- 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 ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more
- Adecco US, Inc. (Colorado Springs, CO)
- …case outcome, follow-up or consultation such as prior authorization requirements, appeals , etc. . Educate members / guardians, providers, pharmacy staff on ... available for our associates include medical, dental, vision, life insurance , short-term disability, additional voluntary benefits, EAP program, commuter benefits… more
- Highmark Health (Denver, CO)
- …and decisions including but not limited to: physician and member appeals , member or provider information/education. + Participate on cross-functional committees to ... 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
- Evolent (Denver, CO)
- …care delivery.** + Offer **clinical rationale for standard and expedited appeals ,** ensuring compliance with UM policies and regulatory requirements. + Collaborate ... package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on… more