- Evolent (Denver, CO)
- …classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts as ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with… more
- Evolent (Denver, CO)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
- 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 in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- 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 in ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Denver, CO)
- …Medical Director , depending on size of team or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Evolent (Denver, CO)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National … more
- Evolent (Denver, CO)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National … more
- United Therapeutics (Denver, CO)
- …is innovative and inspiring where you can truly make a difference. The Regional Field Director , RNS Program Management serves as a director of all clinical ... the commercial non-promotional team. In addition, the Regional Field Director , RNS Program Management will: + Serve...initiation of a UT product, adverse effect mitigation, device utilization , and dosing upon request + Support the Clinical… more
- Grant Thornton (Denver, CO)
- …to share strategy, to implement process improvements and to roll out capacity management strategies to maximize utilization and drive operational excellence + ... Grant Thornton is seeking an Advisory Capacity & Resource Management (C&RM) Leader to join the team. Approved office...on yearly budget planning for headcount, gross charge hours, utilization , and leverage. You will lead your team to… more
- Humana (Denver, CO)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
- Sanofi Group (Denver, CO)
- …of short- and long-term business plans that will optimize appropriate coverage, coding, Utilization Management , payment of and patient access to Sanofi products. ... Regional Account Director will provide periodic market updates to Sales Management and other internal teams, regarding important payer and health care reform… more
- Evolent (Denver, CO)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... Surgery you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National … more
- Evolent (Denver, CO)
- …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. . ... Oncology, you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National … more
- University of Colorado (Boulder, CO)
- **Assistant Director of Engineering ProReady Career Advising** **Requisition Number:** 65040 **Location:** Boulder Colorado **Employment Type:** University Staff ... of Engineering and Applied Science encourages applications for the Assistant Director of Engineering ProReady Career Advising! This position provides leadership and… more
- State of Colorado (Denver, CO)
- DOLA Director of Housing (Non-Classified) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4958846) Apply DOLA Director of Housing ... Job Number NAA-50064-06.2025 Department Department of Local Affairs Division Executive Director 's Office Opening Date 06/02/2025 Closing Date 6/30/2025 4:00 PM… more
- Intermountain Health (Broomfield, CO)
- **Job Description:** The Senior Medical Director for the Musculosketal Service Line serves as the physician leader for Peaks Region physicians and advanced ... professionals (APs). The Senior Medical Director works collaboratively in a dyad leadership structure with a service line director . The Senior Medical … more
- Intermountain Health (Broomfield, CO)
- **Job Description:** The Senior Medical Director for Children's Health serves as the physician leader for Peaks Region in the Children's Health Service Line. This ... role works collaboratively in a dyad leadership structure with a service line director . The Senior Medical Director drives engagement among physicians and… more
- CVS Health (Denver, CO)
- …Delivery System eg, Clinical Practice and Health Care Industry. *Prior UM ( Utilization Management ) experience *Active and current state medical license without ... Health Company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity...coding, and reimbursement expertise as well as directing case management when necessary. The Medical Director will… more
- Evolent (Denver, CO)
- …leadership is preferred. + Familiarity with value-based care models and utilization management frameworks is preferred. **Technical Requirements:** We require ... of our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both internal teams (EAS,… more
- Renaissance (Denver, CO)
- … management , design, administration, communication, compliance, activities and vendor management . The Director will manage, plan, direct, develop, communicate ... strive for the best, own our actions, and grow and evolve. The Director of Compensation & Benefits is responsible for the strategic direction and leadership… more