- Evolent (Denver, CO)
- …years of progressive leadership and management experience** **Leadership role within a value based primary care organization (ACO or Managed Services ... Doing:** Evolent is looking for a Managing Director of Value - Based Operations to join our Primary Care...an internal start-up in 2020 with a wholly owned Medicare Shared Savings Program (MSSP) Accountable Care… more
- Humana (Denver, CO)
- …Lead requires in-depth understanding of VBP and the contracting process to support value based programs , effective communication, and ability to develop ... community and help us put health first** The Medicaid Value Based Contracts Lead is responsible for...with agreed upon terms + Develop provider letters outlining program details and terms + Develop internal and provider-facing… more
- Highmark Health (Denver, CO)
- …to understand the current health care delivery state, readiness for change, test value based programming concepts and components, identify key partners, identify ... and private payers. Programs will include but not be limited to pay-for- value programs , episode payments, prospective bundled payments, gain share and risk… more
- CenterWell (Denver, CO)
- … that influence providers, members or market leadership towards value - based relationships and/or improved quality metrics. The Program Delivery Lead ... Program Delivery Lead strategically identifies, develops, and implements programs...such business complexities impact caring for seniors in a value - based care model. The Program … 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
- Prime Therapeutics (Denver, CO)
- …of Medicare Part D, Medicaid, state healthcare product or program related regulations and/or Health Insurance Marketplace guidance + Experience identifying ... successful execution of key components and elements of Prime's corporate compliance program . This position works closely with designated business areas, legal, and… 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
- 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 ... responsible for implementing the eligibility policy of Medical Assistance programs , including: Adult Medicaid, Medicare Savings ...Subsidy (LIS), Long Term Care (LTC), Home and Community Based Services Waivers (HCBS), and MAGI programs … more
- Adams County Government (Brighton, CO)
- …and technical work involved in the administration of the Adams County benefit programs , early retiree/ Medicare programs , leave of absence and ADAAA. ... we actively seek and welcome applicants that bring diverse experiences and value inclusion. Cultural Competencies/EEO Adams County is an equal opportunity employer.… more
- HCA Healthcare (Denver, CO)
- …an organization that invests in you as a(an) Surgery Scheduler? At Healthone Transplant Program , you come first. HCA Healthcare has committed up to $300 million in ... programs to support our incredible team members over the...over the course of three years. **Benefits** Healthone Transplant Program , offers a total rewards package that supports the… more
- Elevance Health (Denver, CO)
- …Lines of Business) to assess and deploy appropriate interventions to drive success in value - based care. Primary duties include, but are not limited to: + ... Conducts comprehensive provider practice assessments to establish baseline value - based capabilities of each assigned provider to identify key opportunity areas… more
- Prime Therapeutics (Denver, CO)
- …years of comprehensive experience working with Rebate contracts, or within Medicare /Medicaid (eg insurance, government program operations, managed care ... changes in response to guidance from the Centers for Medicare and Medicaid Services (CMS) and other regulatory or...pay for this position ranges from $66,000.00 - $106,000.00 based on experience and skills. Pay range may vary… 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- **Required** + Computer Proficiency- **Required**...General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or… 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
- Gilead Sciences, Inc. (Denver, CO)
- …training on access and reimbursement topics, including Gilead support programs , payer policies, prior authorization processes, and claims submissions, ensuring ... helping patients receive the necessary treatments without unnecessary delays. This is a field- based role supporting the **Denver, CO area** ; candidates must be able… more
- Prime Therapeutics (Denver, CO)
- …The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners ... aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained. **Responsibilities** + Executes… more
- CommonSpirit Health Mountain Region (Westminster, CO)
- …excellent communication/presentation skills, knowledge of third party payment systems, Medicare /Medicaid programs . Maintains current knowledge base of community ... CommonSpirit Health is one of the nation's largest nonprofit, faith- based health systems, with a team of over 150,000...it, live it and put it to work. We value incredible people with incredible skills - but your… more
- HCA Healthcare (Denver, CO)
- …health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at ... a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase...student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program … more
- HCA Healthcare (Denver, CO)
- …Center, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. ... and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many...a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase… more