- Evolent (Denver, CO)
- …for the mission. Stay for the culture. **What You'll Be Doing:** 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...policies and procedures. + Documents communications with medical office staff and/or MD provider as required. + Interfaces with… more
- Humana (Denver, CO)
- …The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). The Medical director work assignments involve moderately ... and medical necessity. The Medical Director will collaborate with clinicians and support staff to provide Humana members with optimal value based care in accordance… more
- State of Colorado (Denver, CO)
- …to our department. You will have daily interaction with the Colorado Attorney General, DOL staff , and members of the public as well as undertake a variety of other ... Deputy for Intergovernmental Affairs, Director of Communications, and associated administrative staff . The OAG is responsible for setting legal policy for the… more
- State of Colorado (Denver, CO)
- …real difference We are committed to increasing the diversity of our staff and providing culturally responsive programs and services. Therefore, we encourage ... Medical and dental health plans (https://dhr.colorado.gov/state-employees/state-of-colorado-employee-benefits) + Paid life insurance + Short- and long-term disability coverage + 11… more
- State of Colorado (Denver, CO)
- …of consumer protection and state antitrust laws, prosecution of criminal appeals and certain complex white-collar crimes, training and certification of peace ... in tort cases, including negotiation and all stages of litigation through appeals . + Work with and assist District Attorneys, managing settlement funds, directing… more
- State of Colorado (Pueblo, CO)
- … Insurance , Medicaid/Self- pay, and Audit, including 3 professional staff , 6 technicians. + Develops performance plans and evaluations; approves performance ... duties include: Organizational Management and Supervision: + Unit supervisor for 10 staff members, including direct supervision of 3 individual units: Medicare/Other… more
- State of Colorado (Golden, CO)
- …successful reintegration into the community. It works collaboratively with milieu staff , education, family, client management, and community stakeholders to provide ... strengths and develops treatment plans. Training and consultation to staff in regard to treatment and milieu interventions specific...if your application is eliminated. You will find the appeals process, the official appeal form, and how to… more
- State of Colorado (Denver, CO)
- …to the facility through observation and review of documentation by medical clinic staff . Ensures that communicable diseases are detected in a timely manner and ... orders. Communicates pertinent and appropriate health information to facility staff , families, supervisors and administration to ensure ongoing optimal health… more
- State of Colorado (Denver, CO)
- …see the Supplemental Information section below for details! About this Unit: The Staff Development Division (SDD) is the training connection for CBMS between the ... the Office of Information Technology (OIT). Using a multidisciplinary approach, staff from a range of programmatic and technological specialties representing three… more
- State of Colorado (Centennial, CO)
- …to the facility through observation and review of documentation by medical clinic staff . Ensures that communicable diseases are detected in a timely manner and ... orders. Communicates pertinent and appropriate health information to facility staff , families, supervisors and administration to ensure ongoing optimal health… more