Responsibilities Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as an MRI Steering Technologist you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes. You Will: - Produce high quality MRI diagnostic images from a remote location with the help of a ROCC Tech Assistant. - Assure patient safety by adhering to company policies and established protocols. - Ensure release of patient with proper follow-up information via the ROCC Tech Assistant. - Produce high quality images in a timely manner while providing excellent patient care. - Monitor patient's well-being during scans via cameras and through feedback from ROCC Tech Assistant; recognize patient discomfort or medical problems and take appropriate action. - Recognize emergency situations and direct the ROCC Tech Assistant in emergency shutdown of gradient and/or main magnetic field (quench) when applicable. - Respond to physician questions and needs regarding patients. You Are: - Genuinely passionate about patient care and exercise sound judgement and an ability to remain professional in all situations - Able to demonstrate effective and professional communication, interpersonal skills and respect with patients, guests & colleagues - Able to thrive in a fast-paced environment, have a knack for prioritizing work with a structured approach, and enjoy solving complex problems To Ensure Success In This Role, You Must Have: - ARRT(R)(MR) certification or ARMRIT - State License in Diagnostic Radiologic Technology if applicable - Must have BLS certification - At least one year of diagnostic imaging experience is preferred We Offer: - Comprehensive Medical, Dental and Vision coverages. - Health Savings Accounts with employer funding. - Wellness dollars - 401(k) Employer Match - Free services at any of our imaging centers for you and your immediate family.

Job Description: This position demonstrates consistent application of knowledge and skills to deliver appropriate, safe, efficient and cost-effective pharmaceutical care within the scope of their assigned practice. This position is responsible for the care of patients as well as the development of effective, professional relationships within the multidisciplinary team.This is a PRN position with no guaranteed hours. The shifts can vary based on needs. This is a fully remote position but candidates must have an active Pharmacist license in the following states: NV, CO, UT, or MT. Essential Functions - Reviews patients' medication order for allergy interactions, duplication of therapy, appropriateness of drug therapy, and drug- drug interaction. Makes appropriate evidence-based interventions to optimize medication use. Ensures safe, appropriate, cost-effective therapies and accurately dispenses medications. - Oversees and/or participates in assuring appropriate medications are prepared and delivered timely to care areas and are stored both securely and appropriate for both stability and effective workflow. - Provides counseling to patients and promotes quality medication education and adherence. Ensures patient is well informed, treated with respect, and receives the highest level of professional service. - Completes all regulatory and compliance training and ensures documentation of regulatory requirements is clear and complete. Is knowledgeable and compliant with state and federal laws, regulations, pharmacy policies, procedures, and standard operating procedures. - Supervises and directs activities of interns, technicians, and support personnel as required. Provides medication related clinical consultation and clarification to other health professionals. - Takes the initiative to solve problems including, but not limited to, equipment, maintenance, drug availability, staffing issues, and extraordinary patient care concerns. - Identifies potential areas for improvement including processes that could be streamlined or revised to improve patient satisfaction. Identifies potential safety hazards that may create problems for patients and/or staff and takes appropriate actions. Participates in departmental meetings, contributing ideas or feedback - Supports clinic or hospital and system directives, including clinical, compliance, business operations, standardization, and customer service. - Supports local and enterprise pharmacy leadership initiatives. Skills - Pharmacy - Pharmacy Services - Medication Management - Pharmaceutical Care - Project Management - Quality Improvement - Problem Solving - Federal Pharmacy Laws - State Pharmacy Laws Minimum Qualifications - Doctor of Pharmacy or Bachelor of Science in Pharmacy degree from an accredited institution (education verified). - License to practice pharmacy in the state of practice and dispense controlled substances - Current knowledge of state and federal regulations and statutes regarding the practice of pharmacy in the state of practice. - Effective communication, people management, and project management skills. - Immunization certification if applicable to practice site needs Preferred - Retail pharmacy experience. - Health system pharmacy. - Refill authorization experience - Previous experience working in an integrated healthcare delivery system - Board Certification - Health System Residency - Physical Requirements - Ongoing need for employee to see and read information, labels, documents, monitors, identify equipment and supplies, and be able to assess customer needs. - 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. - Manual dexterity of hands and fingers to manipulate complex and delicate supplies and equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc. Location: Supply Chain Center Work City: Midvale Work State: Utah Scheduled Weekly Hours: 0 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $61.36 - $90.18 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. Learn more about our comprehensive benefits package here. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.

