- University of Colorado (Aurora, CO)
- …of General Internal Medicine Job Title: Med-Peds Clinician Educator (Instructor- Associate Professor) Position #00832060 - Requisition #36213 Job Summary: The ... Family Medicine. The clinician-educator will have opportunity for academic promotion judged on criteria of demonstrated excellence as a clinician/educator/scholar.… more
- Humana (Denver, CO)
- …a part of our caring community and help us put health first** The Associate Director , Compliance ensures compliance with governmental requirements. ... The Associate Director , Compliance requires a solid understanding of how organization capabilities interrelate across department(s). This is a remote… more
- CenterWell (Denver, CO)
- **Become a part of our caring community and help us put health first** The Associate Director of WFM Capacity Planning is responsible for leading and optimizing ... and can influence executive decision-making through data-driven insights. The Associate Director of WFM Capacity Planning is...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Otsuka America Pharmaceutical Inc. (Denver, CO)
- The Associate Director , Channel Analytics will be a key member of the Business Analysis team, responsible for leading marketing mix and channel analytics to ... of promotional investments across various channels (HCP, DTC, digital, non-personal promotion , etc.). + Develop and refine multi-touch attribution models and other… more
- CenterWell (Denver, CO)
- …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... coder errors and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies to foster… more
- Humana (Denver, CO)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Denver, CO)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Denver, CO)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... requires an in-depth evaluation of variable factors. **Description** The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Denver, CO)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
- Humana (Denver, CO)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Denver, CO)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- Humana (Denver, CO)
- …communication, and leadership skills, who will lead a team of 3-5 direct reports ( Associate Director and Lead) with 10-15 associates (Professional Level) to help ... is seeking an accomplished leader for the role of Director , Strategic Advancement in Membership and Plan Services to...10 Mbps is recommended to support Humana applications, per associate . + Wireless, Wired Cable or DSL connection is… more
- Humana (Denver, CO)
- …our caring community and help 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...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
- Humana (Denver, CO)
- …of our caring community and help us put health first** The Director , Actuarial Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Director , Actuarial Analytics/Forecasting requires an in-depth understanding of how organization… more
- Humana (Denver, CO)
- …business partners to uphold ethical standards and mitigate risks. The Senior Clinical Compliance Professional will support the Director of Compliance , by ... about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and… more
- CenterWell (Denver, CO)
- …of Care (POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensures final ... audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to… more
- CenterWell (Denver, CO)
- …and future models. Under general direction and supervision from the ACO Director , the Senior Strategy Advancement Professional will bring a combination of ... operations including program administration, contract oversight, process, performance improvement, compliance , governance, training, and more. Additionally, this role will… more
- CenterWell (Denver, CO)
- …and contributes to department in-services. + Notify physical therapist or Executive Director of any equipment failures, lack of supplies, staff or client changes, ... with education and competence to care for patients. + Promote compliance with all fiscal intermediaries and/or other third-party payors, through education,… more
- Medtronic (Lafayette, CO)
- …work together to engineer the extraordinary. This position reports to the Legal Director , US Commercial Legal organization. This onsite position will reside in one ... legal Centers of Expertise (COEs) and other legal and compliance professionals, as needed, to deliver the highest quality...the laws and regulations relevant to the sale and promotion of data-enabled healthcare technology products and services, as… more
- AdventHealth (Denver, CO)
- …of the medical and nursing plan of care. This performance is in compliance with established policies, procedures and protocols under the supervision of the Nurse ... Manager, Director , Vice President of Clinical Services, and or designee....care providers as necessary. Qualifications What You Will Need: Associate 's degree from an accredited school of nursing Active… more
