PrimeWest Health

Join our team and play a key role in ensuring accurate member enrollment and eligibility! What You’ll Do: Process enrollment records and update eligibility in the membership system. Review and resolve discrepancy reports from internal teams, DHS, and CMS. Research…

Join Our Team as an Administrative Specialist! Are you organized, proactive, and ready to make an impact? PrimeWest Health is seeking an Administrative Specialist to support our Business IT & Claims Administration department. In this role, you’ll handle a variety…

As a Utilization Management Specialist, you’ll support the UM team by managing service authorizations, meeting strict regulatory standards, and keeping processes running smoothly—even during high demand periods. What You’ll Do: Process and file medical authorizations with precision. Communicate outcomes to…

Join Our Team as a Member Contact & Navigation Specialist! Are you passionate about helping people and making a real difference in their lives? At PrimeWest Health, we’re looking for a Member Contact & Navigation Specialist who thrives on delivering…

PrimeWest Health is seeking a detail oriented professional to manage member Appeals and Grievances (A&G) in compliance with State and Federal regulations and organizational policy. This position ensures timely and accurate administration of A&G processes, including State Appeals (Fair Hearings),…