• Medicaid Project Director

    Abt Global Inc. (Boulder, CO)
    **The Opportunity** As a Project Director , you will lead large project teams through complex health analytic engagements, serving both State and Federal ... strategy, and visualization. You will help to operationalize and execute Medicaid policy and IT transformation projects. You will oversee interdisciplinary teams… more
    Abt Global Inc. (05/31/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Care Plus - Florida

    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 management organizations,… more
    Humana (04/24/25)
    - Save Job - Related Jobs - Block Source
  • Product Director - State Public Sector…

    Prime Therapeutics (Denver, CO)
    …at least 5 years in product development + Must be eligible to work in the United States without need for work visa or residency sponsorship Must be eligible to ... drives every decision we make. **Job Posting Title** Product Director - State Public Sector Business Development - Remote...work in the United States without the need for work… more
    Prime Therapeutics (04/22/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director -Payment Integrity

    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 to ... conferences, and other reference sources. Medical Directors will learn Medicare, Medicaid , and Medicare Advantage requirements and will understand how to… more
    Humana (06/06/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - OneHome

    Humana (Denver, CO)
    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
    Humana (05/31/25)
    - Save Job - Related Jobs - Block Source
  • Medical Director - Mid West Region

    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 to ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
    Humana (05/14/25)
    - Save Job - Related Jobs - Block Source
  • Senior Director Clinical Account Management…

    Prime Therapeutics (Denver, CO)
    …leadership / people management experience. + Must be eligible to work in the United States without need for work visa or residency sponsorship. **Additional ... our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr Director more
    Prime Therapeutics (04/09/25)
    - Save Job - Related Jobs - Block Source
  • Director , Strategy Advancement, Risk…

    Humana (Denver, CO)
    **Become a part of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and ... planning support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how… more
    Humana (05/29/25)
    - Save Job - Related Jobs - Block Source
  • Strategic Enterprise Project Manager

    State of Colorado (Denver, CO)
    …be necessary to implement the Department's transformational vision for the future of Medicaid . Enterprise Project Management Office: The work unit exists to ... Strategic Enterprise Project Manager Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4958815) Apply  Strategic Enterprise Project Manager… more
    State of Colorado (06/04/25)
    - Save Job - Related Jobs - Block Source
  • Enterprise Solutions Integration (ESI) Manager

    State of Colorado (Denver, CO)
    …compensation. Department Contact Information Jessica Bosick, Talent Acquisition Specialist ~ ###@state.co. us How To Apply Please submit an online application for ... Policy & Financing (HCPF) oversees and operates Health First Colorado (Colorado's Medicaid Program), Child Health Plan Plus (CHP+), and other state public health… more
    State of Colorado (06/11/25)
    - Save Job - Related Jobs - Block Source
  • Senior Compliance Analyst (Interpretation…

    Prime Therapeutics (Denver, CO)
    …the Affordable Care Act (ACA) + Must be eligible to work in the United States without need for work visa or residency sponsorship **Additional Qualifications** ... are aligned with expectations of applicable regulatory guidance + Lead project management efforts for highly sensitive Compliance initiatives + Represents the… more
    Prime Therapeutics (06/06/25)
    - Save Job - Related Jobs - Block Source
  • Principal Actuary - REMOTE

    Prime Therapeutics (Denver, CO)
    …Actuarial designation (ASA or FSA) + Must be eligible to work in the United States without need for work visa or residency sponsorship **Additional ... + Excellent quantitative, problem solving, and analytical skills + Strong project management and organizational skills + Excellent verbal and written communication… more
    Prime Therapeutics (03/28/25)
    - Save Job - Related Jobs - Block Source
  • Manager, Provider Data Operations

    Evolent (Denver, CO)
    …services and/or configuration, preferably in a leadership role + General understanding of US health care, Managed Care Organizations, and/or Medicaid + Lives the ... issue resolution, process improvement, and more. This position reports to the Director . Provider Data Management. + Leadership responsibility for a team of 3-7… more
    Evolent (05/30/25)
    - Save Job - Related Jobs - Block Source