• Corporate Medical Director…

    Humana (Denver, CO)
    …a part of our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims ... and preservice appeals. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
    Humana (09/05/25)
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  • Medical Director - Medicare…

    Humana (Denver, CO)
    …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director works on problems of diverse...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
    Humana (09/06/25)
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  • Appeals and Grievances Clinical Specialist…

    Healthfirst (CO)
    …productivity and quality for each Specialist against expectations + Prepare cases for Medical Director Review ensuring that all pertinent information (ie case ... of clinical cases, such as: Pre-existing Conditions, Prior Approval, Medical Necessity, Pre-certification, Continued Stay, Reduction, Termination, and Suspension of… more
    Healthfirst (09/09/25)
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  • Health Care Technician IV - Residential…

    State of Colorado (Pueblo, CO)
    …the Home and Community Based Services Final Rule. Counsels individuals on behavior and medical care needs during group or one on one interactions per ID team ... outlined by the Pueblo Regional Center. Addresses all complaints and resolving individual grievances at the home level. When a resident is placed in an… more
    State of Colorado (08/26/25)
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