NewProfessional Coding Specialist II - Outreach West Virginia University MedicineProfessional Coding Specialist II - OutreachWYReviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. This position is an integral part of an overall compliance program effort as it pertains to physician coding and billing functions, as such will interact with physician and non-physician providers to maximize correct coding initiatives.
NewProfessional Coding Specialist II - Outreach (Settings: Nursing Home; Skilled Nursing Facilities and Hospital Visits) WVU MedicineProfessional Coding Specialist II - Outreach (Settings: Nursing Home; Skilled Nursing Facilities and Hospital Visits)WyomingReviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. This position is an integral part of an overall compliance program effort as it pertains to physician coding and billing functions, as such will interact with physician and non-physician providers to maximize correct coding initiatives.
Senior Clinical Coding Analyst TriWest Healthcare AllianceSenior Clinical Coding AnalystCheyenne, WYRemoteFull timeIndependent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources. Conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment.
NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorSheridan, WY$57,400–$99,000 / yearThe Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Medical Biller/Coder US APPLICANT'S ONLY; SPONSORSHIP NOT AVAILABLE; POSITION LOCATED IN WYOMING Warm Valley Health CareMedical Biller/Coder US APPLICANT'S ONLY; SPONSORSHIP NOT AVAILABLE; POSITION LOCATED IN WYOMINGFort Washakie, WYFull timeVeterans who meet the minimum qualifications and provide documentation of an honorable discharge (DD214) from any branch of military service are entitled to receive preference points during the interview process. Applications are available at Warm Valley Health Care or for more information contact Stacie Fagerstone, Executive HR Director via email at stacie.fagerstone@warmvalley.health.
Medical Director of Revenue Integrity Cheyenne Regional Health SystemMedical Director of Revenue IntegrityCheyenne, WYAdvisor shall develop expertise on matters regarding physician practice patterns, over and underutilization of resources, medical necessity, levels of care, care progression, denial management, compliance with governmental and private payer regulations, appropriate physician coding and documentation requirements. The Medical Director of Revenue integrity (Physician Advisor) is a key member of the healthcare organization's leadership team and is charged with meeting the organization's goals and objectives for assuring the effective, efficient utilization of health care services.
Certified Professional Coder, Special Investigations Unit (Aetna SIU) CVS Health CorpCertified Professional Coder, Special Investigations Unit (Aetna SIU)WY$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.
Supervisor, Utilization Management TriWest Healthcare AllianceSupervisor, Utilization ManagementCheyenne, WYRemoteFull timeTechnical Skills: Thorough knowledge of policies and procedures, knowledge of managed care principles and methods; medical terminology; proficiency in the application of clinical criteria: InterQual, International Classification of Diseases, Diagnostic and Statistical Manual of Mental Disorders, current Procedural Terminology, and Healthcare Common Procedural Coding System, and American Dental codes; working knowledge with medical management systems; proficient with Microsoft Office; knowledge of UM Process; reporting techniques. • Prepares work schedules and monitors staff caseloads to ensure adequate staffing levels at all times and accurate data entry and application of the medical management system.
Software Engineer (Salesforce) (US REMOTE) Motorola Solutions IncSoftware Engineer (Salesforce) (US REMOTE)WYRemote$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.
Program Integrity Investigator (Healthcare Fraud Waste & Abuse) TriWest Healthcare AllianceProgram Integrity Investigator (Healthcare Fraud Waste & Abuse)Cheyenne, WYRemoteFull timeComplies with the Veterans Affairs Community Care Network (CCN) and TRICARE T-5 contracts; DHA and TRICARE program guidelines and pertinent Federal regulatory requirements; assists supervisors with FWA trending and reporting requirements; coordinates and assists with investigations and prosecutions by federal agencies interfaces directly with Veterans, Military members and family (as warranted), providers, subcontractors, and other TriWest departments on FWA issues; assist supervisor with the education and training of TriWest, subcontractor, and provider personnel on current FWA matters; prepares appropriate responses to provider compliance issues and complaints referred to Program Integrity by other TriWest departments or external referrals. The PI Investigator t is responsible for the identification, analysis, case development, and reporting of suspected fraud, waste and abuse (FWA) cases as defined by the Department of Veterans Affairs (VA), the Healthcare Finance Administration (HCFA) and the Department of Defense, Defense Health Agency for the TRICARE program; requests and reviews issue-related medical claims and records for FWA and/or administrative and clerical error(s).
NewInpatient Audit Specialist FT- Sign on Bonus DatavantInpatient Audit Specialist FT- Sign on BonusCheyenne, WYRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
NewInpatient Audit Specialist FT DatavantInpatient Audit Specialist FTCheyenne, WYRemote$35–$45 / hourAs an Inpatient Auditing Specialist you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies.
NewProFee Audit Specialist- FT DatavantProFee Audit Specialist- FTCheyenne, WYRemote$35–$45 / hourAs a Profee Auditing Specialist, you will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education, interim coding management, and coding workflow operations reviews. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, andlife sciences companies.
