- Mathematica (Denver, CO)
- …searching for several seasoned professional who are recognized experts with experience leading Medicaid and programs at the state level to join our growing state ... focused on one or several of the following areas: Medicaid , CHIP, Home- and community-based services, Medicaid ...work. Position Requirements: * 10/+ years of experience (Principal Researcher ) or 15/+ years of experience (Senior Fellow) in… more
- Humana (Denver, CO)
- …a part of our caring community and help us put health first** Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy ... to support the strategic direction and growth of the Medicaid and Duals lines of business. This is a...with the following attributes: * Creative - Adept at research to determine the opportunity and a structured yet… more
- Mathematica (Denver, CO)
- …part of the AI Health Outcomes Challenge held by Centers for Medicare and Medicaid Services, members of this team developed a cloud data pipeline and machine ... analytics involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data...sources such as EHRs and HIEs, to effectively answer research questions about health care policy. * Incorporate client… more
- Prime Therapeutics (Denver, CO)
- …drives every decision we make. **Job Posting Title** Clinical Program Manager Remote **Job Description** The Clinical Program Manager is responsible for the ... member materials and communications, and product ownership for Medicare and Medicaid formularies + Provide consultation and recommendations to the client regarding… more
- Prime Therapeutics (Denver, CO)
- …we make. **Job Posting Title** Principal Actuary - Medicare Part D - Remote **Job Description** The Principal Actuary is responsible for supporting the development ... strategic pricing advice on structures and methodology using market research , financial projections, and complex actuarial modeling + Present...+ Actuarial designation (ASA or FSA) + Must be eligible to work in the United States without need… more
- Humana (Denver, CO)
- …our goals, we seek talent with the following attributes: Creative - Adept at research to determine the opportunity and a structured yet flexible approach to problem ... to maximize available resources to achieve growth. + Leads National Medicaid Strategic Priorities, effectively develops LTSS-based strategic goals and turns them… more
- Humana (Denver, CO)
- …is one of the largest health benefits organizations in the country. Location: remote The Healthcare Strategy team supports Humana's Medicare and Medicaid ... management consulting experience to support delivering some of Medicare and Medicaid 's highest priority projects and initiatives, with an emphasis on Medicare… more
- Humana (Denver, CO)
- …is one of the largest health benefits organizations in the country. **Location:** remote The Healthcare Strategy team supports Humana's Medicare and Medicaid ... prior management consulting experience to support delivering some of Medicare and Medicaid 's highest priority projects and initiatives, with an emphasis on Medicare… more
- Humana (Denver, CO)
- …accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus other commercial and ... + Strong written and verbal communication skills in a remote work environment + Highly motivated, and a self-starter...the requisition number so we may be able to research your request quicker. \#LI-LM1 **Scheduled Weekly Hours** 40… more
- CenterWell (Denver, CO)
- …Senior Risk Professional develops and implements compliance policies and procedures. Research compliance issues and recommends changes that assure compliance with ... and regulations as it relates to healthcare compliance in Medicare, Medicaid , and/or clinical industries (includes anti-kickback and Stark statutes, government… more
- Cardinal Health (Denver, CO)
- …specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers. Individualized ... + Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers' policies and guidelines for coverage,...overflow and intake when needed + As needed conduct research associated with issues regarding the payer, physician's office,… more
- Cardinal Health (Denver, CO)
- …payer issues by region with the appropriate team + As needed conduct research associated with issues regarding the payer, physician's office, and pharmacy to resolve ... + Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage,...our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. ** REMOTE DETAILS:** You will work remotely, full-time. It will… more
- Robert Half Office Team (Denver, CO)
- … REMOTE Medical Claims Analyst who is responsible for analysis and research related to Medicaid claims processing utilizing EZCAP software. This position ... will be 100% remote and will be 40 hours per week. The...life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit… more
- Cardinal Health (Denver, CO)
- …payer issues by region with the appropriate team * As needed conduct research associated with issues regarding the payer, physician's office, and pharmacy to resolve ... * Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage,...our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. REMOTE DETAILS: You will work remotely, full-time. It will… more
- Cardinal Health (Denver, CO)
- …specialties support and expertise in the areas of advice and consulting, research and patient care to internal business units and external customers. Individualized ... assignments and work with a sense of urgency + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred **_What is… more