- 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
- Elevance Health (Denver, CO)
- **Business Change Director - Claims /Payment Integrity Use-Case Lead** **Location:** This position will work a hybrid model (remote and office). Ideal candidates ... 50 miles of a PulsePoint location. The **Business Change Director - Claims /Payment Integrity Use-Case Lead** is responsible for...continue to improve on the process. The Business Change Director is responsible for working with management … 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
- State of Colorado (Aurora, CO)
- Associate Director of Risk Management , CU Denver and Anschutz Operations Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4767691) ... Associate Director of Risk Management , CU Denver and...campus leaders on items related to continuously improving risk management processes, risk identification, loss control, claims ,… 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
- 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
- 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
- Humana (Denver, CO)
- …our caring community and help us put health first** The Actuarial Director , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Director , Actuarial Analytics/Forecasting requires an in-depth understanding of how organization… 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
- State of Colorado (Denver, CO)
- …evaluation and classification; organizational development; New Employee Orientation; performance management ; interpretation of CDHS HR policy, state personnel rules, ... state and federal employment laws; progressive discipline; records management ; recruitment; responding to grievances, appeals, charges of discrimination;… 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
- Fujifilm (Denver, CO)
- …Sales Administrator for Latin America and the Caribbean will report to the Director of Sales for ID/Optical Devices/ EID. The primary responsibility of this position ... be to support sales for Latin America and Caribbean accounts currently under management by FNAC. Achieve the division sales plan, provide weekly and monthly detail… more
- The Cigna Group (Denver, CO)
- …and support delivery of plan KPIs. + Oversee end-to-end operations, including claims management , contract administration, account management , and producer ... revenue annually with earnings of approximately $1B. The senior director of Stop Loss will be responsible for protecting...risk, and presenting innovative solutions to the market. The management process will pull in dedicated leaders who drive… more