- USAA (Colorado Springs, CO)
- …with Legal, Risk and Compliance on interpretation of CMS (Center for Medicare and Medicaid Services ) rules to provide guidance and clarification to executive ... to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the… more
- Humana (Denver, CO)
- …of our caring community and help us put health first** Own and manage Medicaid claims analytics dataset using Databricks. Ensure data accuracy, completeness, and ... financial, and clinical teams to assess and determine optimal data solutions. Provide strategic recommendations on ...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Humana (Denver, CO)
- …Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing ... Engineer will be primarily responsible for implementation, maintenance and support of Medicaid provider reimbursement for hospitals and facilities. They will… more
- State of Colorado (CO)
- …Database (RED), and Patient Access and Interoperability (PAI). + Analyze and validate data and interface transmission for the Medicaid Enterprise Solution (MES) ... CO Medicaid Enterprise Solution (CMES) Integration Business Analyst Print...Support Systems portfolio modules including claims, eligibility and enrollment data , financial payment data , provider … more
- Humana (Denver, CO)
- …of the care received by members in the KY, OH, VA, WI and IN Medicaid market populations. May provide cross-coverage for other state Medicaid markets. ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Deloitte (Colorado Springs, CO)
- …work. Recruiting for this role ends on December 15th, 2025.Work You'll Do + Provide strategic and technical consulting services to public sector clients + ... reimbursement, including actuarial rate development across managed care and fee-for- service , Medicaid policy, budget forecasting and fiscal analyses, and… more
- Humana (Denver, CO)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Allied Universal (Fort Collins, CO)
- …Site inspector. The Field Site inspector will perform site visit inspection services for Medicare and Medicaid providers/suppliers in accordance with established ... Your Career in Insurance Claims with Allied Universal(R) Compliance and Investigation Services . Allied Universal(R) Compliance and Investigation Services is the… more
- Prime Therapeutics (Denver, CO)
- …passion and drives every decision we make. **Job Posting Title** North Carolina Medicaid Account Manager - Remote Raleigh, NC **Job Description** The Senior Account ... responsible for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product and… more
- Public Consulting Group (Denver, CO)
- …agency and school district clients in their efforts related to special education, Medicaid reimbursement, data management and use. While a remote role, it ... and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986, PCG employs approximately 2,000… more
- State of Colorado (Pueblo, CO)
- …on Hospital Accreditation Standards, Environment of Care Manual, Centers for Medicare and Medicaid Services , Safety Data Sheets, Colorado State Personnel ... Health Hospital in Pueblo (CMHHIP) is a leading employer, provider of quality mental health services , and... services , oxygen and oxygen equipment, and laboratory services after hours and obtaining data from… more
- State of Colorado (Pueblo, CO)
- …on Hospital Accreditation Standards, Environment of Care Manual, Centers for Medicare and Medicaid Services , Safety Data Sheets, Colorado State Personnel ... Health Hospital in Pueblo (CMHHIP) is a leading employer, provider of quality mental health services , and... services , oxygen and oxygen equipment, and laboratory services after hours and obtaining data from… more
- Humana (Denver, CO)
- …fraud, waste and abuse within the healthcare industry + Knowledge of the Medicare and Medicaid programs + Experience in data analysis + Must be passionate about ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Denver, CO)
- …Demonstrate ability to problem-solve complex coding issues + Experience with Medicare and Medicaid coding guidelines + Strong data entry and attention to detail ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Denver, CO)
- …into provider -friendly insights. + Lead the design and refinement of provider -facing data views (dashboards, insights, performance summaries) to ensure they ... provider workflows. + Work with product leads and data teams to prioritize enhancements that make insights easier...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and… more
- Intermountain Health (Denver, CO)
- …of provider enrollment with commercial and government (Medicare and Medicaid ) professional fee payer contracts for an entire market. Ensures enrollment is ... to stakeholders. Keeps detailed notes about enrollment progress in provider enrollment database and distributes information to designated department representatives… more
- University of Colorado (Aurora, CO)
- **Advanced Practice Provider : Nurse Practitioner or Physician Assistant, Internal Medicine** **Description** **University of Colorado Anschutz Medical Campus** ... **Department: Medicine- General Internal Medicine** **Job Title: Advanced Practice Provider : Nurse Practitioner or Physician Assistant, Internal Medicine** **Position… more
- University of Colorado (Aurora, CO)
- **Advanced Practice Provider - Nurse Practitioner or Physician Assistant Aurora Wellness Community Health Center (AWCHC) Clinic - Sr. Instructor** **Description** ... of Medicine | Department of Family Medicine** **Job Title:** **Advanced Practice Provider - Nurse Practitioner or Physician Assistant - Aurora Wellness Community… more
- Humana (Denver, CO)
- …**Preferred Qualifications** + Masters a plus. + 15+ years of Healthcare, Business, Financial Services , is required. + Prior data governance and/or data ... a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- Humana (Denver, CO)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. ... help us put health first** The Associate Director, Finance Data Management supports all aspects of configuration control, ...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
