- Humana (Denver, CO)
- …care management, provider relations, quality of care, audit, grievance and appeal and policy review. The Behavioral Health Medical Director will develop and ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or...be authorized. All work occurs within a context of regulatory compliance and work is assisted by diverse resources… more
- Humana (Denver, CO)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Denver, CO)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by… more
- Humana (Denver, CO)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... of service should be authorized. All work occurs within a context of regulatory compliance, and work is assisted by diverse resources, which may include national… more
- Humana (Denver, CO)
- …part of our caring community and help us put health first** The Clinical Director is a key member of the regional clinical leadership team responsible for executing ... AZ, NV, HI) **Clinical Strategy Execution & Provider Engagement** The Clinical Director will partner with provider leadership by: * Developing and maintaining strong… more
- CenterWell (Pueblo, CO)
- …(POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensures final audits/billing are ... of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. +… more
- State of Colorado (Denver, CO)
- …of statutory changes affecting the BHA. This position facilitates business associate agreements, security agreements. research requests and projects, and data ... impact the agency's ongoing operation and broad program or policy ; and maintain the leadership role in the administration...relates to privacy; serving as the BHA liaison to regulatory and accrediting bodies for matters relating to privacy;… more
- University of Colorado (Aurora, CO)
- …Title: Section Head of Ambulatory Services (Ph.D./Psy.D. or MD/DO)** **Rank: Associate Professor or Professor** **Position #00837783 - Requisition #37393** **Section ... are available to support research, clinical care, educational, and advocacy/ policy activities. + Develop innovative clinical, educational, quality and research… more
- State of Colorado (Pueblo, CO)
- …post-secondary enrollment at CSU Pueblo. This position will work closely with the Associate Director of Academic Pathways and Programs to support various ... to expand dual enrollment program opportunities for students. + Coordinates with Director of Operations to develop and disseminate program MOUs; works with school… more
- University of Colorado (Aurora, CO)
- …Title: Section Head of Integrated Services (Ph.D./Psy.D. or MD/DO)** **Rank: Associate Professor or Professor** **Position #00837782 - Requisition #37395** **Section ... are available to support research, clinical care, educational, and advocacy/ policy activities. + Develop innovative clinical, educational, quality and research… more