- Humana (Denver, CO)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- University of Colorado (Denver, CO)
- **Associate Director of Risk Management , CU Denver and Anschutz Operations** **University of Colorado Denver** **Description** **Who We Are:** **Position ... Posted by the FREE value-added recruitment advertising agency (https://www.jobelephant.com/) Associate Director of Risk Management , CU Denver and Anschutz… more
- Humana (Denver, CO)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Denver, CO)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- Merck (Denver, CO)
- **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
- Western Digital (Denver, CO)
- …of action. + Develop, formulate and coordinate property and casualty insurance claims control function at all locations. + Continue review of existing safety, ... environment, loss prevention, employment and security programs as related to the management of risk or accidental loss. + Maintain historical record of all losses,… more
- Humana (Denver, CO)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- University of Colorado (Aurora, CO)
- **Finance & Accounting Assistant Director ** **Description** **University of Colorado Anschutz Medical Campus** **Department: College of Nursing** **Job Title: ... Compliance: Expertise in fiscal regulatory compliance, cost containment, and timely, accurate claims filing. + Revenue Cycle Management : Skilled in handling… more
- Merck (Denver, CO)
- …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs… more
- Cardinal Health (Denver, CO)
- …and delivers human resource programs and policies, including recruitment, talent management , diversity and inclusion, compensation and benefits, among others. This ... **_Job Summary_** We are seeking an experienced and strategic Director of US Benefits to lead and oversee the...Benefits to lead and oversee the design, implementation, and management of employee benefit programs. This role will be… more
- AECOM (Denver, CO)
- …Leads integration of risk/change management processes during delivery, including claims management . + Ensure that project controls measures are implemented. ... select large or complex assignments. + Lead or assist with dispute resolution, claims , and other conflict management issues. + Facilitate planning activities,… more
- Humana (Denver, CO)
- …functions strategy. + Establishes and oversees Medicaid segment trend mitigation strategy ( claims and revenue management ) + Researches industry trends and ... part of our caring community and help us put health first** The Director , Medicaid Trend Mitigation Strategy provides data-based strategic direction to identify and… more
- Fiore & Sons Inc (Denver, CO)
- …vendors, partners, and employees. The Health, Safety, and Environment Director is responsible for developing, implementing, and maintaining comprehensive health, ... company and all our civil construction projects. The HSE Director manages and motivates a team of dedicated HSE...other applicable agencies as a support partner. + Risk Management : + Identify potential risks and hazards associated with… more
- CORE Electric Cooperative (Sedalia, CO)
- …excellence. **About the job** CORE Electric Cooperative is seeking a Supply Chain Director to join our Finance & Accounting Department, reporting to the Chief ... Financial Officer, in our Sedalia Office. The Director is responsible for the sourcing and selection of...will oversee the purchase of materials and supplies, the management and control of inventory, receiving compliance, material tracking,… more
- Baylor Scott & White Health (Denver, CO)
- … claims data to uncover trends and assist in managing and understanding incurred medical and pharmacy cost. - The Director will design, develop, and support ... **Position Overview:** Reporting to the VP, Value-based Care Analytics, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott &… more
- Merck (Denver, CO)
- …deliver measurable impact in commercial pharma landscape. + Knowledge in mining medical claims /EMR, social media, etc. data with a strategic/inquisitive mindset ... **Job Description** The Associate Director Data Science will be responsible for developing and communicating data-driven and actionable insights that drive greater… more
- ZOLL Medical Corporation (Broomfield, CO)
- …have working knowledge of patient accounting functions, tools and processes applicable to medical claims . Must be proficient in Microsoft Windows, Excel and ... that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide...TypeRemote Under the direction and supervision of Revenue Cycle Management Supervisor / Manager/ Director ; The Lead… more
- ZOLL Medical Corporation (Broomfield, CO)
- …have working knowledge of patient accounting functions, tools and processes applicable to medical claims . Must be proficient in Microsoft Windows, Excel and ... that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide...Functions Under the direction and supervision of Revenue Cycle Management Supervisor / Manager/ Director ; The Lead… more
- State of Colorado (Denver, CO)
- …AND Six months of professional work experience in workers' compensation, risk management , claims adjusting or insurance industry. Customer Service in a ... Contribution Plan (https://www.copera.org/) plus 401(k) and 457 plans + Medical and dental health plans (https://www.colorado.gov/pacific/dhr/benefits) + Employer supplemented… more
- Prime Therapeutics (Denver, CO)
- …with data consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... with business partners across client facing divisions, product/ project management , analytics, operations, and IT to enable data-driven strategic decisions.… more