- Segal (Greenwood Village, CO)
- …for accuracy, completeness and quality.Key Requirements:Bachelor's degree plus 6 years of health benefits, managed care , and/or underwriting experience. More ... The Opportunity: The Senior Health Benefits Analyst is integral to supporting the...of benefits to include a non-contributory defined benefit pension plan , matching and discretionary contributions to a 401(k) profit… more
- Cardinal Health (Denver, CO)
- …HMO, ACO, clinically integrated network preferred + Must possess experience with negotiating managed care / health plan contracts, administering and ... about helping oncology practices navigate the future. The Director, Managed Care is responsible for strategy and...well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings… more
- Cardinal Health (Denver, CO)
- …to the National VP of Sales, the Director, Sales & Business Development - Managed Care is an individual contributor, executive sales position. This individual ... at decision-makers and decision influencers at existing and new managed care accounts. This individual must be...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) +… more
- Highmark Health (Denver, CO)
- …**Preferred** + 1 year in Medical Management in a Health Insurance Plan ; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** ... + Listening + Telephone Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other than English)** None **Travel Required** 0% - 25%… more
- Humana (Denver, CO)
- …, or a related field **AND** three (3) to five (5) years of prior experience leading managed care health plan operations **OR** Five (5) to seven (7) ... years of prior experience leading managed care health plan operations. + Minimum two (2) years of prior experience leading integrated LTSS programs such… more
- Elevance Health (Denver, CO)
- …Conducts clinical assessment to develop goals that address individual needs in order to develop a care plan ; implements and coordinates a care plan . + ... to drive personalized health management and improve health outcomes for optimal consumers. Performs care ...is preferred. + Participation in the American Association of Managed Care Nurses preferred. + Prior … more
- University of Colorado (Aurora, CO)
- Bilingual Medical Assistant ( Health Care Tech I) or Bilingual Licensed Practical Nurse ( Health Care Tech III) - 29406 University Staff **Description** ... **Department: College of Nursing** **Job Title: Bilingual Medical Assistant ( Health Care Tech I) or Bilingual Licensed...regard to office policies, lab results medications, diagnoses, treatment, plan of care , and follow-up phone calls.… more
- CVS Health (Denver, CO)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....field as a psychiatrist. **Preferred Qualifications** * Experience with managed care , as a provider and manager… more
- Humana (Denver, CO)
- …health management strategies or products. + 5+ years of experience supporting Medicaid managed care health services operations and the Medicaid managed ... model. + Lead cross-functional teams of growth partners and health plan leaders to design high-impact, innovative,...experience in strategy consulting supporting Medicaid managed care clinical strategy and population health management… more
- Elevance Health (Denver, CO)
- …member needs. + Conducts assessments to identify individual needs and develops specific care plan to address objectives and goals as identified during ... assessment. + Monitors and evaluates effectiveness of care plan and modifies plan ...range of complex psychiatric/substance abuse and/or medical disorders. + Managed care experience required. + For Government… more
- Elevance Health (Denver, CO)
- …**Minimum Requirements:** + Requires BA/BS in Pharmacy. + Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; ... **Anticipated End Date:** 2024-09-12 **Position Title:** Health Insurance Exchange Pharmacist - CarelonRx **Job Description:** ** Health Insurance Exchange… more
- Humana (Denver, CO)
- … first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical ... services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed … more
- Erickson Living (Highlands Ranch, CO)
- …and managed by Erickson Senior Living, a national provider of senior living and health care with campuses in 11 states-and growing. We are hiring a Part Time ... the registered nurse and/or supervisor as outlined in the plan of care , as prescribed (when required)... experience preferred. Erickson Senior Living, its affiliates, and managed communities are Equal Opportunity Employers and are committed… more
- University of Colorado (Aurora, CO)
- …medical and nursing care . **Clinic Description:** SHS is a multi-site, nurse- managed FQHC, funded through the Health Resources and Services Administration ... in after-hours call + Obtains patient history and develops comprehensive plan of care + Provides health education to patients, students, families,… more
- Elevance Health (Denver, CO)
- …coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically. ... to address objectives and goals as identified during assessment. + Implements care plan by facilitating authorizations/referrals as appropriate within benefits… more
- Organon & Co. (Denver, CO)
- …customers in payor, public health , large group practices, hospitals/systems, or managed care organizations. + Ability to build and develop diverse customer ... for Organon for the following: + State Medicaid & Managed Medicaid Plans + State FQHCs Administration and Policy...applies a deep understanding of: + regional and local health care delivery and payer landscapes, and… more
- Catholic Health Initiatives (Englewood, CO)
- **Overview** CommonSpirit Health is a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 by ... Catholic Health Initiatives and Dignity Health . With its...and advanced practice clinicians, CommonSpirit operates more than 2,000 care sites from clinics and hospitals to home-based … more
- Cardinal Health (Denver, CO)
- …Focus areas will include influencing and supporting both new and existing Health Care Professionals, while engaging with key manufacturer partners within ... Cardinal Health at-Home. Edgepark works with 13,000+ health care professionals to make it easy...on medical policy and order processing + Partner with Managed Care , Marketing, and Customer Operations teams… more
- CVS Health (Denver, CO)
- …patient care experience. **Preferred Qualifications** * Health plan /payor experience. *Electronic medical systems/record experience * Managed Care ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....employees may enroll in the Company's 401(k) retirement savings plan , and an Employee Stock Purchase Plan … more
- CommonSpirit Health (Englewood, CO)
- …Relationship leadership, to support the negotiation of terms and conditions for Managed Care payer contracts for facility, professional, and ancillary entities. ... of Catholic Health Initiatives (CHI) and Dignity Health . With more than 700 care sites...experience in a healthcare related field + Payer or Managed Care experience strongly preferred \#LI-CSH **Pay… more
