- Evolent (Denver, CO)
- …Stay for the culture. **What You'll Be Doing:** Job Description The Specialty Appeals Team offers candidates the opportunity to make a meaningful impact as part ... of a highly trained dedicated team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent… more
- Humana (Denver, CO)
- …Director (CMD) relies on medical background to review health claims and preservice appeals . The Corporate Medical Director works on problems of diverse scope and ... + Medical utilization management experience + Working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc.… more
- Humana (Denver, CO)
- …+ Medical utilization management experience, + working with health insurance organizations, hospitals and other healthcare providers, patient interaction, etc. ... paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 10-31-2025 **About us**… more
- Highmark Health (Denver, CO)
- …could be a result of internal/external audits, member/provider phone calls, other insurance information received, appeals , and system changes, etc.; provides ... times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of… more
- State of Colorado (Denver, CO)
- …, Dental (https://dhr.colorado.gov/state-employees/state-employee-benefits/dental- insurance ) , and ... coverage + Automatic Short-Term and Optional Long-Term Disability Coverage (https://dhr.colorado.gov/state-employees/state-employee-benefits/disability- insurance ) + Life and AD&D Insurance +… more
- Adams County Government (Brighton, CO)
- …The Deputy District Attorney performs professional legal work in the litigation of appeals in the Adams and Broomfield District Courts, Colorado Court of Appeals ... of Duties for Success + Litigates misdemeanor and traffic appeals arising from County Court cases and felony ...of Choice! Benefits You Expect: + AFLAC Supplemental Medical Insurance + Basic Term Life & Optional Term Life… more
- Affordable Care (Colorado Springs, CO)
- …skills. Experience working with Dentrix, handling dental office finances, full insurance billing process (including claims submission, appeals , and denial ... job well. **Additional benefits include** , group medical and dental insurance , vision insurance , life insurance , flexible spending (health and dependent… more
- State of Colorado (Denver, CO)
- …of consume r protection and state antitrust laws, prosecution of criminal appeals and certain complex white-collar crimes, training and certification of peace ... of civil rights violations, fair housing, and workers' rights. + Criminal Appeals Section: Represents the state when defendants challenge felony convictions in the… more
- CVS Health (Denver, CO)
- …**Quality Appeal Coordinator** coordinates reviews and evaluations for complaints and appeals received by the organization. This includes denied claims, coverage ... and independently coaches others on matters regarding complaints and appeals . **In this role, you will:** + Handle quality...experience working with claims. + Prior experience in health insurance . + Prior experience in compliance or auditing. +… more
- State of Colorado (Denver, CO)
- …+ Child and Adult Mistreatment Dispute Review Section: + Child abuse and neglect appeals + Adult mistreatment appeals Description of Job HYBRID; Minimum of 2 ... of the department's action. For more information about the appeals process, the official appeal form, and how to...+ Employer supplemented Health Savings Account + Paid life insurance + Short- and long-term disability coverage + 11… more