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JobsJobs in UtahJobs in Murray, UTHealthcare Jobs in Murray, UTMedical Billing and Coding Jobs in Murray, UTCoding Jobs in Murray, UT
106 Results for

Coding Jobs in Murray, UT

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    Jobs

    Coding Validation Coder I COTIVITI, INC.

    Coding Validation Coder I
    SOUTH JORDAN, UT

    Responsibilities 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.

    9 days ago

    Summer Camps Coding & Robotics Instructor Code Ninjas

    Summer Camps Coding & Robotics Instructor
    South Jordan, Utah

    Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt. In our center, kids ages 5-14 learn to code in a fun, non-intimidating way – by playing and building video games they love.

    30+ days ago

    Medical Coding & Billing Specialist Stella Mental Health

    Medical Coding & Billing Specialist
    Murray, Utah

    This 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.

    30+ days ago
    University of Utah logo

    DRG Coding Auditor University of Utah

    DRG Coding Auditor
    SALT LAKE CITY, UT

    This 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.

    25 days ago

    Medical Coding Auditor/Educator Remote: UT, AZ, TX, KY, WY, ID, GA, AR Granger Medical

    Medical Coding Auditor/Educator Remote: UT, AZ, TX, KY, WY, ID, GA, AR
    Taylorsville, UT
    Remote
    • Full time

    Performs 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.

    30+ days ago
    New

    Remote HCC Coding Specialist for Risk Adjustment Highmark Health

    Remote HCC Coding Specialist for Risk Adjustment
    Salt Lake City, UT
    Remote

    Highmark Health is seeking an experienced coding professional to support Medicare Advantage and Affordable Care Act programs through HCC coding. The role involves performing coding for various projects, assisting with audits, and engaging in educational meetings.

    1 day ago
    University of Utah logo

    Coding Auditor University of Utah

    Coding Auditor
    SALT LAKE CITY, UT

    The incumbent reviews and audits physician and institutional billing from multiple departments and entities across the organization, and assists in training departmental personnel in correct coding and documentation. The position audits and reports on the accuracy of procedural billing, payment consideration and accuracy in reimbursement based on the correct interpretation and application of codes, modifiers and payment rules.

    30+ days ago

    Coding Services Quality Analyst AAPC

    Coding Services Quality Analyst
    Salt Lake City, Utah
    Remote

    Data 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.

    25 days ago
    PricewaterhouseCoopers LLP logo

    Managed Services - Revenue Cycle Coding - Senior Manager PricewaterhouseCoopers LLP

    Managed Services - Revenue Cycle Coding - Senior Manager
    UT
    • $124,000–$280,000 / year

    PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy. As a Senior Manager, you will leverage your skills and influence to deliver quality results, motivate and coach teams to solve complex problems, and apply sound judgment to recognize when to take action or escalate issues.

    30+ days ago

    Coding Instructor Code Ninjas

    Coding Instructor
    Tooele, Utah

    We are looking for a coding instructor to join our team of dynamic, energetic, forward-thinking minds, working toward our common goal: providing a fun and safe learning environment for children. Parents are thrilled as their children gain confidence and new skills including coding, math, logic, and problem-solving, as they progress from white to black belt.

    30+ days ago

    Senior Systems Engineer - AI Code Metrics Daemon Atlassian Corp

    Senior Systems Engineer - AI Code Metrics Daemon
    UT
    • $176,400–$230,300 / year

    Bonus: Git internals, developer tools / dev infra, endpoint or monitoring agents (EDR, sync clients, telemetry agents), SQLite or embedded storage, or cross-platform native development. We're building the observability layer for AI-assisted software development, measuring how much of an engineering org's code is actually written by AI coding agents, and attributing every line back to the work that produced it.

    26 days ago

    Senior Systems Engineer — AI Code Metrics Daemon Atlassian

    Senior Systems Engineer — AI Code Metrics Daemon
    Salt Lake City, Utah
    • $180,000–$235,000 / year

    Bonus : Git internals, developer tools / dev infra, endpoint or monitoring agents (EDR, sync clients, telemetry agents), SQLite or embedded storage, or cross-platform native development. We're building the observability layer for AI-assisted software development, measuring how much of an engineering org's code is actually written by AI coding agents, and attributing every line back to the work that produced it.

