• Nurse II - Wheat Ridge Regional Center *Pay…

    State of Colorado (Jefferson County, CO)
    …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... requirements), Drug Screen, PREA (Division of Youth Services),Trails check (direct contact with children), CAPS (direct contact with adults - Mental Health Institutes, Regional Centers, Veterans Community Living Centers) + Current/Valid and unrestricted US… more
    State of Colorado (06/28/25)
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  • Client Care Aide II (CNA) - PT & FT Positions…

    State of Colorado (Aurora, CO)
    …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... requirements), Drug Screen, PREA (Division of Youth Services), Trails check (direct contact with children), CAPS (direct contact with adults - Mental Health Institutes, Regional Centers, Veterans Community Living Centers) + Must be willing to obtain… more
    State of Colorado (06/10/25)
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  • QMAP Certified Health Care Services Trainee II…

    State of Colorado (Jefferson County, CO)
    …CBI name check and fingerprint check, ICON Colorado court database, Medicare fraud database, Reference Checks, Professional License verification (licensure ... requirements), Drug Screen, PREA (Division of Youth Services), Trails check (direct contact with children), CAPS (direct contact with adults - Mental Health Institutes, Regional Centers, Veterans Community Living Centers) + Former State employees who were… more
    State of Colorado (06/09/25)
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  • Medicaid Fraud Investigator (Special Agent…

    State of Colorado (Denver, CO)
    Medicaid Fraud Investigator (Special Agent III) Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/5057010) Apply  Medicaid Fraud Investigator ... Protection Section is seeking an experienced investigator to join the Colorado Medicaid Fraud , Abuse & Neglect Unit ("MFANU"). The MFANU is crucial to preventing and… more
    State of Colorado (08/27/25)
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  • Field Reimbursement Manager

    Otsuka America Pharmaceutical Inc. (Denver, CO)
    …access, billing, and coding in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially Medicare Part ... contacting Accommodation Request ([email protected]) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of… more
    Otsuka America Pharmaceutical Inc. (08/27/25)
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  • Senior Coding Data Quality Auditor, Coding Quality…

    CVS Health (Denver, CO)
    …applicable) to ensure the ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of risk adjustment processes are ... education opportunities for peers. + Extensive knowledge of medical documentation, fraud , abuse and penalties for documentation and coding violations based on… more
    CVS Health (08/24/25)
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  • Third Party Liability & Cost Avoidance Section…

    State of Colorado (Denver, CO)
    …are looking for a Third Party Liability & Cost Avoidance Section Manager to join our Fraud , Waste & Abuse Division ! As part of the State of Colorado, HCPF offers a ... experience managing and collecting recoveries from third parties like Medicare , commercial insurance companies, healthcare providers, other insurance carriers, etc… more
    State of Colorado (08/23/25)
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  • Senior Risk Partner - Compliance Officer

    Highmark Health (Denver, CO)
    …Certified Public Accountant (CPA) + Certified Internal Auditor (CIA) + Certified Fraud Examiner (CFE) + Certified in Healthcare Compliance (CHC) + Certified ... and cross-functional strategy development. + Experience with managed care, Medicare and federal and/or state regulations, quality improvement and compliance… more
    Highmark Health (07/29/25)
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