• Product Manager, Risk Adjustment Analytics…

    Datavant (Denver, CO)
    …KPIs such as suspecting accuracy, chart throughput, RAF impact, data latency, coding quality metrics, and client engagement. **Cross-Functional Collaboration** + ... the development of robust, scalable, and actionable analytics that improve coding outcomes, measure product impact, and support value-based client delivery across… more
    Datavant (06/06/25)
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  • Human Resources Specialist

    Colorado State University (Fort Collins, CO)
    …new hire set-up (eg, Health Network phone lists, web page, Billing and Coding , Medical Records, Employee Health, Quality Assurance and Compliance, IT, ... can thrive, grow, and make a lasting impact. + Review our detailed benefits information here. (https://hr.colostate.edu/wp-content/uploads/sites/25/2021/01/benefits-summary-afap.pdf) + Explore… more
    Colorado State University (06/21/25)
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  • Associate Medical Director, Pharmacovigilance…

    Sumitomo Pharma (Denver, CO)
    …Characteristics (SmPC), and Canadian Product Monograph (PM) + Ensures timely and quality review and assessment of ICSRs, including seriousness, expectedness, ... safety narratives, adverse event coding , concomitant medication coding , and causality statements....study team meetings and governance committees. + Performs aggregate review of post-marketing safety data in support of safety… more
    Sumitomo Pharma (05/16/25)
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  • Sr Manager, Business Intelligence

    CVS Health (Denver, CO)
    …Revenue Integrity initiatives. + Responsible for leading the reconciliation of data ( coding review results and medical record images) from different sources, ... support of auditing activities related to vendor reconciliation of coding results and medical record images as well as...to meeting business needs. + Tightly managing vendor data quality and timeliness; ensure data is ingested into CREW… more
    CVS Health (07/22/25)
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  • SIU Specialist - Remote in the California market

    Prime Therapeutics (Denver, CO)
    …in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource on fraud, waste and abuse ... data to find suspicious patterns and outliers using knowledge of healthcare coding conventions, fraud schemes, and general areas of vulnerability. + Contact… more
    Prime Therapeutics (06/24/25)
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  • Case Manager

    Cardinal Health (Denver, CO)
    …patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to ... interaction using the appropriate database for the inquiry + Self- audit intake activities to ensure accuracy and efficiency for...1-2 years of Pharmacy and/or Medical Claims billing and Coding work experience + 1-2 years experience with Prior… more
    Cardinal Health (07/16/25)
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