• Value - Based Reimbursement…

    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
    Highmark Health (01/08/25)
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  • Complex Care Program Delivery Operations…

    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 (01/18/25)
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  • Peer Recovery Specialist Patient Services

    University of Colorado (Aurora, CO)
    …| Addiction Research & Treatment Services (ARTS) | Adult Outpatient Program ** **Job Title: Peer Recovery Specialist - Patient Services** **Position: #00828232 ... improve health outcomes for patients who enter care at ARTS Adult Outpatient Program (AOP) clinic locations in Denver, Arvada, Aurora, and/or the ARTS Medication… more
    University of Colorado (12/07/24)
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  • Behavioral Health Strategy Principal

    CenterWell (Denver, CO)
    …and program management skills + Demonstrated ability for assessing evidence- based approaches to complex clinical decision making **Use your skills to make ... to non-technical audiences **Preferred Qualifications** + Experience working in a complex value - based health care organization. + Master's degree or PsyD in… more
    CenterWell (01/14/25)
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  • Chief Clinical Officer

    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
    Evolent (12/21/24)
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  • Lead Research Scientist

    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
    Humana (01/03/25)
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  • Advanced Practice Provider for Virtual Primary…

    University of Colorado (Aurora, CO)
    …a Nurse Practitioner or Physician Assistant in the State of Colorado + Medicare /Medicaid credentials + Unrestricted DEA license + Board certified or board eligible ... a Nurse Practitioner or Physician Assistant in the State of Colorado + Medicare /Medicaid credentials. + Unrestricted DEA license + Board certified as a Nurse… more
    University of Colorado (12/06/24)
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  • Director Care Management

    AdventHealth (Denver, CO)
    …CMS Conditions of Participation for Discharge Planning + Understanding of Managed Care and Value Based Programs + Sustained goals of Care Management metrics, ... Days Off from Day One + Student Loan Repayment Program + Career Development + Whole Person Wellbeing Resources...Readmission Prevention, Length of Stay, Excess days, Avoidable Days, Value Based Care partnerships, Care Manager's roles… more
    AdventHealth (12/25/24)
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  • Presumptive Eligibility Policy Specialist

    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
    State of Colorado (01/11/25)
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  • Quality Manager Solid Organ Transplant

    HCA Healthcare (Denver, CO)
    …monitoring and evaluating quality of care for solid organ transplant and associated programs . Direct the activities related to program quality and regulatory ... a 100% match on 3% to 9% of pay ( based on years of service) + Employee Stock Purchase...programs . Implement and coordinate a continuing staff development program for all direct reports. Support staff and … more
    HCA Healthcare (01/01/25)
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  • Finance & Accounting Assistant Director

    University of Colorado (Aurora, CO)
    …Establish and maintain policies and procedures for the sliding fee discount program . + Negotiate provider service agreements with external affiliates or new partners ... Establish and maintain policies and procedures for the sliding fee discount program . + Negotiate provider service agreements with external affiliates or new partners… more
    University of Colorado (12/14/24)
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  • Benefits/LOA/ADA Specialist

    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
    Adams County Government (01/18/25)
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  • Surgery Scheduler

    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
    HCA Healthcare (12/15/24)
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  • Care Consultant Sr

    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
    Elevance Health (01/09/25)
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  • Field Medical Director, Radiology

    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 ... Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare . + No history of a major disciplinary or legal action by a state… more
    Evolent (01/18/25)
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  • PBM Contract Representative Sr - LA Medicaid

    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
    Prime Therapeutics (12/19/24)
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  • Field Medical Director, Cardiology

    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
    Evolent (11/15/24)
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  • Speech Therapist Lead

    HCA Healthcare (Aurora, 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 (11/27/24)
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  • Surgery Scheduler

    HCA Healthcare (Englewood, CO)
    …education leader. We provide direction for over 260 exceptional resident and fellowship programs . We focus on carrying out value -added solutions. These solutions ... 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
    HCA Healthcare (01/04/25)
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  • Senior Market Consultation Professional

    Humana (Denver, CO)
    …in depth understanding of risk adjustment and be able to clearly articulate the value of the program . Candidates must have excellent analytical skills, written, ... promotes and improves the quality and measurement of provider education programs with a market(s). The Senior Market Consultation/Partnership Professional work… more
    Humana (12/12/24)
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