- Segal (Greenwood Village, CO)
- …scope for new projects;Support CRMs with presentations to clients;Collaborate with Segal's Medical Director and Clinical team on clinical and wellness programs ... health and benefit consultative support. This includes employee benefit offerings for Medical , Dental, Vision, Disability, Stop Loss and Life Insurance, as well as… 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)
- …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
- Kiewit (Denver, CO)
- **Requisition ID:** 173223 **Job Level:** Director **Home District/Group:** Kiewit Development Company **Department:** Business Development & Proposals **Market:** ... Industrial **Employment Type:** Full Time **Position Overview** The Director / Vice President, Kiewit Development Company (KDC) will...America and will work on all aspects of asset management for KDC's projects. The role will support KDC's… more
- Humana (Denver, CO)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director reviews cases of diverse scope and complexity ranging...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical /surgical utilization management review experience + Experience… more
- Norstella (Denver, CO)
- …will be pivotal in integrating diverse data sources, including laboratory data, electronic medical records (EMR), claims data, and social determinants of health ... Senior Director , RWD Analytics and Innovation Company: Citeline Location:...of data and intelligence on clinical trials, drug treatments, medical devices and what's new in the regulatory and… more
- J&J Family of Companies (Denver, CO)
- Director , Health Economics and Market Access - Robotics and Interventional Solutions - 2406204289W **Description** Johnson & Johnson is recruiting a Director , ... and profoundly impact health for humanity. Learn more at https://www.jnj.com/. The Director , Health Economics & Market Access for the Robotics and Interventional… 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
- Cardinal Health (Denver, CO)
- …future. The Director , Managed Care is responsible for strategy and management of managed care contracts and relationships with payers. They are responsible to ... implement strategic initiatives related to payer contracts. The Director , Managed Care contributes to practice growth and profitability by providing contracting… more
- Takeda Pharmaceuticals (Denver, CO)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- Norstella (Denver, CO)
- Director , RWD Product Company: MMIT Location: Remote, United States Date Posted: Jul 15, 2024 Employment Type: Full Time Job ID: R-440 **Description** Why Norstella? ... assess market potential, and inform strategic decision-making. + Translate product management strategy into actionable data deliverables, guiding development of data… more
- Brookdale Senior Living (Englewood, CO)
- …catered to your overall health and wellness. Full Time Benefits Eligibility + Medical , Dental, Vision insurance + 401(k) + Associate assistance program + Employee ... and take necessary precautions + Assess property damage and file property damage claims in accordance with company policy. + Responds appropriately to resident or… more
- State of Colorado (Denver, CO)
- …the PERA Defined Contribution Plan, plus optional 401K and 457 plans. + Medical and Dental Health Insurance for employees and optional coverage for their dependents. ... telephone, and face-to-face discussions about insurance product lines, rates, and/or claims ; + Reviewing policy forms, and/or filings to ensure compliance with… more
- Intermountain Health (Wheat Ridge, CO)
- …on-going credentialing / privileging process and other administrative functions for the Medical Staff, Medical Director , Administration, and Allied Health ... assistant- + Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) within four (4) years of… more
- Prime Therapeutics (Denver, CO)
- …Thorough understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical + Self learns new processes/software ... business requirements, system specifications, process flows, process change and/or project management + Provides leadership to the business in the identification and… more
- State of Colorado (Adams County, CO)
- …to apply. In addition to offering rewarding, meaningful work, we offer: + Medical and Dental plans + Strong, flexible retirement plans including PERA Defined Benefit ... as active stewards of Colorado's natural resources. This work unit oversees the management of aquatic resources for Colorado Parks and Wildlife, including fisheries … more
- State of Colorado (Golden, CO)
- …monitor monthly progress reports and billings. + Resolve contractor disputes and claims to ensure timely project completion. + Supervise a work unit by ... + A history of progressively responsible project or program management experience, including the ability to successfully plan, organize,...Board or request a review by the State Personnel Director . An appeal or review must be submitted on… more
- The Cigna Group (Denver, CO)
- …rates. + Enhance the Facility Center of Excellence Program along with with Network Medical Director and Clinical Operations which include but not limited to ... experience required. + Experience in managed care operations and facility network management including behavioral and/or medical with experience with commercial… more
- Prime Therapeutics (Denver, CO)
- …experience conducting complex analysis on enterprise level data sets of pharmacy, claims , medical , and/or financial data + Extensive experience with analytic ... to create new business insights related to total cost management , products and services and drives recommendations for improvements...to adjust focus **Reporting Structure** + Reports to Manager, Director or Senior Director in the Consulting… more
- Prime Therapeutics (Denver, CO)
- …(such as PMPM, generic utilization) + Experience working with large sets of pharmacy, claims , medical , and/or financial data + Previous experience in a client ... adjust focus **Reporting Structure** + Reports to a Sr Professional, Manager, or Director in the Network Management , Consulting Analytics, Operations & Planning… more
