- Evolent Health (Denver, CO)
- …resolutions, driving results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for ... UM Manager in supervising the operational productivity of the Utilization Management nurses by implementing and maintaining...flow of information through the UM department. The UM Lead , in collaboration with the UM Manager and Director,… more
- Philips (Denver, CO)
- As a Territory Manager within our Lead Management team, you will serve as the strategic business planning leader by actively growing and developing the cardiac ... lead management business. You will provide solutions...to effectively manage assigned accounts in terms of driving utilization , customer relationship management , problem resolution, business… more
- CVS Health (Denver, CO)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic ... standards to meet the needs of all CVS Health businesses. As a Lead Director of Observability Governance, you will collaborate with observability engineering and… more
- AECOM (Denver, CO)
- …Description** AECOM's Digital Practice & Technology Group is looking for an Asset Management Technical Lead for our growing Transportation Asset Management ... managed utilizing asset data, BIM, and GIS. The Asset Management Technical Lead will work with Asset...executives + Adapt/respond to changes in client expectations + Utilization of data collection technologies and methodologies + Documentation… more
- Humana (Denver, CO)
- …for key Medicaid programs and subpopulations. Areas of focus include Care Management , Quality Improvement, Utilization Management , Population Health, Social ... health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy, to lead...health of the communities it serves. The **Medicaid Capture Management ** team's purpose is to successfully position Humana to… more
- Humana (Denver, CO)
- …+ Develop and implement strategies to enhance program efficiency, ensuring optimal utilization of resources. + **Description Management :** + Oversee the ... first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and measures the effectiveness of existing business processes and… more
- Humana (Denver, CO)
- …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
- Merck (Denver, CO)
- …for this hybrid position will have responsibilities as both an Institutional Account Lead (IAL) and Payer Account Executive within the assigned geography and for ... but are not limited to the following:** The IAL Hybrid Institutional Account Lead / Payer Account Executive will manage the business relationship between our Company… more
- L3Harris (Aurora, CO)
- Job Title: Lead , Program Finance Job Code: 15979 Job Location: Denver, CO (Buckley AFB) Job Description: The Space Superiority Division is seeking a Program ... and monthly analysis of key financial trends, including cost versus plan, labor utilization , and cash collection metrics + Collaborate with Program Management ,… more
- The Cigna Group (Denver, CO)
- …Performance External Representative's responsibilities include: + Supporting the development, management and oversight of the physician/ provider network in his/her ... limited to: preventative and quality outcome metrics, risk adjustment, medical cost management , etc. + Schedules, prepares for and participates in meetings with… more
- Evolent Health (Denver, CO)
- …with others. **Collaboration Opportunities:** + The Manager, Client Services oversees daily utilization management and directs the medical care of our members ... in a supporting role to the Director, Intake and Utilization Management Operations. + This individual will...Management Operations. + This individual will not only lead a production team but will also work closely… more
- Marriott (Denver, CO)
- …used to handle access, and the strategy and governance of the privileged access management + Lead PAM product definition, requirements and development + Lead ... States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director of Privileged Access Management … more
- AC Disaster Consulting (Denver, CO)
- …Responsibilities: This position will not have supervisory responsibilities, but may serve as lead on projects with senior management oversight. Expected Hours of ... leading, national consulting firm that provides compassionate, full-spectrum emergency management services including planning and preparedness, response, recovery, and… more
- Organon & Co. (Denver, CO)
- …priorities for state-level policy activities designed to increase appropriate LARC utilization (Dependent on State Lobbying Statutes). Will partner with the GAE ... RPAD. + Group Purchasing Organizations (GPOs) not covered by RPAD. + Management Service Organization (MSO). + Independent Physicians Associations (IPAs). Discuss and… more
- Humana (Denver, CO)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Denver, CO)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Denver, CO)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Humana (Denver, CO)
- …skills, with prior experience participating in teams focusing on quality management , utilization management , and acute inpatient rehabilitation ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers + Utilization management experience in a medical management … more
- Whole Foods Market (Westminster, CO)
- …to pick processes, and drop of task execution (for E-Commerce); and, cash management , customer demand management , labor utilization , and execution of ... , balancing dynamic customer flows. + Strong understanding of how labor utilization and task management drive performance metrics and customer experience.… more
- Molina Healthcare (Denver, CO)
- …Plan, NCQA, CMS and State Medicaid entities. **Job Duties** + Oversees Utilization Management , Claims, Organizational Credentialing, and Crisis Call Center ... Administrative Service Organization for monitoring and auditing of Crisis Lines, Utilization Management , and Organizational Credentialing. + Ensure that all… more