    30+ days ago

    Appian Low-Code Lead Architect Deseret Mutual Benefit Administrators

    Appian Low-Code Lead Architect
    Salt Lake City, UT
    Remote
    • Full time

    You'll partner with product owners, engineering teams, and stakeholders to define architecture principles, ensure scalability, resilience, and maintainability, and drive best practices across the organization. Mentor and coach development teams on SAIL scripting, process modeling, data modeling, and advanced integrations (REST, SOAP, JDBC, event-driven).

    30+ days ago

    Hospital Billing Coordinator Deloitte Touche Tohmatsu Ltd

    Hospital Billing Coordinator
    UT
    • $50,000–$60,000 / year

    Our 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.

    30+ days ago

    Business Office Manager Alta View Surgery Center

    Business Office Manager
    Sandy, UT
    • Full time

    The 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.

    30+ days ago

    Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu Ltd

    Senior Consultant - Clinical Documentation Specialist
    UT
    • $110,700–$218,300 / year

    Other 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.

    30+ days ago

    Medical Coder - IMMEDIATE OPENING - Remote Position (UT, SC, AZ, TX, KY, WY, ID, GA, AR) - Full-Time Granger Medical

    Medical Coder - IMMEDIATE OPENING - Remote Position (UT, SC, AZ, TX, KY, WY, ID, GA, AR) - Full-Time
    Taylorsville, UT
    Remote
    • Full time

    This 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.

    30+ days ago

    Business Office Manager Surgery Partners Inc

    Business Office Manager
    Sandy, UT

    The 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.

    30+ days ago

    Hospital Billing Operator Deloitte Touche Tohmatsu Ltd

    Hospital Billing Operator
    UT
    • $70,000–$90,000 / year

    Our 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.

    26 days ago

    Medical Billing Claims Specialist Caddis Capital Management

    Medical Billing Claims Specialist
    Salt Lake City, UT
    • Full time

    We 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).

    30+ days ago

    Product Manager Waystar Holding Corp

    Product Manager
    Lehi, UT

    Waystar'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. Collecting direct customer feedback by organizing user tests, studying customer support incidents, administering user surveys, and visiting customers to study product interaction in their natural environment.

    30+ days ago

    Product Manager Waystar

    Product Manager
    Lehi, UT

    Waystar’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. Collecting direct customer feedback by organizing user tests, studying customer support incidents, administering user surveys, and visiting customers to study product interaction in their natural environment .

    30+ days ago
    HCA Healthcare Inc logo

    Medical Office Specialist -Float HCA Healthcare Inc

    Medical Office Specialist -Float
    Bountiful, UT

    In 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.

    30+ days ago
    HCA Healthcare Inc logo
    New

    Medical Office Specialist Float HCA Healthcare Inc

    Medical Office Specialist Float
    Kaysville, UT

    In 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.

    3 days ago

    Field Reimbursement Manager (Seattle, Denver or Salt Lake City) Recordati SpA

    Field Reimbursement Manager (Seattle, Denver or Salt Lake City)
    Salt Lake City, UT
    Remote

    Serve 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.

    26 days ago
    New

    Patient Accounts Rep - Phones Tanner Clinic

    Patient Accounts Rep - Phones
    Kaysville, UT

    Skills: Skill in analyzing of data, policies, and requirements and in preparing objective, comprehensive reports using computers for both research and reporting. Ability to communicate effectively with patients, staff, and external contacts via phone, in person, and through well-written reports.

    6 days ago

    Medical Auditor Project Lead AAPC

    Medical Auditor Project Lead
    Salt Lake City, Utah
    Remote

    Embrace 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.

