- Humana (Denver, CO)
- **Become 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 work assignments involve moderately complex to complex issues...of the managed care industry including Medicare Advantage, Managed Medicaid and/or Commercial products, or other Medical … more
- Humana (Denver, CO)
- …to adapt and the courage to innovate **Additional Information** Reports to the Lead Medical Director - North Central Medicaid Markets. The Medical ... caring community and help us put health first** The Medical Director relies on medical ...Medical Directors will learn North Central region state Medicaid requirements (currently VA, KY, OH, IN, WI) and… more
- Humana (Denver, CO)
- …party reporting including notification, collection, analyze, storage, and distribution. + Team representative and presenter for various Medicaid committee ... caring community and help us put health first** The Associate Director , Procurement generates and implements efficient sourcing and category management strategies.… more
- Humana (Denver, CO)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... and will understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical … more
- Humana (Denver, CO)
- …home health, SNF, DME, dual Medicare/ Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...consistency in outcomes, consumer experiences, and a highly engaged team culture** + **Knowledge and experience with national guidelines… more
- Humana (Denver, CO)
- …home health, SNF, DME, dual Medicare/ Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether ... caring community and help us put health first** The Medical Director relies on fundamentals of CMS...consistency in outcomes, consumer experiences, and a highly engaged team culture + Knowledge and experience with national guidelines… more
- University of Colorado (Aurora, CO)
- **CU Medicine Family Medicine Louisville Medical Director - Open Rank Sr. Instructor, Assistant, Associate, Professor** **Description** **University of Colorado ... Medicine** **Job Title** **CU Medicine Family Medicine - Louisville Medical Director - Open Rank Sr. Instructor,...but not limited to NCQA/PCMH, RAEs, Primary Care 1st, Medicaid UPL, and other value-based programs. + Identifies and… more
- Humana (Denver, CO)
- …and related tasks; works under minimal supervision; and assists in supporting the medical director team and leaders in meeting enterprise-wide business ... community and help us put health first** The Corporate Medical Director (CMD) relies on medical...+ Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be passionate about… more
- Evolent (Denver, CO)
- …meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Denver, CO)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management ... team . We can offer you a meaningful way to...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Evolent (Denver, CO)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management ... team . We can offer you a meaningful way to...timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to… more
- State of Colorado (Jefferson County, CO)
- ASSISTANT DIRECTOR OF NURSING - MID-LEVEL PROVIDER Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5120453) Apply ASSISTANT DIRECTOR OF ... Colorado. Admissions are for individuals with complex behavior and medical needs who may pose a risk to themselves...local Health Departments. This position is accountable to the Director of Nursing (DON). This full-time position sits on… more
- AdventHealth (Greenwood Village, CO)
- …+ Responsible for medication management including e-prescribing of medications daily + Attends weekly team meetings as the medical director of the team ... to participate as a provider in the Medicare and Medicaid programs (including any successor program to either) **Summary...care setting on an as needed basis + Educates team members on medical topics and inquiries… more
- Evolent (Denver, CO)
- …recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management ... will be a key member of the utilization management team . We can offer you a meaningful way to...Imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests… more
- Gentiva (Castle Rock, CO)
- …The Director will drive clinical and operational growth, manage team development, and ensure compliance with state and federal guidelines while delivering ... Drive Excellence. Transform Palliative Care.** We are seeking a Director of Palliative Care to oversee the overall clinical...evaluate program staff to foster professional growth and ensure team success + Ensure compliance with state, federal, and… more
- Gentiva (Castle Rock, CO)
- …Drive Excellence. Transform Palliative Care.** We are seeking an experienced and compassionate Director of Palliative Care - RN to join our team . This ... clinical and financial operations of the Palliative Care Program. The Director ensures high standards of patient care, compliance with regulatory requirements,… more
- HCA Healthcare (Aurora, CO)
- …**_Note: Eligibility for benefits may vary by location._** Come join our team as a Patient Access Director . We care for our ... integrity. We care like family! Jump-start your career as a Patient Access Director today with HCA HealthONE Aurora. **Benefits** HCA HealthONE Aurora offers a total… more
- Grifols Shared Services North America, Inc (Aurora, CO)
- Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global ... and services in more than 110 countries and regions. The Associate Director , Value Access Marketing & Reimbursement is responsible for developing and executing… more
- Humana (Denver, CO)
- …of our caring community and help us put health first** The Associate Director , Business Intelligence solves complex business problems and issues using data from ... external sources to provide insight to decision-makers. The Associate Director , Business Intelligence requires a solid understanding of how...applications, and data resources. The role will lead a team of up to approx. 7-9 direct associates. **Key… more
- AbbVie (Denver, CO)
- …medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's ... YouTube, LinkedIn and Tik Tok (https://www.tiktok.com/@abbvie) . Job Description The Director , State Government Affairs is a strategic leader and central partner… more