- CVS Health (Denver, CO)
- …and can be located anywhere in the United States.In this role as Medical Director MPO ( Medical Policy & Operations DRG Team) you will be responsible ... focused medical care with a focus on clinical and payment policy .This Medical Director provides subject matter expertise to provide clinical support and… more
- Summit Medical Consultants LLC (Denver, CO)
- Job Description The Medical Director will be one of the lead executives in support of the Company's clinical operations in its market. The MD will guide the ... Practice's clinicians to provide safe, effective medical services in SNF, LTC, ALF, and AIR settings. The MD will provide ongoing clinical education to clinicians… more
- Humana (Denver, CO)
- …audit, grievance and appeal and policy review. The Behavioral Health Medical Director will develop and present educational seminars on various behavioral ... and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... reviewing skilled nursing facility requests. The Medical Director provides medical interpretation...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Highmark Health (Denver, CO)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP... medical cost management, care management, quality and medical policy + Experience working in a… more
- Humana (Denver, CO)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... Corporate Medical Director works on problems of diverse scope and complexity...and litigation. The MD would have an interest in policy , process and CMS regulation enforcement. The MD will… more
- Elevance Health (Denver, CO)
- …appeals reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. How you will make an impact: + Conducts peer-to-peer… more
- Merck (Denver, CO)
- **Job Description** The Executive Director , Global Medical and Scientific Affairs (EDMA) GYN Malignancies is accountable for the development and execution of ... scientific & medical affairs Value and Implementation (V&I) plans for their...Brand leaders. They collaborate with the Outcome Research (OR), Policy and Market Access. **Primary Responsibilities** **:** + Leads… more
- Highmark Health (Denver, CO)
- …most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical ... members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer… more
- Fresenius Medical Center (Denver, CO)
- …or Call. We are closed 6 major holidays. Excellent benefits: Excellent benefits: Medical , dental, paid maternity & paternity leave, vision, 401K w/ match, PTO, ... training, equipment, physician and patient relations, cost containment, supply management, medical records, patient billing, OSHA and all company, state and federal… more
- State of Colorado (Denver, CO)
- …in rural or underserved areas of the state. Develops broad program and policy recommendations for the Division Director that account for the complexities ... agencies. Reviews proposed State legislation affecting the Division and Statewide housing policy and funding, helps Division Deputy Director recommend Decision… more
- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Medical Director 's primary responsibility is the review of medical authorizations ... necessity of a given service, level of care, or medical item/supply. The Medical Director 's...communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee… more
- Novo Nordisk (Denver, CO)
- …Therapy Area (TA) priorities. The SD works closely with the TA Leadership Team and Medical Director team to identify and execute key projects in a timely ... TA priorities and business needs. Relationships This position may report into the Field Director , Medical Affairs (or in smaller TA's directly into the TA head).… more
- State of Colorado (Denver, CO)
- Colorado Disability Opportunity Office Director Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4600352) Apply Colorado Disability Opportunity ... Office Director Salary $103,846.00 - $143,268.00 Annually Location Denver, CO Job Type Full Time Job Number KAA 9561 CDOO Director 8.24 Department Department of… more
- HCA Healthcare (Denver, CO)
- …who care without reservations or limits? Our HealthOne team is looking for a Director of Decision Support. HCA Healthcare is an advanced healthcare network that has ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...save lives across the country? Apply today to our Director Decision Support and be a part of the… more
- Adams County Government (Brighton, CO)
- Director of Health Equity & Strategic Initiatives - 165266 Print (https://www.governmentjobs.com/careers/adams/jobs/newprint/4555951) Apply Director of Health ... on the County needs and as determined by Department Director . Hybrid classified roles can be onsite more than...health strategies, maternal, child, and family health systems and policy efforts, and community health promotion and prevention work… more
- State of Colorado (Denver, CO)
- Director of Budget and Planning Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4602028) Apply Director of Budget and Planning Salary ... of the Attorney General/Department of Law is seeking a Director of Budget and Planning to provide strategic budget...and federal funds. The position supervises one Budget & Policy Analyst III. Job responsibilities include: + Determining short-… more