    30+ days ago

    Medical Billing Specialist Tava Health

    Medical Billing Specialist
    Salt Lake City, Utah

    This role focuses on accurate claim creation, timely submissions, payer follow-up, denial resolution, and ensuring an exceptional financial experience for both patients and providers. The ideal candidate thrives in a fast-paced environment, understands behavioral health and EAP billing, and is dedicated to supporting accessible, high-quality mental health care.

    13 days ago

    Claims Recoup & Collect Anlyst TriWest Healthcare Alliance

    Claims Recoup & Collect Anlyst
    Salt Lake City, UT
    Remote
    • Full time

    Under limited supervision, manages and performs claims department activities related to recoupments and collections, including validation of recoupment setup, conducting collections calls with providers, establishing payment arrangements, tracking and trending outstanding recoupments, establishing payment arrangements, and coordinating collections activities with other departments. Proficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding.

    30+ days ago

    Senior Auditor Quality - OPSP COTIVITI, INC.

    Senior Auditor Quality - OPSP
    SOUTH JORDAN, UT

    Depending on nature and scope of audit, may review medical records and apply in-depth knowledge of clinical criteria to determine medical necessity, appropriateness of setting, potential billing/coding issues, and quality concerns. The quality auditor will be responsible for communicating with the initial auditor when there are differing decisions on the audit to ensure that the final decision is supported and as accurate as possible.

    9 days ago

    Intake Specialist, Infusion Clinics Option Care Health Inc

    Intake Specialist, Infusion Clinics
    Murray, UT
    • $16.61–$26.96 / hour

    Job Description Summary: This team member will play a vital role in the delivery of an efficient and well-rounded intake experience for our patients, referring providers and others involved with the delivery of care. Option Care Health consistently strives to be intentional and attentive in managing the process of receiving referrals for infusion services and ensuring that patients receive the care they need in a timely manner.

    30+ days ago

    Enterprise Rules & Edits Analyst Waystar Holding Corp

    Enterprise Rules & Edits Analyst
    Lehi, UT

    Waystars 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. • Competitive total rewards (base salary + bonus, if applicable) • Customizable benefits package (3 medical plans with Health Saving Account company match) • We offer generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays.

    30+ days ago

    Enterprise Technical Support Analyst Waystar Holding Corp

    Enterprise Technical Support Analyst
    Lehi, UT

    Waystar'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.

    30+ days ago
    New

    Senior Staff Enginer Software, FullStack Palo Alto Networks Inc

    Senior Staff Enginer Software, FullStack
    UT

    Frontend Innovation: Develop high performance, intuitive web applications utilizing TypeScript, React, and MUI X, translating complex technical workflows into smooth, low friction user experiences. End to End Feature Delivery: Take complete ownership of complex feature lifecycles, breaking down massive work streams, managing timelines, minimizing rework, and accelerating cycle times.

    3 days ago

    Enterprise Rules & Edits Analyst Waystar

    Enterprise Rules & Edits Analyst
    Lehi, UT

    Waystar’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. Intermediate–advanced Excel proficiency, including the ability to build and troubleshoot complex formulas, analyze large datasets, create pivot tables, and develop data‑driven insights.

    30+ days ago
    Cambia Health Solutions Inc logo

    Pharmacy Services Technician Cambia Health Solutions Inc

    Pharmacy Services Technician
    UT
    Remote
    • $20.50–$30.80 / hour

    Assist 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.

    30+ days ago

    Experienced Medical Biller CE Medical Group

    Experienced Medical Biller
    Murray, UT
    • $20–$25 / hour
    • Full time

    CE 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.

    30+ days ago

    Faculty Lead AAPC

    Faculty Lead
    Slc, Utah
    Remote

    Faculty is responsible for delivering high-quality instruction, supporting student success, maintaining subject matter expertise, and contributing to the development and continuous improvement of academic programs. This role involves teaching, curriculum review/enhancement, adjunct faculty training/development, and student mentoring to ensure a rigorous and effective learning experience.