Prior Authorization Specialist Sheridan Memorial HospitalPrior Authorization SpecialistSheridan, WYAbility to demonstrate good customer service (AIDET) Aid team members in maintaining turnaround times as expected from client Account for internal control responsibilities in line with the organizations objectives Ability to handle Protected Health Information in a manner consistent with the Health Insurance Portability and Accountability Act (HIPAA) Other duties as assigned by supervisor or manager Answer questions and offer other information, as requested, to provide patient-focused service and a positive impression of the organization Suggests improvements and participates in organized efforts to improve service levels POSITION QUALIFICATIONS Education / Experience / License and Certifications High school graduate or equivalent. Ability to exercise good judgment to handle situations appropriately Ability to use online resources to and tools to achieve goals in the most efficient manner Ability to multi-task using several systems and multiple monitors at the same time Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment.
APP Health West IncAPPRock Springs, WYSupports the Health West Director of Quality, the Director of Behavioral Health, the Chief Operations Officer, and other personnel as they implement workflows and other processes aimed at improving nursing, reception, behavioral health, prescription assistance, and outreach care. Who also helps with implementing programs, workflows, and quality measures and acts as a champion for programs such as Patient Centered Medical Home (PCMH) and other programs required in a successful community health center.
NewCoder Quality Auditor Ensemble Health PartnersCoder Quality AuditorRiverton, WY$57,400–$99,000 / yearReporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts.
Audiology Coordinator Sheridan Memorial HospitalAudiology CoordinatorSheridan, WYESSENTIAL JOB FUNCTIONS Clinic Operations Workflow Integration Coordinate daily operations of audiology services within the ENT clinic Align audiology schedules with ENT provider templates to support same-day and coordinated care Optimize clinic flow for combined ENT/audiology visits (e.g., add-on hearing tests, post-ENT evaluations) Monitor schedule utilization, capacity, and access metrics, reporting daily to clinic leader Corresponds with patients promptly and professionally, routing or taking messages as appropriate. This role supports seamless integration between audiology and ENT providers, ensuring efficient patient access, high-quality care delivery, and effective clinic operations.
Field Reimbursement Manager - Kidney (Pacific Northwest - WA, OR, ID, WY, MT, AK) Vertex PharmaceuticalsField Reimbursement Manager - Kidney (Pacific Northwest - WA, OR, ID, WY, MT, AK)WyomingCompliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
NewMedical Claim Analyst CVS Health CorpMedical Claim AnalystWY$18.50–$35.29 / hourThis function includes, but is not limited to the following: Review provider re-submissions of ClaimsXten, Clinical Validation, Prospective Claim Accuracy, Novologix and DRG claims and resolve or prepare them for review by an Aetna clinician. The Medical Claim Analyst will be part of the Provider Coding and Reimbursement (PCR) team who reviews provider coding and reimbursement denial disputes from providers.
Senior Investigator, Special Investigations Unit (Aetna SIU) CVS Health CorpSenior Investigator, Special Investigations Unit (Aetna SIU)WY$46,988–$112,200 / yearThis position will routinely handle high profile or highly sensitive matters involving cases that are national in scope, as well as, complex cases involving multi-lines of business, multiple subjects, or intricate healthcare fraud schemes. Strong communication skills, both written and oral, are necessary for the development and implementation of professional presentations for internal and external stakeholders regarding healthcare fraud matters and Enterprise approach to FWA.
MRI Technologist Traveler Team Intermountain Health IncMRI Technologist Traveler TeamWYLocation: Good Samaritan Hospital, Holy Rosary Hospital, Intermountain Health Intermountain Medical Center, Intermountain Health LDS Hospital, Intermountain Health Lutheran Hospital, Intermountain Health St George Regional Hospital, Intermountain Health St Vincent Regional Hospital, Intermountain Health Utah Valley Hospital, Platte Valley Hospital, Primary Childrens at Lehi, Primary Childrens at Riverton, Saint Joseph Hospital, St. Marys Regional Hospital, St James Hospital. Frequent 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.
CT Technologist - PRN Intermountain Health IncCT Technologist - PRNRiverton, WY$39.16–$60.42 / 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.
NewRadiology Techonologist Intermountain Health IncRadiology TechonologistWY$29.43–$45.39 / 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. As a Radiology Technologist at Intermountain Health, you will play a vital role in supporting our clinical team, ensuring our patients receive the best care by: Maintains ARRT or modality-specific competency in all clinical and technical functions.
Radiology Technologist Travel Team Intermountain Health IncRadiology Technologist Travel TeamWYLocation: Good Samaritan Hospital, Holy Rosary Hospital, Intermountain Health Intermountain Medical Center, Intermountain Health LDS Hospital, Intermountain Health Lutheran Hospital, Intermountain Health Primary Childrens Hospital, Intermountain Health Riverton Hospital, Intermountain Health St George Regional Hospital, Intermountain Health St Vincent Regional Hospital, Intermountain Health Utah Valley Hospital, Platte Valley Hospital, Saint Joseph Hospital, St. Marys Regional Hospital, St James Hospital. 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.
PRN Radiology Technologist-Registered Intermountain Health IncPRN Radiology Technologist-RegisteredRiverton, WY$29.43–$45.39 / 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.
