- CVS Health (Denver, CO)
- …more compassionate. And we do it all with heart, each and every day. **Position Summary** Claim Audit Quality Analyst is responsible for ensuring the ... accuracy and quality of claim audits across multiple areas within Meritain. This role...within Meritain. This role demands a deep understanding of claims , plan documents, eligibility, coverages, and the unique requirements… more
- Prime Therapeutics (Denver, CO)
- …career? Come build the future of pharmacy with us. **Job Posting Title** Regulatory Analyst Sr - Remote **Job Description** The Senior Regulatory Analyst is ... business partners with regard to related regulatory activity and quality efforts involving utilization and/or medication therapy management, network management,… more
- State of Colorado (Denver, CO)
- …our success, we seek dedicated individuals who exhibit our shared values and passion for quality and excellence in all we do. In addition, we offer a great location ... + Conduct phone, desk, and virtual audits; assist the audit manager with audit activities. + Review...Colorado RUUPA and communicate statutory intent clearly. + Support claims processing by reviewing business claims , determining… more