    30+ days ago

    Healthcare Credential Exam Specialist AAPC

    Healthcare Credential Exam Specialist
    Salt Lake City, Utah
    Remote

    The Healthcare Certification Exam Specialist supports AAPC’s certification exam development initiatives through the creation, review, maintenance, and validation of credentialing assessments and related exam products. Required Qualifications Active coding certification from a recognized organization (e.g., AAPC or AHIMA) required; exam development credentials from organizations such as ICE‑CCP® (I.C.E.); or equivalent experience.

    30+ days ago

    Faculty Manager AAPC

    Faculty Manager
    Slc, Utah
    Remote

    If you are an experienced education leader who thrives in a fast-paced virtual environment and is passionate about supporting instructors, solving problems, and driving consistency, we want to hear from you. · Provide timely support and troubleshooting for matters affecting class delivery, faculty readiness, student experience, and operational continuity.

    27 days ago

    Auditor Technical Trainer - DRG COTIVITI, INC.

    Auditor Technical Trainer - DRG
    SOUTH JORDAN, UT

    Assess job-specific needs and develop technical training plans with clear business objectives, including working with subject matter experts, developing training materials, and developing appropriate assessments and measurements of success. The individual will work collaboratively with subject matter experts in the Commercial and Government Audit Teams, Quality Assurance, Concept Development, and others to validate workflows and communication tools to enhance audit productivity, performance, and client satisfaction.

    9 days ago

    Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu Ltd

    Billing and Accounts Receivable Manager
    UT
    Remote
    • $140,000–$160,000 / year

    As an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client. 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.

    30+ days ago

    Supervisor, Claims Admin TriWest Healthcare Alliance

    Supervisor, Claims Admin
    Salt Lake City, UT
    Remote
    • Full time

    The Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.

    30+ days ago
    HCA Healthcare Inc logo

    Specimen Processing Coordinator HCA Healthcare Inc

    Specimen Processing Coordinator
    Salt Lake City, UT

    This is the eighth time this hospital has been recognized with this honor as one of the top performing Teaching Hospitals in the U.S. St. Mark's has expanded emergency access to the communities we serve with two free standing emergency centers, Taylorsville Emergency Center and West Valley Emergency Center . Apply share Share Email X Facebook LinkedIn bookmark_border Save Job bookmark Unsave Job // Save Jobs functionality detectsavedjob('1-INFOR-4700738','save-job','unsave-job');

    16 days ago

    Multi-Specialty Professional Coder -Medical Oncology Primary Contractor AAPC

    Multi-Specialty Professional Coder -Medical Oncology Primary Contractor
    Salt Lake City, Utah
    Remote

    Extensive coding in multiple specialties including: all primary care specialties, anesthesia, general surgery, dermatology, and orthopedics. COSC, CPCD, CEDC, CGIC, CGSG, CANPC, CHONC, CIRCC, COBGC, COPC preferred.

    30+ days ago
    UnitedHealth Group Inc logo

    Patient Care Coordinator UnitedHealth Group Inc

    Patient Care Coordinator
    Taylorsville, UT

    Primary Responsibilities Provide exceptional service to all customers Greet patients as they arrive and manage wait time Process walk-in patients and visitors Manages day to day operations for activities and programs within the community center space Answers phones and schedules appointments as necessary verifying correct visit type and primary care provider Answer telephone calls re-direct calls as appropriate assist callers with questions or concerns and take messages and create and manage tasks as needed Manages medical records maintains filesscans prepares for schedule Ensures all correspondence is scanned andor filed processes requests for medical records release and maintains appropriate logs etc. Work with back-office staff to ensure smooth patient flow Resolve service issues and complaints and defer to appropriate management or clinical personnel when necessary Assist co-workers and team members with duties when requested to include but not limited to floating to other areas Close out EMR messages Establish and maintain effective working relationships with patients employees and the public Performs all other related duties as assigned.

    30+ days ago
    New

    Authorization Specialist Home Helpers Home Care

    Authorization Specialist
    South Salt Lake, UT
    • $55,000–$65,000

    Investigate root causes, coordinate with payers and internal departments, submit required documentation or corrections, and ensure follow-up is completed within established payer and company response timeframes to maximize timely reimbursement. The Authorization Specialist will play a key role in developing the Authorization Department by creating scalable workflows, improving operational efficiencies, and supporting the long-term success of Revenue Cycle Management.

