- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Value - Based Programs Specialty Care Lead supports the creation of complex value ... - based programs . The Value - Based Programs Lead provides strategic advice and...various program owners to develop and drive value based contracts for vendor and specialty… more
- Highmark Health (Denver, CO)
- …supporting the matrixed teams that engage providers enrolled in the Organization's value - based reimbursement programs and continuous improvement models. The ... of workflows resulting in outstanding performance in the Organization's value - based reimbursement programs ensuring that...outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value … more
- Humana (Denver, CO)
- …market and DRI education, and cross functional departmental leadership regarding non-PCP Value - Based templates across all segments ( Medicare and Medicaid) ... + Experience with Humana's internal systems and applications, such as Service Fund, Value Based Tracker, and/or Icertis + Experience with Medicaid state… more
- CenterWell (Denver, CO)
- …caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health outcomes with ... a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the analysis of… more
- CVS Health (Commerce City, CO)
- …Nurse Practitioner at Oak Street Health is to provide effective and equitable value - based primary care to adults on medicare to keep them happy, healthy, and ... Team (eg, making sure all eligible females get their evidence- based breast cancer screening every 2 years)** + **Assisting...in Nursing, Doctor of Nursing Practice, or NP Certificate Program graduate** + **National certification in at least one… more
- University of Colorado (Aurora, CO)
- …| Addiction Research & Treatment Services (ARTS) | Adult Outpatient Program ** **Job Title: Peer Recovery Specialist - Patient Services** **Position: #00828232 ... improve health outcomes for patients who enter care at ARTS Adult Outpatient Program (AOP) clinic locations in Denver, Arvada, Aurora, and/or the ARTS Medication… more
- State of Colorado (Denver, CO)
- …may qualify for the Public Service Loan Forgiveness Program . For more information, go to https://www.colorado.gov/pacific/dhr/student-loan-forgiveness- programs ... (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program ), Child Health Plan Plus (CHP+), and other state...Health Plan Plus (CHP+), and other state public health programs for qualified Coloradans. Our mission is to improve… more
- Humana (Denver, CO)
- …and proposals subject to review by supervisor. May participate in special projects/ programs as assigned, such as training or communication sessions within or outside ... evaluates, and recruits potential channel partners, including systems integrators, value -added resellers (VARs), distributors, dealers, or retailers. Supports partners… more
- CenterWell (Denver, CO)
- …Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva's innovative, value - based approach means each patient gets the best care, when ... level; Partners with Clinical Documentation Improvement, Audit, and Education to develop programs to improve clinical documentation. + Partner with MRA Strategy and… more
- Prime Therapeutics (Denver, CO)
- … Medicare Part D, Medicaid, state healthcare product or program related regulations and/or Health Insurance Marketplace guidance + Thorough understanding ... successful execution of key components and elements of Prime's corporate compliance program . This position works closely with designated business areas, legal, and… more
- CVS Health (Aurora, CO)
- …and growing, with Oak Street Health leading the transition from fee-for-service to value - based care. The Senior Medical Director will be responsible for leading ... leaders who are skilled in problem solving, communication, conflict resolution, value - based care delivery, and collaboration with clinicians and executives.… more
- Evolent (Denver, CO)
- …people, processes, and technology levers + Contributes to the design of new value - based care programs for oncology, cardiology, and musculoskeletal disease ... resources-such as high- value clinical pathways, electronic decision support and value - based payment models-we create an ecosystem that helps providers… more
- Humana (Denver, CO)
- …and/or other specific healthcare areas such as EMR, Episode grouper, utilization management, value - based care, low value care etc. + Experience managing ... to improve clinical outcomes and lower costs for millions of Medicare Advantage beneficiaries leveraging data science & analytics, clinical expertise, strategic… more
- Evolent (Denver, CO)
- …your expertise in interventional cardiology to help ensure the delivery of high- value , evidence- based case reviews. Enjoy improved work-life balance while ... + Not under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid, and is not identified as an "excluded… more
- CenterWell (Denver, CO)
- …partners to ensure smooth running of educational programs . + Evaluate program effectiveness and recommend improvements based on feedback and outcomes. ... Value Based Care and/or healthcare operations setting, preferably in Medicare Advantage programs . **Additional Information** + 100% remote role + Standard… more
- Highmark Health (Denver, CO)
- … to the Health Plan, and its beneficiaries enrolled in Risk Adjusted government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using ... (HCC) Coding, medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment… more
- HCA Healthcare (Denver, CO)
- …in research programs . + Developing study designs and analytic solutions based on available data sources, business partner's needs, and timelines; + Managing ... education leader. We provide direction for over 260 exceptional resident and fellowship programs . We focus on carrying out value -added solutions. These solutions… more
- Evolent (Denver, CO)
- …+ Not under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid, and is not identified as an "excluded ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
- Evolent (Denver, CO)
- …+ Not under current exclusion or sanction by any state or federal health care program , including Medicare or Medicaid, and is not identified as an "excluded ... Energetic and curious with a passion for quality and value in health care + Computer Proficiency + Minimum...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… more
- Evolent (Denver, CO)
- …**.** This is an opportunity for a **Cardiologist** to shape high- value patient care through evidence- based strategies, enhancing peer-to-peer discussions, ... Strong **clinical judgment, communication, and organizational skills.** + Passion for ** value - based care and improving healthcare quality.** + **Computer**… more