- HealthEdge Software Inc (Denver, CO)
- **Overview** **Position** **Overview:** We areseekinga highly skilled and experienced Senior Manager of Product Management to lead our Claims Value Stream.Your ... business. Our product teams are cross-functional and durable,generally comprisedof a product manager , a product designer, several engineers, and QE. We have divided… more
- Zurich NA (Denver, CO)
- …filled at either the_ Senior Litigated Claims Specialist IV or Litigated Claims Specialist II. _The hiring manager will determine the appropriate level based ... Senior Claims Specialist or Claims Specialist 117405...Schaumburg, IL office(s), we are open to considering fully remote applicants located throughout the US. The Workers Compensation… more
- Prime Therapeutics (Denver, CO)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Manager Reporting & Analytics - REMOTE **Job Description** The ** Manager ... improvement, and inter-departmental requirements + Serve as mentor and manager of team of reporting; develop and coach staff...+ Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data… more
- Wolters Kluwer (Denver, CO)
- …end-to-end customer experience to drive world-class business outcomes. **Basic Function** This remote -friendly Account Management Team Manager , you will build a ... team to drive profitable sales growth. Time will be spent identifying customer needs, developing pipeline, and pursuing the expansion of products and services. In this role the position will learn and stay informed on the comprehensive product line; learning,… more
- Prime Therapeutics (Denver, CO)
- …our passion and drives every decision we make. **Job Posting Title** Account Manager - Connecticut ADAP - remote **Job Description Summary** Overall management ... or appropriately escalates customer service issues in conjunction with operations ( claims , service, and systems). + Provides mentoring to Account Support Specialists… more
- Sharecare, Inc. (Denver, CO)
- …Summary:** The role of the Family Health Advocate is an exciting and innovative remote role newly created to provide meaningful support to members and their families ... eligibility, benefit education, open enrollment / new hire plan selection, claims issues, ID card issues, grievances/appeals, utilization management (UM) status,… more
- LifePoint Health (Denver, CO)
- …opportunities while maintaining a small company, employee-focused atmosphere. This is a fully remote position! You must live in the United States. We believe that ... We are currently seeking a Centralized Coding Specialist. This remote -based position will spend the bulk of their time...the information into codes that insurers use to process claims . You will make sure that codes are assigned… more
- Medtronic (Lafayette, CO)
- …value. Additionally for the right candidate, this role may qualify for Flex Time or remote **A Day In The Life** . Lead the assessment, development and execution of ... expertise through consultants . Develop economic research for external publications (ex. claims databases) . Able to apply strong analytical skills to a variety… more
- Option Care Health (Denver, CO)
- …assistance program). + Supports the ongoing activities needed to ensure clean claims on hold and denial management (follow-up on paperwork where missing). + ... Assist Patient Registration Supervisor and Manager with special assignments as needed. **Supervisory Responsibilities** Does this position have supervisory… more
- The Cigna Group (Denver, CO)
- …of the Provider Contracting Team and reports to the **Provider Contracting Senior Manager ** . This role assists in developing the strategic direction and management ... of communication with matrix partners including but not limited to, Claims Operations, Medical Management. Credentialing, Legal, Medical Economics, Compliance, Sales… more
- American Heart Association (Aurora, CO)
- …The American Heart Association has an excellent opportunity for a **Clinical Data Manager ** in our **National Center** office. Location of the selected candidate is ... for you to be able to integrate data from different sources (clinical, claims , patient-reported survey data, food vendors). The Database Designer is responsible for… more
- HealthEdge Software Inc (Denver, CO)
- **Overview** **Senior Manager , Product Operation** **Position Overview:** We areseekinga highly skilled and experiencedSenior Manager , ProductOperationsto join ... business. Our product teams are cross-functional and durable,generally comprisedof a product manager , a product designer, several engineers, and QE. We have divided… more
- The Hartford (Greenwood Village, CO)
- Client Relationship Manager - SA08AE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. ... Customer Service Administration / Issue resolution (liaison with underwriting, claims , billing, etc.). Coordinates the day-to-day service and administrative… more
- Jacobs (Greenwood Village, CO)
- …and your success, invest your technical expertise with us as a FEMA Project Manager . Through CCPRS, Jacobs is looking for you to provide technical assistance support ... water treatment facilities, parks etc.). As a FEMA Project Manager , also known to FEMA as a Program Delivery...of projects and complexity of projects that an applicant claims . You'll ensure program delivery in a timely, professional,… more
- Humana (Denver, CO)
- …a part of our caring community and help us put health first** The Manager , Medical Coding in Payment Integrity leads a team that reviews clinical information from ... medical codes (eg, ICD-10-CM, ICD-10-PCS, DRG, APR-DRG) were billed. The Manager , Medical Coding works within specific guidelines and procedures; applies advanced… more
- Moss Adams LLP (Denver, CO)
- **Regional HR Senior Manager ** **Description** At Moss Adams, we champion authenticity. For us, that means fostering a culture of talented people who care-about you, ... complex and interesting business challenges. **Introduction to the team** The Regional HR Senior Manager plays a key role in our people efforts. As a champion of the… more
- HealthEdge Software Inc (Denver, CO)
- **Overview** **Position Overview** **:** As a Product Manager forHealthEdgeSource, you willbededicatedto developing innovative solutions for the healthcare ... root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete… more
- Sedgwick (Denver, CO)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering with the injured ... on the health and lives of others, and a remote work environment. + Enjoy flexibility and autonomy in...systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. +… more
- Norstella (Denver, CO)
- Manager , Market Research Company: MMIT Location: Remote , United States Date Posted: Sep 24, 2024 Employment Type: Full Time Job ID: R-602 **Description** **About ... decision-making along the entire drug development journey. **Job Description** As a Manager , Market Research, you will coordinate report content generation based on… more
- CVS Health (Denver, CO)
- …to make health care more personal, convenient and affordable. **Position Summary** **The Case Manager RN position is 100% remote and employees can live in any ... is no travel expected with this position.** This Case Manager RN position is part of Aetna's Commercial Care...and multiple diagnosis that impact functionality. - Reviews prior claims to address potential impact on current case management… more