• Medicare Grievances and Appeals Corporate…

    Humana (Denver, CO)
    …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... Corporate Medical Director works on problems of diverse scope and complexity...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Possess analysis… more
    Humana (01/07/25)
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  • Manager, FP&A, Medicare /Medicaid of IL

    CVS Health (Denver, CO)
    …and affordable. **Position Summary** As the Manager, FP&A, you will report directly to Director of Finance and will monitor the end to end profit & loss statements, ... data submission for the purpose of rate setting and medical trend analysis on behalf of the Health Plan....nature of this remote role, candidates must have some Medicare and/or Medicaid experience. **Required Qualifications** -5 or more… more
    CVS Health (01/16/25)
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  • Medical Director - Mid West Region

    Humana (Denver, CO)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... reference materials, internal teaching conferences, and other reference sources. Medical Directors will learn Medicare and ...to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all… more
    Humana (10/29/24)
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  • Medical Director - Gulf South

    Humana (Denver, CO)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    Humana (12/03/24)
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  • Medical Director --Claims Management

    Humana (Denver, CO)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to… more
    Humana (10/29/24)
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  • Field Medical Director , Cardiology

    Evolent (Denver, CO)
    …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
    Evolent (11/15/24)
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  • Field Medical Director -ENT

    Evolent (Denver, CO)
    …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , you will be a key member of the utilization management team. ... recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management… more
    Evolent (12/09/24)
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  • Medical Director - Commercial…

    CVS Health (Denver, CO)
    …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... Health Company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity...and consistent responses to members and providers. As a Medical Director you will focus primarily on… more
    CVS Health (11/13/24)
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  • Finance & Accounting Assistant Director

    University of Colorado (Aurora, CO)
    **Finance & Accounting Assistant Director ** **Description** **University of Colorado Anschutz Medical Campus** **Department: College of Nursing** **Job Title: ... Finance & Accounting Assistant Director ** **Position #: 00706656 - Requisition #:35706** **Job Summary:**...and patient visit reporting. + Coordinates and submits annual Medicare and Medicaid cost reports, quarterly audit and reporting… more
    University of Colorado (12/14/24)
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  • CCDHHDB Director

    State of Colorado (Denver, CO)
    …sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, ... CCDHHDB Director Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4787296) Apply  CCDHHDB Director Salary $7,834.00 - $10,500.00 Monthly… more
    State of Colorado (01/19/25)
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  • Director Care Management

    AdventHealth (Denver, CO)
    …ST, Denver, 80210 **The role you'll contribute:** The Care Management Facility Director has full accountability and oversight for the overall operations of the ... including but not limited to: Coordination of Care, Centers for Medicare & Medicaid Services (CMS) Conditions of Participation, Discharge Planning, Social… more
    AdventHealth (12/25/24)
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  • Associate Director , Actuarial

    Humana (Denver, CO)
    …of our caring community and help us put health first** The Associate Director , Actuarial provides actuarial support across a broad range of actuarial and business ... needs for specific product lines. The Associate Director , Actuarial requires a solid understanding of how organization capabilities interrelate across department(s).… more
    Humana (12/12/24)
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  • Regional Account Director

    Takeda Pharmaceuticals (Denver, CO)
    …to the best of my knowledge. **Job Description** **Regional Account Director ** **Takeda Pharmaceutical** **USA-MA-Virtual** **About the role:** Are you looking for ... you to shine? Join us as the Regional Account Director ; reporting into the Head of Corporate Accounts. This...accounts. Responsible for all books of business - Commercial, Medicare , State Medicaid and Managed Medicaid + Gain, protect… more
    Takeda Pharmaceuticals (01/16/25)
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  • Associate Director Cloud Architecture

    Humana (Denver, CO)
    …our caring community and help us put health first** The Associate Director , Cloud Architecture designs, builds, and maintains data processing architectures and ... and unstructured data to insights at enterprise scale. The Associate Director , Cloud Architecture requires an in-depth understanding of how organization capabilities… more
    Humana (11/02/24)
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  • Director , Insurance Strategy

    Humana (Denver, CO)
    …in the country. **Location:** remote The Insurance Strategy team supports Humana's Medicare and Medicaid lines of business. This business unit, Humana's largest, ... strategy for the business unit, evolving key dimensions of the Medicare Advantage growth strategy, developing a refreshed membership acquisition strategy, assessing… more
    Humana (12/21/24)
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  • Director -Rehab Clinical

    Genesis Healthcare (Denver, CO)
    …Powerback is the place for you. **Why Powerback?** + **Benefits:** We offer Medical , Dental, and Vision plans to Full-Time and Part-Time team members. + **Support ... Clinicians in Action professional development program. Responsibilities As a Director of Rehabilitation, you are leading a team of...in the state of practice 3. Thorough knowledge of Medicare and third party billing required 4. Must have… more
    Genesis Healthcare (01/10/25)
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  • Quality Assurance Project Manager

    ZOLL Medical Corporation (Broomfield, CO)
    …innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and ... and respiratory conditions.The Acute Care Technology division of ZOLL Medical Corporation develops and delivers innovative lifesaving products and software… more
    ZOLL Medical Corporation (01/14/25)
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  • Nurse Consultant RN, Acute Services Care - HFEMS

    State of Colorado (Denver, CO)
    …sex, disability, age, sexual orientation, gender identity or expression, pregnancy, medical condition related to pregnancy, creed, ancestry, national origin, ... Department of Public Health & Environment Division Health Facilities & Emergency Medical Services Opening Date 01/17/2025 Closing Date 1/28/2025 11:59 PM Mountain… more
    State of Colorado (01/18/25)
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  • Advanced Practice Provider for Virtual Primary…

    University of Colorado (Aurora, CO)
    …in faculty development activities. + Accept other responsibilities assigned by the Medical Director . **Quality** + Develops, implements, and evaluates the ... or Physician Assistant in the State of Colorado + Medicare /Medicaid credentials + Unrestricted DEA license + Board certified...and evolution to maintain our goal of being a national leader in patient care, medical education… more
    University of Colorado (12/06/24)
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  • Peer Recovery Specialist Patient Services

    University of Colorado (Aurora, CO)
    **Peer Recovery Specialist Patient Services** **Description** **University of Colorado Anschutz Medical Campus** **School of Medicine | Department of Psychiatry | ... of health such as issues of housing, transportation, Medicaid and/or Medicare enrollment, food/nutrition, access to health care, provide referrals to necessary,… more
    University of Colorado (12/07/24)
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