• Medical Director -- Claims

    Humana (Denver, CO)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (10/05/24)
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  • Medical Director - Florida

    Humana (Denver, CO)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (10/19/24)
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  • Asset Management ( Director /Vice…

    Kiewit (Lone Tree, CO)
    **Requisition ID:** 173223 **Job Level:** Director **Home District/Group:** Kiewit Development Company **Department:** Business Development & Proposals **Market:** ... Industrial **Employment Type:** Full Time **Position Overview** The Director / Vice President, Kiewit Development Company (KDC) will...America and will work on all aspects of asset management for KDC's projects. The role will support KDC's… more
    Kiewit (08/16/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Denver, CO)
    …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
    Humana (10/08/24)
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  • Associate Director , Medicaid Provider…

    Humana (Denver, CO)
    …help us put health first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Provider Services to serve in a strategic leadership role within ... Medicaid segment. The Medicaid Provider Services team, led by the Associate Director , is accountable for Humana's Medicaid segment strategy and operationalizing the… more
    Humana (10/10/24)
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  • Sr Director , Partner Operations

    Evolent Health (Denver, CO)
    …including the CEO, CFO, CMO, pharmacy leadership, clinical operations/UM, medical economics/actuarial services/analytics, and vendor management . **Performance ... Management ** - maintain overall accountability for medical expense and P&L performance of designated client partners, including the facilitation of… more
    Evolent Health (10/03/24)
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  • Health, Safety, and Environment Director

    Fiore & Sons Inc (Denver, CO)
    …vendors, partners, and employees. The Health, Safety, and Environment Director is responsible for developing, implementing, and maintaining comprehensive health, ... company and all our civil construction projects. The HSE Director manages and motivates a team of dedicated HSE...other applicable agencies as a support partner. + Risk Management : + Identify potential risks and hazards associated with… more
    Fiore & Sons Inc (08/29/24)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Denver, CO)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
    Takeda Pharmaceuticals (10/16/24)
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  • Human Resources Specialist V- Benefits Supervisor…

    State of Colorado (Lakewood, CO)
    …Rules and regulations, Director 's Procedures, and State Statue related to the management of Human Resources. Human Resources strives to be a business partners to ... Time Job Number TAA-01175-08.2024 Department Department of Revenue Division Executive Director 's Office - Human Resources Opening Date 10/21/2024 Closing Date… more
    State of Colorado (10/23/24)
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  • Civil Rights Investigator - HR Specialist III…

    State of Colorado (Denver, CO)
    …evaluation and classification; organizational development; New Employee Orientation; performance management ; interpretation of CDHS HR policy, state personnel rules, ... state and federal employment laws; progressive discipline; records management ; recruitment; responding to grievances, appeals, charges of discrimination;… more
    State of Colorado (10/19/24)
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  • Program Support Specialist - Social Services…

    State of Colorado (Denver, CO)
    …Plan or PERA Defined Contribution Planwww.copera.orgplus 401(k) and 457 plans + Medical and dental health plans + Employer supplementedHealth Savings Account + Paid ... and rules; train county staff on policies, procedures, and effective case management skills; provide technical assistance to counties on automated systems issues;… more
    State of Colorado (10/23/24)
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  • Affordability Data Science Analyst (Statistical…

    State of Colorado (Denver, CO)
    …the PERA Defined Contribution Plan, plus optional 401K and 457 plans. + Medical and Dental Health Insurance for employees and optional coverage for their dependents. ... for statistical reporting, analysis, and predictions governed by best practices and management ; + Deciding how to address data needs and translating the data… more
    State of Colorado (10/21/24)
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  • Manager Reporting & Analytics - REMOTE

    Prime Therapeutics (Denver, CO)
    …+ Experience writing SQL queries + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... as assigned **Minimum Qualifications** + Bachelor's Degree in Business Administration, Management , Economics or related area of study, or equivalent combination of… more
    Prime Therapeutics (10/05/24)
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  • DEWS Programs Assistant Product Owner

    State of Colorado (Denver, CO)
    …and rules; train county staff on policies and procedures and effective case management skills; provide technical assistance to counties on systems issues and ongoing ... the between the Office of Information and Technology (OIT), the Colorado Benefits Management System (CBMS) Vendor and the Division of Economic and Workforce Support… more
    State of Colorado (10/19/24)
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  • Field Auditor

    State of Colorado (Denver, CO)
    …Department Department of Labor and Employment Division Division of Family and Medical Leave Insurance Opening Date 10/21/2024 Closing Date 10/29/2024 5:00 PM ... Contribution Plan (https://www.copera.org/) plus 401(k) and 457 plans + Medical and dental health plans (https://www.colorado.gov/pacific/dhr/benefits) + Employer supplemented… more
    State of Colorado (10/23/24)
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  • Attorney/Lawyer

    Robert Half Legal (Denver, CO)
    …such as: * Oversight of construction defect, employment, contract, and other claims * Coordination with the Risk Management department regarding insurance ... handling corporate and employment matters, oversight of litigation, and risk management . Responsibilities include; * Assist in preparation and organization of… more
    Robert Half Legal (09/12/24)
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  • Economic Assistance QA Auditor **Hiring multiple*

    State of Colorado (Denver, CO)
    …or a Colorado County Department of Human Services including using Colorado Benefits Management System in order to perform accurate audits. AND Experience Only: + Six ... in the State of Colorado including using Colorado Benefits Management System in order to conduct accurate audits. OR...Board or request a review by the State Personnel Director . An appeal or review must be submitted on… more
    State of Colorado (10/26/24)
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  • Vice President of Audit, Compliance and Risk

    Sage Hospitality Group (Denver, CO)
    …not limited to, risk identification, risk analysis, risk control, risk financing, and claims management . * Strong working knowledge and familiarity with legal ... joining us! **Job Overview** Lead and manage all aspects of risk management , audit and compliance for the company. **Responsibilities** * Implement an… more
    Sage Hospitality Group (09/20/24)
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  • Principal Architect

    R1 RCM (Denver, CO)
    … at the Director + level. + Previous experience with revenue cycle management or adjacent concepts such as claims processing is desirable For this ... fault-tolerant, and secure systems to support our revenue cycle management platform. **Responsibilities:** + Design and architect highly scalable, fault-tolerant,… more
    R1 RCM (09/12/24)
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  • Senior Compliance Specialist

    Fujifilm (Denver, CO)
    …limited management oversight. The position will report to the Director of Corporate Compliance. **Duties and responsibilities** + Develop and implement elements ... needs of healthcare across prevention, diagnosis, and treatment. Fujifilm's medical imaging portfolio includes solutions for digital radiography, mammography,… more
    Fujifilm (10/09/24)
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