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Medicaid Program Integrity Jobs in Orem, UT (NOW HIRING)

Billing Coordinator - Medical Speciality

Orem, UT · On-site

$17.50 - $22.50/hr

The Center is respected for its programs, progressive outlook, and for its major contributions in ... Claims billing, follow-up and timely collections of Insurance, Medicaid and private pay patient ...

Medicaid Program Integrity information

See Orem, UT salary details

$18.7K

$39.7K

$54.8K

How much do medicaid program integrity jobs pay per year?

As of Sep 4, 2026, the average yearly pay for medicaid program integrity in Orem, UT is $39,749.00, according to ZipRecruiter salary data. Most workers in this role earn between $32,600.00 and $41,300.00 per year, depending on experience, location, and employer.

What is the difference between Medicaid Program Integrity vs Medicaid Claims Examiner?

AspectMedicaid Program IntegrityMedicaid Claims Examiner
Primary FocusDetecting and preventing fraud, waste, and abuse in Medicaid programsReviewing and processing Medicaid claims for accuracy and compliance
Required CredentialsTypically healthcare or compliance certifications, knowledge of Medicaid policiesHealthcare or claims processing certifications, attention to detail
Work EnvironmentRegulatory agencies, government offices, compliance departmentsInsurance companies, healthcare providers, government Medicaid offices

Medicaid Program Integrity professionals focus on safeguarding Medicaid funds by identifying fraudulent activities, while Medicaid Claims Examiners primarily verify claims for accuracy and proper coding. Both roles require healthcare knowledge and certifications but differ in their core responsibilities and work settings.

What are popular job titles related to Medicaid Program Integrity jobs in Orem, UT?

For Medicaid Program Integrity jobs in Orem, UT, the most frequently searched job titles are:

What job categories do people searching Medicaid Program Integrity jobs in Orem, UT look for?

The top searched job categories for Medicaid Program Integrity jobs in Orem, UT are:

Infographic showing various Medicaid Program Integrity job openings in Orem, UT as of June 2026, with employment types broken down into 84% Full Time, 11% Part Time, 1% Temporary, and 4% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $39,749 per year, or $19.1 per hour.

$18.81/hr

Part-time

Re-posted 2 days ago


Key responsibilities

  • Assist the pharmacist with prescription management and ensure accurate and timely system entry of prescriptions.

  • Communicate with patients, physicians, and insurance companies to clarify prescription information and address questions.

  • Disburse completed prescriptions to patients and maintain medication inventory according to established processes.


Job description

Job Type
Part-time
Description
Job Title: Pharmacy Technician (Part Time)
Salary: $18.81+ Commensurate with experience
Reports to: Pharmacy Director
Supervises: N/A
Job Summary: The Pharmacy Technician assists the Pharmacist with prescription management and communicating with physicians' offices about patient medications. The successful incumbent will communicate with patients over the phone and in-store to address customer service issues and field general questions about medications. Additionally, MCHC Pharmacy Technicians are responsible for confirming patient information on prescription labels before disbursing medications.
Job Qualifications
Education or Formal Training (Licenses/Certifications):
  • Associate degree in Pharmaceutical Technology or Pharmacy Technical School National Certification.
  • Active Utah Certification, including completion of all externship hours.

Experience:
  • Exemplary verbal communication and customer service skills.
  • Technical knowledge and computer skills (data entry, as well as good typing and 10-key skills) with basic quantitative abilities.
  • Strong customer service skills

Language:
  • Bilingual: English/Spanish, preferred.

Additional Requirements/Licenses/Certifications:
  • Current CPR certification required, along with any required maintenance.
  • Current personal immunization records, along with any required maintenance.
  • Ensure confidentiality, integrity, and availability of all MCHC records, PII, and PHI (created, received, maintained, or transmitted).
  • Must have reliable transportation.
  • Eligible to bill Medicaid and Medicare Travel: Minimal, as required.

Knowledge, Skills, and Abilities:
  • Ability to display a professional appearance and demeanor.
  • Ability to follow all MCHC policies, procedures, standards, specifications, guidelines, actively participate and attend employee meetings and complete required training programs in a timely manner.
  • Ability to promote, work, and act in a manner consistent with the mission of MCHC.
  • Ability to communicate and collaborate with team members to ensure superior results and team success.
  • Demonstrable verbal and written communication skills.
  • Ability to think and act independently to find solutions.
  • Is task and deadline oriented.
  • Ability to take on ownership of assignments and communicate status, issues, etc., and follow-through to completion.

Essential Duties/Responsibilities
DESCRIPTION
Responsible for ensuring accuracy and timely system entry of incoming (new and refill) prescriptions (phone, in-person, e-prescribe, etc.) and dispensing appropriately. Ensure that all prescriptions are processed according to MCHC compliance policies prior to filling and that patients are informed of possible lag times. Work with providers and medical support staff to answer patient questions and assure quality care. Field patient questions and contact doctor's offices or hospitals to clarify prescription information. Verify Rx to patient chart to validate prescribing doctor. Document referrals for 340b and attach consult notes.
Coordinates with insurance companies and outside providers to troubleshoot any prescription questions timely. Validates homeless patient vouchers (Medicaid), as well as any discount program products, and denotes East Bay patients and prescribing doctor.
Responsible in assisting at the cash register once a patient prescription is completed. Ensures courteous engagement with all patients and ensures the patient has the information they need to take their medication correctly. Disburse completed and confirmed prescriptions to patients.
Assist the pharmacist with maintaining the ongoing medication inventory and place medication orders when instructed. In order to maintain a precise inventory, follow MCHC processes and checks as outlined. Initiate and participate in quality communication among other pharmacy staff members and those throughout MCHC. Ensure 340b inventory and retail control practices are followed.
Performs other duties as assigned. Required
Working Environment and Physical Activities
This job is performed in a professional office environment. This role routinely uses equipment related to their specialty (radiography equipment, computers, etc), as well as standard office equipment such as phones, photocopiers, filing cabinets, etc.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
  • The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds.
  • Specific vision abilities include close, distance, and peripheral vision, as well as depth perception and ability to adjust focus.
  • While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee is frequently required to stand; walk; use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to climb or balance; stoop, kneel, crouch, or crawl.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
PM20
Salary Description
$18.81+