• Director , Grievance…

    Humana (Denver, CO)
    …for our associates, members and providers. As the Resolution Team Operations Director ( Director , Grievance and Appeals ), you will be accountable for the ... The Resolution team handles all complaints for Humana, including formal grievances, appeals , inquiries and disputes. Our mission is to resolve these complaints… more
    Humana (05/30/25)
    - Related Jobs

  • Medical Director - National Medicare

    Humana (Denver, CO)
    …Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....member population, or condition type. May also engage in grievance and appeals reviews. May participate on… more
    Humana (05/29/25)
    - Related Jobs

  • Medical Director - Care Plus - Florida

    Humana (Denver, CO)
    …Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....member population, or condition type. May also engage in grievance and appeals reviews. May participate on… more
    Humana (04/24/25)
    - Related Jobs

  • Medical Director - Medicaid N. Central

    Humana (Denver, CO)
    …not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes (including pharmacy), and reviews for DME, genetic ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director … more
    Humana (05/14/25)
    - Related Jobs

  • CDOC - Associate Warden (Buena Vista)

    State of Colorado (Chaffee County, CO)
    …responding to offender disciplinary appeals , answering offender classification appeals , review of offender grievance responses, and gathering information ... Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes,… more
    State of Colorado (05/29/25)
    - Related Jobs

  • CDOC Part time Physician

    State of Colorado (Pueblo, CO)
    …Code of Regulations (CCR) 801-1, State Personnel Board Rules and Personnel Director 's Administrative Procedures, Chapter 8, Resolution of Appeals and Disputes, ... referrals and consultations, medical reporting, medical co-signature and inmate grievance requirements are completed in accordance with DOC Administrative… more
    State of Colorado (05/13/25)
    - Related Jobs