Manager, Clinical & Business Insight TriWest Healthcare AllianceManager, Clinical & Business InsightCheyenne, WYRemoteFull timeTechnical Skills: Strong knowledge of Microsoft Excel, Access, Preferred strong knowledge of Crystal Reports, SQL Reporting Services, and other query software; Knowledge of relational databases; Working knowledge of medical management systems; Working knowledge of referral and authorization systems; Working knowledge of healthcare; Working knowledge of medical coding, HIPAA regulations, claims processing, and healthcare reimbursement systems. • Drive improvements in cost efficiency, quality of clinical care, and effectiveness of clinical programs by performing data analysis to deliver actionable insights that are backed by empirical evidence.
Medical Director - ENT CVS Health CorpMedical Director - ENTWY$174,070–$374,920 / yearLeads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise. 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.
Billing Analyst 1 Blue Cross and Blue Shield AssociationBilling Analyst 1Cheyenne, WYTo be successful in this role, you will need strong time management and prioritization capabilities, the ability to handle phone contact with people who may be experiencing emotional situations and be comfortable accessing and utilizing multiple systems to respond and research member inquiries. Accountabilities include meeting performance measures, ensuring the billing processes are accurate and timely, reviewing accounts and resolving any discrepancies, and responding to questions or inquiries that come from other departments.
Informatics Consultant CVS Health CorpInformatics ConsultantWY$43,888–$102,081 / year1+ year(s) computer skills and knowledge of Microsoft Word, Excel, PowerPoint and Adobe Acrobat Pro experience with reporting platforms such as: Big data analytics, data mining, and Tableau. Become a subject matter expert for Client Management, clients and brokers related to our internal analytics tool and their client's data.
Senior Software Development Engineer CVS Health CorpSenior Software Development EngineerWY$83,430–$222,480 / yearCVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world. Currently, we are seeking a Senior Software Development Engineer with deep expertise in Java/JEE, Spring Boot, RESTful microservices, and Kafka to lead the design and development of scalable, secure cloud-native solutions.
Medical Director - Radiation Oncology - MD or DO CVS Health CorpMedical Director - Radiation Oncology - MD or DOWY$174,070–$374,920 / yearThe Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases.
Staff Software Development Engineer CVS Health CorpStaff Software Development EngineerWY$106,605–$284,280 / yearFurthermore, the Staff Engineer role includes closely working with a team of engineers to drive delivery excellence, partner with business and other IT leaders to build digital assets, provide expert level support to resolve complex issues and provide RCA, identify gaps in systems in current digital eco system and provide solutions to enhance overall performance. CVS Health Digital is looking for hands-on, passionate people who want to join a high energy and growing team to make a difference in customers' lives and who want to be on the forefront of digital innovation that aims to reinvent what a pharmacy and a health care company can be in the digital world.
Application Security Engineer Ryder System IncApplication Security EngineerCheyenne, WYCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Staff Development Engineer - Fulfillment CVS Health CorpStaff Development Engineer - FulfillmentWY$106,605–$284,280 / yearCollaborate closely with engineering, platform, and business teams to deliver cost optimized, scalable solutions-leveraging cloud cost profiling tools, storage tiering strategies, service right sizing, and architectural simplification. Apply advanced software engineering practices across the full SDLC-including domain driven design (DDD), design patterns, secure coding, automated testing strategies (unit, contract, integration), code quality gates, trunk based development, and continuous observability.
Senior Manager - Software Development Engineering CVS Health CorpSenior Manager - Software Development EngineeringWY$106,605–$284,280 / year3+ years of experience defining technology strategy and leading the adoption and operationalization of technologies such as AI/ML, cloud services, automation, and developer productivity tools in a large-scale enterprise environment with evidence of measurable impact (e.g., reduction in MTTR, cost savings, efficiency gains, or adoption KPIs). Currently, we are seeking Senior Manager - Software Development Engineering who will lead and manage a team of software engineers, providing hands-on technical direction, architecture guidance, and mentorship while establishing measurable engineering goals aligned with business outcomes.
Autism Services Navigator TriWest Healthcare AllianceAutism Services NavigatorCheyenne, WYRemoteFull timeIn support of TRICARE beneficiaries enrolled in the Autism Care Demonstration (ACD), the Autism Services Navigator (ASN) collaborates and oversees the assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services for TRICARE beneficiaries diagnosed with autism spectrum disorder (ASD). • Current unrestricted licensure in an appropriate state or territory of the United States, as a Licensed Independent Clinical Social Worker (LICSW), Licensed Clinical Social Worker (LCSW), Registered Nurse, or other licensed mental health professionals who possess a Certification in Case Management (CCM).
Billing Analyst 1 Blue Cross Blue Shield of WyomingBilling Analyst 1WyomingTo be successful in this role, you will need strong time management and prioritization capabilities, the ability to handle phone contact with people who may be experiencing emotional situations and be comfortable accessing and utilizing multiple systems to respond and research member inquiries. Accountabilities include meeting performance measures, ensuring the billing processes are accurate and timely, reviewing accounts and resolving any discrepancies, and responding to questions or inquiries that come from other departments.