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IT Healthcare Business Analyst * Greenwood Village, CO Long term contract role 9 months Strong Health Care Payer Operations experience required! This critical role will be supporting the operations functional areas ..
DIV DIRECTOR HR BUSINESS PRACTICES - ENGLEWOOD, CO','Full-time','Director/Manager/Supervisor','1','1','80','80','None','None','COLORADO-ENGLEWOOD-DENVER INVERNESS','','!*!Job Summary: The Director, HR Business Practices serves as a business advisor and change agent to leadership teams of selected national groups. This ..
Director National Sales','Full-time','Professional Non-Clinical','1','1','80','80','Occasional','Occasional','COLORADO-ENGLEWOOD-DENVER INVERNESS','','!*!Job Summary The Director, National Sales is responsible for leading and growing the direct to employer book of business through consultative sales on behalf of our CHI ..
... matrix as appropriate; contributes to development/implementation of action plans resulting from ... teams to share geographical and healthcare provider information within compliance boundaries. ... Medical Strategy for development and..
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 ..
Description Our search is focused on identifying a certified coder who will primarily be responsible for conducting prospective and concurrent reviews to identify documentation improvement opportunities according to CMS and ICD-10 ..
Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product Strategy team. The Senior Clinical Business Professional work assignments involve moderately complex to complex issues where the ..
Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platforms/applications. The Associate Director, Problem, ..
Description The Care Manager, Telephonic Nurse 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 and ..
... Humana is a Fortune 60 healthcare company with a history of ... top place to work in healthcare, especially in areas of Diversity ... a personalized, seamless and easy..
Description The Hospital Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Hospital Contracting Executive works on problems ..
How do you impact your community as a Registered Nurse? Have you considered providing exceptional care to youth in promoting healthy and inclusive communities? Jefferson Hills is committed to Colorado’s at-risk ..
Description Be a part of an interactive team with broad exposure and scope within Humana. Humana is seeking a positive and proactive individual to contribute to a high performing team that ..
Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Provider Contracting Executive works on problems ..
Description The Director, Provider Contracting- Behavioral Health initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides health insurance. Requires an in-depth understanding of ..
... to: Supports the development and implementation of quality improvement interventions and ... degree Advanced degree in a healthcare-related field Knowledge of NCQA accreditation ... & Health Promotion Accreditation, Multicultural..
u003cpu003eThis job exists to: Partner with other providers to encourage and help patients receive the behavioral support necessary to impact their overall health, u003cspan style=u0022text-decoration: underline;u0022u003eu003cemu003ewhile serving your community!u003c/emu003eu003c/spanu003eu003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cemu003eThis position is ..
... currently seeking a junior level healthcare associate to join our national ... associate to join our national healthcare practice. Minimum qualifications include 2 ... 2 years of experience in..
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. ..
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 ..
Description The Senior Application Architect designs and develops IT applications and architects solutions to business problems in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments ..
Description The Behavioral Health Parity Compliance Lead will play an integral role in the oversight and management of our Mental Health Parity Compliance Program. Responsibilities This role is responsible for monitoring ..