Assoc Mgr Claims Jobs in Colorado

Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Associate Director, Utilization Management Nursing ..

Description Responsibilities Where you Come In The Manager, Medical/Financial Risk Evaluation identifies, assesses, and mitigates any medical or financial risk that arises from inadequate or failed processes, people, systems, or external ..

Job Information Humana Manager, Pharmacy and Medical Trend in Colorado Springs Colorado Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both pharmacy and ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..

Job Information Humana Associate VP, Business Transformation and Clinical Innovation in Colorado Springs Colorado Description The AVP, Business Transformation and Clinical Innovation leads the business transformation strategy and execution plans required ..

Job Information Humana Manager of Release Engineering, Remote in Colorado Springs Colorado Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production ..

Job Information Humana Associate Director, Health Information Management in Colorado Springs Colorado Description The Associate Director, Health Information Management ensures data integrity and quality for our encounter submissions systems. The Associate ..

Job Information Humana Medicaid Senior Project Manager (Remote) in Colorado Springs Colorado Description Humana's Claims Process Organization is looking for a Senior Project Manager to join the Project Management team! As ..

Job Information Humana Associate Director, Retail Claims Technology Solutions in Colorado Springs Colorado Description The Associate Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. ..

Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. The Manager, Release Management Engineering works within specific guidelines and procedures; ..

Job Information Humana Manager, Release Management, Remote in Colorado Springs Colorado Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production environment. ..

... identify and collect overpayment of claims. Contributes to the investigations of ... systems, and by ensuring correct claims payment. Decisions are typically related ... of work experience related to..

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..

Description The National Delegation Oversight and Support (NDOS) Associate Director role within the Value Based Strategies team, will collaborate with our Operational Risk Management, Delegation Compliance, various functional business owners (such ..

Job Information Humana Manager, Operations, Release and Process in Colorado Springs Colorado Description The Manager, Release Management Engineering manages cross-organizational collaboration required to introduce applications and infrastructure changes into the production ..

Work with the practice group leaders to develop and implement practice group-specific strategic plans which include marketing and business development goals Engage with attorneys to understand the legal and business needs ..

Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Colorado Springs Colorado Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience ..

Job Information Humana Associate Director, Provider Data Interoperability in Colorado Springs Colorado Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance ..

Description The Managing Clinical Pharmacist within the Pharmacy Claim Audit & Review department monitors drug development pipeline, and medical literature, while providing clinical and audit support for internal stakeholders. Utilizes broad ..

Job Information Humana Lead Product Manager - Healthcare API in Colorado Springs Colorado Description The Lead Product Manager - Healthcare API (SME) as part of Humana's Enterprise API product team, is ..

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Colorado Springs Colorado Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the ..

Job Information Humana Nationwide Associate Director, Utilization Management Nursing in Colorado Springs Colorado Description The Associate Director, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health ..