- The Cigna Group (Denver, CO)
- …our customers. **Core Responsibilities:** + Ability to quickly learn manual and claim experience rating models and related pricing tools. + Perform case-specific ... issues. Possesses an in depth understanding of manual rating models, claim experience projections, pricing tools, pricing adjustments and available plan designs.… more
- CVS Health (Denver, CO)
- …(underwriting, sales, product development, network management). + Experience working with medical and pharmacy claims . **Education** + High school diploma ... Experience with key managed care functions including provider contracting, benefit design, medical management as well as knowledge of business functions and impact… more
- Highmark Health (Denver, CO)
- … terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim...years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical… more
- Cognizant (Denver, CO)
- …IT organization and lead changes to such specifications (with senior business analyst oversight through peer reviews); Develop an informed knowledge of the business ... + 3+years Medicare/Medicaid regulatory healthcare experience + Knowledge of claim adjudication processes and Facets platform experience preferred + Experience… more
- Deloitte (Denver, CO)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... + Certified in Epic Hospital Billing Administration/Professional Billing Administration and Claims + Experience in performing configuration changes and system builds… more
- State of Colorado (Denver, CO)
- Special Financing Data Analyst Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4939695) Apply Special Financing Data Analyst Salary ... people of diverse backgrounds and abilities. We are looking for a Special Financing data analyst to join our Finance team! As part of the State of Colorado, HCPF… more
- Cognizant (Denver, CO)
- …we're improving everyday life. **Job Title** **: Provider/Benefit Configuration Analyst ** **Location** **:** **Remote** **Job ID** **: SO# 00064116431** **Role ... code editing in the Facets environments. . Test inpatient claims with the Optum grouper to ensure accuracy and...in Facets. . Maintain a thorough understanding of standard claim payment rules for Commercial, Medicare, Medicaid, and ACA… more
- Robert Half Finance & Accounting (Englewood, CO)
- Description We are offering an exciting opportunity for a Benefits Analyst in ENGLEWOOD, Colorado, United States. As a part of our team, you will be working in the ... utilizing your skills in a diverse set of roles including processing claims , maintaining customer records, and resolving inquiries. Responsibilities: + Manages and… more
- Xcel Energy (Denver, CO)
- …investigation related to disputed cost of repair to damaged facilities, in conjunction with Claims Department to ensure claim is resolved and closed in a timely ... This includes assigning liabilities, determining denials and negotiating final settlement of claims . This position will provide support and training with regard to… more
- Evolent (Denver, CO)
- …contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops analytic tools to ... impact on the organization and patient health. This role supports both Medical Cost Management activities as well as Business Development efforts. Working in… more
- Evolent (Denver, CO)
- …science, or engineering) - Preferred + Professional experience in healthcare analytics (eg medical and pharmacy claims data, membership data, or other healthcare ... Stay for the culture. **What You'll Be Doing:** **Job Posting: Senior Analyst , Performance Analytics** **Location: Remote** Evolent is seeking a Senior Analyst… more
- Evolent (Denver, CO)
- …Stay for the culture. **What You'll Be Doing:** Job Description Senior Analyst , Performance Analytics - **RBM Cardiac** product focus, utilizes and develops analytic ... impact on the organization and patient health. This role supports both Medical Cost Management activities as well as Product Development efforts. **What You'll… more
- VF Corporation (Denver, CO)
- **What will you do?** The Customs Compliance Analyst is to provide support in customs compliance for the VF Outdoor Coalition. The Analyst is charged to assist ... track export shipment data required for the purpose of filing duty drawback claims with US Customs + Facilitates communication and information sharing with customs… more
- CommonSpirit Health Mountain Region (Centennial, CO)
- …leaders who care about your success. The Revenue Integrity Charge Analyst provides support to intradepartmental staff encompassing patient charge related functions, ... data verification and compliance. Resolves DNB and billing edits that delay claims form processing within the organizations and/or clearinghouse systems by analyzing… more
- Holcim US (Lakewood, CO)
- Credit and Collections Analyst Requisition ID: 13423 Location: Lakewood, CO, US, 80401 Pay Type: Salary Estimated Wage Range $58,800 - $66,700/Annually **COMPANY ... bond statutes and accurate filing of lien and bond claims . + Responsible for the review and process of...Choose from 401(k) pre-tax and/or Roth after-tax savings + Medical , Dental, Disability and Life Insurance + Holistic Health… more
- CommonSpirit Health (Englewood, CO)
- …Professional Billing Admin experience required** + **Resolute Professional Billing Claims experience required** + **Cogito Certification experience preferred** + ... Professional Billing Admin experience required** + **Resolute Professional Billing Claims experience required** + **Cogito Certification experience preferred** +… more
- CVS Health (Denver, CO)
- …+ Applying advanced Excel modeling techniques to analyze large sets of pharmacy claims data and build forward looking financial forecasts and profit and loss (P&L) ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Highmark Health (Denver, CO)
- …identified opportunities. This position will necessitate clinical informatics and medical knowledge. **ESSENTIAL RESPONSIBILITIES** + Leads the design, development, ... 7 years with coding languages, analytical software, systems, tools and processes using claims , clinical, enrollment and provider data + 5 years of project leadership… more
- Highmark Health (Denver, CO)
- …quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion of ... participation percentage, type of industry, characteristics of employee groups, or past claim experience to determine what benefits can be offered and to set… more
- State of Colorado (Lakewood, CO)
- …eligible for overtime compensation. Department Contact Information Anita McEachern, HR Analyst ###@state.co.us Primary Physical Work Address 1707 Cole Blvd. Suite ... structure of a business entity to identify all parties who may have a claim to the company's assets, including those whose ownership may not have been declared… more