Healthcare Credentialing Jobs in Colorado Springs, Colorado | HealthcareCrossing.com


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52

Healthcare Credentialing Jobs in Colorado Springs





Job info
 
Company
**********
Location
Colorado Springs, CO
Posted Date
Aug 18, 2022
Info Source
Employer  - Full-Time  90  

... Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Medicaid business partners, including: Contracting, Credentialing, Referral/Authorizations, Claims, Grievance and Appeals, ... a Bachelor's degree in Business,..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Apr 07, 2023
Info Source
Employer  - Full-Time  90  

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Mar 13, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager, Credentialing in Colorado Springs Colorado Description ... a team of certification and credentialing professionals that to ensure required ... contract requirements. Work collaboratively with credentialing leaders..

 
Company
Humana Inc.
Location
Colorado Springs, CO
Posted Date
May 11, 2023
Info Source
Employer  - Full-Time  90  

Description The Network Operations Coordinator 3 manages provider data including but not limited to demographics and contract accuracy. Additional Information - How we Value You Benefits starting day 1 of employment ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Nov 13, 2022
Info Source
Employer  - Full-Time  90  

Description The Senior Professional, Medicaid Network Strategy will be accountable for supporting the development of Humana Healthy Horizon's (Medicaid) network and provider strategy for its growth markets. This strategist will provide ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Dec 11, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Dec 23, 2022
Info Source
Employer  - Full-Time  90  

... of services provided by other healthcare professionals in compliance with review ... whether services provided by other healthcare professionals are in agreement with ... departments, Humana colleagues and the..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
Humana Inc.
Location
Colorado Springs, CO
Posted Date
Aug 02, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Strategy Advisor, Healthcare Strategy in Colorado Springs Colorado ... Colorado Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
May 13, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
May 09, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Apr 14, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Oct 05, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpretation and determinations whether ..

 
Company
Humana Inc.
Location
Colorado Springs, CO
Posted Date
Oct 24, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
Humana Inc.
Location
Colorado Springs, CO
Posted Date
Nov 01, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Apr 20, 2023
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Dec 25, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Jun 11, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Sep 14, 2022
Info Source
Employer  - Full-Time  90  

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 title
GRANTED JOB
Company
**********
Location
Colorado Springs, CO
Posted Date
Jun 09, 2023
Info Source
Employer  - Full-Time  90  

Posted: 01-Jun-23 Location: Colorado Springs, Colorado Salary: Open Categories: General Nursing Internal Number: 64557 Welcome to Centura Health:At Centura Health, we're on a mission to heal individuals and uplift communities.  We ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Jun 11, 2022
Info Source
Employer  - Full-Time  90  

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

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