Top 1271 Care specialist Jobs in Utah

Senior Claim Benefit Specialist - Remote
CVS Health —Utah
- $18.50 - $42.35 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
13d
Emergency Veterinarian
Bark City Veterinary Specialists and Emergency/Urgent Care Hospital —Park City, UT
- Up to $210,000 a year
- 12 hour shift
- Mid-level
- Surgery
- Operating room
- Continuing education credits
- Relocation assistance
Quick Apply
Psychiatric Nurse Practitioner
First Step House —Salt Lake City, UT
- $110,000 - $118,000 a year
- Full-time
- CPR Certification
- Nursing
- Psychiatry
- Health savings account
- Paid holidays
Quick Apply
Registered Nurse (RN) - Night - Day - Float
Cedar Health & Rehabilitation —Cedar City, UT
- From $31 an hour
- Part-time
- CPR Certification
- Skilled nursing facility
- RN License
- Health insurance
- Dental insurance
Quick Apply
Veterinary Neurologist
Bark City Veterinary Specialists and Emergency/Urgent Care Hospital —Park City, UT
- Full-time
- Military encouraged
- In-person
- Senior level
- Continuing education credits
- Health savings account
Quick Apply
Mental Health Therapist - ACT TEAM
First Step House —Salt Lake City, UT
- $74,000 - $86,750 a year
- Full-time
- LMFT
- CPR Certification
- BLS Certification
- Health savings account
- Relocation assistance
Quick Apply
Psychology Office - Insurance Billing / Business Office Specialist
Tru Living Psychology —Orem, UT
- $22 - $26 an hour
- Full-time
- Private practice
- Microsoft Excel
- Writing skills
- Paid holidays
- Health insurance
Quick Apply
Registered Nurse Case Manager
First Step House —Salt Lake City, UT
- $72,000 - $80,000 a year
- Full-time
- CPR Certification
- Nursing
- Addiction Medicine
- Paid holidays
- Relocation assistance
Quick Apply
Endodontist
Private Dental Office —Kaysville, UT
- From $500,000 a year
- Dental office
- Doctoral degree
- Patient care
- Disability insurance
- Health insurance
Quick Apply
Aesthetician
Hello Sugar —Midvale, UT
- $13 - $40 an hour
- Part-time
- Cosmetology License
- Sanitation
- In-person
- Flexible schedule
Quick Apply
5d
Sr Merchant Support Specialist
Happen Bank, N.A. —Lehi, UT
- $25 an hour
- Full-time
- Hybrid work
- Office
- Finance
- Bachelor's degree
- Paid parental leave
- Health insurance
Quick Apply
Advanced Practice Provider (APP) / NP / PA - New Grads Welcome
Alturas Pain and Spine Specialists —Saint George, UT
- Up to $150,000 a year
- Full-time
- Private practice
- Pre-employment physical examination
- In-person
- Health insurance
- Paid time off
Quick Apply
Dentist | Mentorship Available
Fairfield Dental Care of Layton —Layton, UT
- $200,000 - $300,000 a year
- Part-time
- Dental office
- Doctoral degree
- Mid-level
- Continuing education credits
- Health insurance
Quick Apply
Iron Door Sales Specialist (partially remote)
Iron Door Works —Salt Lake City, UT
- $100,000 - $300,000 a year
- 8 hour shift
- Hybrid work
- Mid-level
- 1 year
- Flexible schedule
Quick Apply
Iron Door Sales Specialist
Iron Door Works —South Salt Lake, UT
- $100,000 - $300,000 a year
- 8 hour shift
- Mid-level
- In-person
- 1 year
- Flexible schedule
Quick Apply
Dentist | 4.9 Stars on Google
Healy Dental Care —Ogden, UT
- $200,000 - $300,000 a year
- Full-time
- Dental office
- Mid-level
- Organizational skills
- Continuing education credits
- Health insurance
Quick Apply
Radiologic Technologist
Ridgeline Orthopedic Specialists —Utah County, UT
- Full-time
- CPR Certification
- BLS Certification
- Mid-level
- Health insurance
- Paid time off
Quick Apply
10d
BCBA / Director of In-Home ABA Services
Aviation ABA Therapy LLC —Vineyard, UT
- $85,000 - $100,000 a year
- Full-time
- Clinic experience
- Psychology
- Reliable transportation
- Relocation assistance
- Health insurance
Quick Apply
Board Certified Behavioral Analyst (BCBA) HYBRID!!
Aviation ABA Therapy LLC —Salt Lake City, UT
- $80,000 - $110,000 a year
- Part-time
- Management
- Mid-level
- Clinic
- Relocation assistance
- Health insurance
Quick Apply
Endodontist
Private Dental Office —Salt Lake City, UT
- From $500,000 a year
- Dental office
- Doctoral degree
- Patient care
- Disability insurance
- Health insurance

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Senior Claim Benefit Specialist - Remote

CVS Health -
Utah

Apply Now

Job Details

Full-time
$18.50 - $42.35 an hour
13 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

High school diploma or GED
Health insurance knowledge

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience.

Additional Responsibilities

Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise.
Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication.
Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures.
Identifies and reports potential overpayments, underpayments, and other claim irregularities.
Performs claim rework calculations as needed.
Trains and mentors as needed to enhance team performance and technical proficiency.
Conducts outbound calls to obtain required information for claims or reconsideration requests.

Required Qualifications

Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator.
Proven success working in a high‑volume, production‑driven environment.
Demonstrated ability to manage multiple assignments with accuracy, efficiency, and attention to detail.

Preferred Qualifications

Self-Funding experience
DG system knowledge

Education

High School Diploma required
Preferred Associates degree or equivalent work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

care specialist jobs in utah

Senior Claim Benefit Specialist - Remote

Emergency Veterinarian

Psychiatric Nurse Practitioner

Registered Nurse (RN) - Night - Day - Float

Veterinary Neurologist

Mental Health Therapist - ACT TEAM

Psychology Office - Insurance Billing / Business Office Specialist

Registered Nurse Case Manager

Endodontist

Aesthetician

Sr Merchant Support Specialist

Advanced Practice Provider (APP) / NP / PA - New Grads Welcome

Dentist | Mentorship Available

Iron Door Sales Specialist (partially remote)

Iron Door Sales Specialist

Dentist | 4.9 Stars on Google

Radiologic Technologist

BCBA / Director of In-Home ABA Services

Board Certified Behavioral Analyst (BCBA) HYBRID!!

Endodontist

I want to receive the latest job alert for care specialist in utah

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