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IT Healthcare Business Analyst * Greenwood Village, CO Long ... to national accounts. The Business Analyst will have the following responsibilities: ... requirements -A comprehensive understanding of healthcare plans, operations,..
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Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..
Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk adjustment coding and medical record document requirements. This role acts as the second line of defense by providing oversight ..
2000 16th Street,Denver,Colorado,80202,United States of America ROPS' supports the DaVita Village through arranging dialysis placements, verifying coverage, generating and submitting claims and coordinating with payors. This position will lead analyses, solve ..
2000 16th St,Denver,Colorado,80202-5117,United States of America DaVita Integrated Kidney Care (DaVita IKC) is the division of DaVita Inc. working on our vision to provide quality integrated care to some of the ..
... Humana Lead Product Manager - Healthcare API in Colorado Springs Colorado ... The Lead Product Manager - Healthcare API (SME) as part of ... Individual will be leveraging previous..
Description Manages a team of coding educators and reports to Risk Adjustment Director. Responsible for implementing operational and clinical best practices in the risk adjustment methodology, understanding clinical suspects and appropriate ..
Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Colorado Springs Colorado Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professional who will be ..
Description The Senior Market Development Professional provides support to assigned health plan(s) relative to Behavioral Health RFPs, product implementations and operational support. The Senior Market Development Professional work assignments involve moderately ..
2000 16th Street,Denver,Colorado,80202,United States of America Would you like to work for a company with Core Values such as TEAM and FUN? Then DaVita is what you are looking for! We ..
2000 16th Street,Denver,Colorado,80202,United States of America Would you like to work for a company with Core Values such as TEAM and FUN? Do you want your work to make a difference? ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Colorado Springs Colorado Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing ..
Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain ..
... integrated care strategy is our healthcare analytics team. This team is ... communicating with stakeholders. The Senior Analyst will work with teammates across ... ESSENTIAL DUTIES AND RESPONSIBILITIES The..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Description The Health Information Management Professional 2 ensures data integrity for claims errors. The Health Information Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of ..
Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..
Job Information Humana Call Center Pharmacy Claims Technician, Remote in Colorado Springs Colorado Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims ..
Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
