work and dedication is rewarded at Regence: We offer a competitive salary and a generous benefits package.
For consideration, please visit our Web site at www.regence.com/careers and Apply Online to Job #17936.
We are an equal opportunity employer dedicated to workforce diversity and a drug and smoke-free workplace. Drug Screening and Background Check is required.
www.regence.com/careers
Together we can take charge.
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