Summary Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates, implements, and maintains educational tools to help providers reduce the submission of claims for non-covered services and reduce the claims payment error rate. The error rate is a factor in awarding and renewing Medicare/other contracts. Description Logistics This position is full time (40 hours/week) Monday-Friday 8:00-5:00 and will be W@H. Unrestricted RN license required What You Will Do: - Provides clinical expertise, research, and judgment to develop Local Coverage Determinations(LCDS) under the direction of medical director. Maintains LCDS once developed. - Educates providers and internal customers on LCDS. Communicates with other interdepartmental staff in appropriate coding and reimbursement guidelines to ensure coordination and compliance. - Provides clinical input for internal requests. Serves as reviewer to determine inter-rater reliability. To Qualify for This Position, You Will Need: - Bachelor's in a job related field OR Graduate of Accredited School of Licensed Practical Nursing or Licensed Vocational Nursing - Required Work Experience: 5 years clinical experience in medical insurance, managed care, case management, or claims management, or a combination of these areas. - Required Skills and Abilities: Knowledge of managed care or medical claims payment policy issues. Working knowledge of word processing, spreadsheet software. Excellent verbal and written communication skills. Excellent customer service, organizational, presentation, analytical or critical thinking skills. Ability to persuade, negotiate, or influence others. Ability to handle confidential or sensitive information with discretion. - Required Software and Tools: Microsoft Office. - Required License and Certificate: An active, unrestricted RN license from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC). For Division 33, Certified Genetic Counselor will be considered in lieu of RN License. What We Prefer: - Bachelor's degree- Nursing. - 7 years-clinical experience in medical insurance, managed care, case management, or claims management, or a combination of these areas. - Preferred Skills and Abilities: Working knowledge of database software. Knowledge of government/healthcare programs and contracts laws, regulations. Knowledge of government/healthcare programs and regulations, coding, and approval practices. Knowledge of corporate administrative/medical policy for all lines of business. Knowledge of guidelines, benefits, and coverage for all lines of business. Preferred Software and Tools: Working knowledge of Microsoft Access or other database software, DB2 and Easytrieve. - Preferred Licenses and Certificates: HIAA, Loma, and/or ACLI certification. MPH, MHA certifications. - Experience with molecular testing - Experience with policy work What We Can Do for You: - 401(k) retirement savings plan with company match. - Subsidized health plans and free vision coverage. - Life insurance. - Paid annual leave – the longer you work here, the more you earn. - Nine paid holidays. - On-site cafeterias and fitness centers in major locations. - Wellness programs and healthy lifestyle premium discount. - Tuition assistance. - Service recognition. - Incentive Plan. - Merit Plan. - Continuing education funds for additional certifications and certification renewal. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email mycareer.help@bcbssc.com or call 800-288-2227, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Performs medical record and claims review for Medicare, Medicaid, and/or other claims data in order to ensure that proper guidelines have been followed and assesses for potential overpayment, fraud, waste, and abuse with regards to Medicare, Medicaid, and/or other claims. - Reviews beneficiary, provider, and/or pharmacy cases for potential overpayment, fraud, waste, and abuse. - Completes desk review or field audits to meet applicable contract requirements and to identify evidence of potential overpayment or fraud. - Consults with benefit integrity investigation experts and pharmacists for advice and clarification. - Completes case summaries and provides results to investigators to support the investigative process. - Provides case specific or plan specific data entry and reporting. - Participates in internal and external focus groups, as required. - Participates in provider onsite visits and beneficiary interviews, as required, for field audits/investigations. - Testifies at various legal proceedings, as necessary. - Provides job-specific orientation and training, as needed. Helps develop training content, resources, and programs specific to job functions. Qualifications - Minimum Bachelor's Degree required. Requirements - 2 - 4 years of experience required; 5 - 7 years preferred. - Current, active and non-restricted RN licensure required. - Coding certification preferred.