- State of Colorado (Denver, CO)
- …+ Ability to build strong interpersonal relationships with peers, and other senior management + Experience collaborating with senior leadership to identify, ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules. Supplemental Information Notifications All… more
- State of Colorado (CO)
- …and management. Employee Relations Consultation: + Provide support for more senior employee relations personnel by refining investigation notes, such as bolding ... supervisors, managers, and leadership, these will be lower in complexity than more senior + Provide support to Employee Relations staff, as the secondary contact… more
- State of Colorado (Denver, CO)
- …limit demonstrations that must be submitted to CMS. + Work closely with senior analysts and management in gathering and inputting data and performing calculations as ... knowledge of annual data submitted by hospitals providers in order to assist senior analysts and management in ensuring the data used for hospital provider fees… more
- Evolent (Denver, CO)
- …(NCQA) guidelines. + Provides clinical rationale for standard and expedited appeals . + Ensures documentation of all communications with medical office staff ... overall accountability for utilization management while working in conjunction with the Senior Medical Director. May assist the Senior Medical Director in… more
- Evolent (Denver, CO)
- …subject matter expert. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Denver, CO)
- …of best practices. + Provides clinical rationale for standard and expedited appeals . + Discusses determinations (peer to peer phone calls) with requesting physicians ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Evolent (Denver, CO)
- …of the request and provides clinical rationale for standard and expedited appeals . + Utilizes medical/clinical review guidelines and parameters to assure consistency ... is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- State of Colorado (Denver, CO)
- …Program (VSP) is seeking a Policy and Compliance Director to join their senior leadership team. This position plays a crucial role in shaping and implementing ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information Equity,… more
- State of Colorado (Denver, CO)
- …position will assist with planning and coordinating scheduling requests for Senior Staff with the Governor's Office, other agencies, and partners/stakeholders; ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information For… more
- State of Colorado (Denver, CO)
- …response to Legislative and Executive branch requests. + Negotiate and consult with senior management, staff and external entities to manage budget work plans and ... and Personnel Director's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, at spb.colorado.gov/board-rules . Supplemental Information How to… more