    1 day ago

    Medical Biller (Revenue Cycle Specialist) Remote position 2 years plus billing experience required Sceptre Management

    Medical Biller (Revenue Cycle Specialist) Remote position 2 years plus billing experience required
    Kaysville, UT
    Remote
    • Full time

    As a result, patients can have some peace-of-mind and focus more fully on their health, and the clinics that treat them can stay in business to continue providing these life-saving treatments. As a Medical Biller at Sceptre, you are determined to ensure that our clients receive their full reimbursements which provide them with the means to continue providing exceptional patient care.

    30+ days ago

    Business Development Executive (MedInsight) Milliman Inc

    Business Development Executive (MedInsight)
    Salt Lake City, UT
    Remote
    • $120,635–$199,065 / year

    MedInsight is a subsidiary of Milliman; a global, employee-owned consultancy providing actuarial consulting, retirement funding and healthcare financing, enterprise risk management and regulatory compliance, data analytics and business transformation as well as a range of other consulting and technology solutions. Primary Responsibilities: Develop deep expertise in MedInsight's risk adjustment software and analytics, and in the surrounding market (CMS-HCC models, RADV, quality programs, value-based care, and the competitive landscape) to engage prospects as a credible advisor.

    9 days ago
    PricewaterhouseCoopers LLP logo

    Applied AI Health Data System Engineer-Senior Manager PricewaterhouseCoopers LLP

    Applied AI Health Data System Engineer-Senior Manager
    UT
    • $124,000–$280,000 / year

    Managing development teams in building healthcare AI and GenAI solutions, including analytical modeling, prompt engineering, Python-based development, testing, communication of results to clinical and operational stakeholders, front-end and back-end integration, and iterative use case development with health system clients; Documenting and analyzing healthcare business processes - across clinical operations, and population health programs - to identify AI and GenAI opportunities, gather requirements, define initial hypotheses, and develop solution approaches tailored to health system workflows; Collaborating with health system client teams - including clinical informatics, population health, and IT leaders - to understand their business and clinical problems and select the appropriate models, LLMs, and approaches for AI/GenAI use cases; Designing and solutioning AI/GenAI architectures for health system clients, including RAG-based clinical knowledge retrieval systems, agentic AI workflows for care management and revenue cycle automation, and custom LLM application builds with appropriate PHI safeguards; Managing teams to process healthcare unstructured and structured data - including clinical notes, discharge summaries, claims records, EHR data, and ADT feeds - for use as LLM context, including embedding of large clinical text corpora, generative SQL query development, and building connectors to EHR back-end databases; Managing daily operations of a global healthcare data science team on client engagements, reviewing developed models, providing feedback, and assisting in analysis of clinical and operational outcomes; Directing data engineers and other data scientists to deliver efficient, HIPAA-compliant solutions that meet health system client requirements for clinical, financial, and operational AI use cases; Leading and contributing to development of proof of concepts, pilots, and production use cases for health system clients - spanning clinical decision support, prior authorization automation, patient risk scoring, workforce optimization, and throughput modeling - while working in cross-functional teams; Facilitating and conducting executive-level presentations to health system leadership showcasing GenAI and ML solution capabilities, use case development progress, model performance, and recommended next steps; Structuring, writing, communicating, and facilitating client presentations that translate complex AI and ML concepts into clear clinical and business value narratives for health system audiences; and, Managing associates and senior associates through coaching, providing feedback, and guiding work performance, with an emphasis on developing healthcare domain knowledge alongside technical AI and ML capabilities. You will architect and build production-grade RAG pipelines, MCP connections, agentic AI workflows, and MLOps frameworks, managing daily operations across global delivery teams while engaging health system leaders at the executive level to ensure measurable clinical and operational impact.

    30+ days ago
    123

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