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23

Healthcare Claim Analyst Jobs in Colorado





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Job info
 
Company
**********
Location
Greenwood Village, CO
Posted Date
Oct 28, 2016
Info Source
Employer  - Contract    90  

IT Healthcare Business Analyst * Greenwood Village, CO Long ... to national accounts. The Business Analyst will have the following responsibilities: ... requirements -A comprehensive understanding of healthcare plans, operations,..

 
Company
**********
Location
Lafayette, CO
Posted Date
Nov 03, 2020
Info Source
Employer  - Full-Time  90  

u003cpu003eu003cstrongu003eThis job exists to:u003c/strongu003e perform audits of the documentation and posted CPT, HCPCs and ICD-10 codes of a sample of billed claims to determine whether services ordered by providers are rendered ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Nov 27, 2020
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Jul 19, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Jun 29, 2021
Info Source
Employer  - Full-Time  90  

Description Come join the Digital Health & Analytics (DH&A) team within Humana to build a world class Data Science and Insights enterprise capability leveraging digital-first platforms, analytics, and agile development methodologies. ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Aug 01, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

 
Company
Location
Colorado Springs, CO
Posted Date
May 12, 2021
Info Source
Employer  - Full-Time  90  

Description The Clinical Pharmacy Advisor lead, overseeing Humana Pharmacy and Medical Trend, is a dynamic role within Humana. We are seeking a positive and proactive individual to contribute to a high ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Dec 02, 2020
Info Source
Employer  - Full-Time  90  

Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Nov 27, 2020
Info Source
Employer  - Full-Time  90  

Description The physician informaticist provide clinical insights and expertise for various analytic projects and coordinates with other analytics, IT and business areas across the organization to ensure work is completed under ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
May 13, 2021
Info Source
Employer  - Full-Time  90  

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

 
Company
Location
Colorado Springs, CO
Posted Date
Oct 07, 2021
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Aug 07, 2021
Info Source
Employer  - Full-Time  90  

Description The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for claims reserve valuation, financial forecasting, and strategic and operational decisions within ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Sep 12, 2021
Info Source
Employer  - Full-Time  90  

Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..

 
Company
**********
Location
Centennial, CO
Posted Date
Nov 29, 2020
Info Source
Employer  - Full-Time  90  

Description Our search is focused on identifying an individual contributor who will take ownership of Medicare risk adjustment programs that fit best with our providers by implementing operational and clinical best ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Mar 06, 2021
Info Source
Employer  - Full-Time  90  

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Medicaid Associate Director, Compliance Nursing in Colorado Springs Colorado Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
May 22, 2021
Info Source
Employer  - Full-Time  90  

Description Our search is focused on identifying an individual contributor who will take ownership of Medicare risk adjustment programs that fit best with our providers by implementing operational and clinical best ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Apr 11, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Feb 14, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..

 
Company
Location
Colorado Springs, CO
Posted Date
May 12, 2021
Info Source
Employer  - Full-Time  90  

Description The Actuary, Analytics/Forecasting will be the actuarial leader within Care Delivery finance. They will be the national subject matter expert (SME) for financial claims analytics and work in conjunction with ..

 
Job title
GRANTED JOB
Company
**********
Location
Colorado Springs, CO
Posted Date
Mar 26, 2021
Info Source
Employer  - Full-Time  90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

 
Company
Location
Colorado Springs, CO
Posted Date
Jul 16, 2021
Info Source
Employer  - Full-Time  90  

Description As Lead Actuary of the Risk Predictive Models team, you have an opportunity to both learn more about predictive analytics and machine learning and to see it become very real ..

 
Company
**********
Location
Colorado Springs, CO
Posted Date
Jun 26, 2023
Info Source
Employer  - Part-Time    90  

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

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