- CVS Health (Denver, CO)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Denver, CO)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- Elevance Health (Denver, CO)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering collaboration ... an accommodation is granted as required by law. The ** Provider Contract Cost of Care Consult Senior ...will make an impact:** + Focuses efforts on lowering claims costs, improving the quality of care, and increasing… more
- USAA (Colorado Springs, CO)
- …what truly makes us special and impactful. **The Opportunity** We are looking for a Senior Compliance Risk Manager with deep expertise in NAIC Regulations to ... regulations and have knowledge of life, annuity, and health insurance claims . Experience with risk assessment, including Risk and Control Self-Assessments (RCSA)… more
- Danaher Corporation (Denver, CO)
- …which makes everything possible. The Senior Field Reimbursement Manager (US REMOTE) position is a provider / customer ... responding to customer inquiries. This position reports to the Senior Director Market Access Americas and is part of...this role, you will have the opportunity to: + Provide education to healthcare providers, lab professionals, office staff… more
- RxBenefits (Denver, CO)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Elevance Health (Denver, CO)
- **Telephonic Nurse Case Manager Senior ** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person ... receipt and meet the criteria._** The **Telephonic Nurse Case Manager Senior ** is responsible for care management...as applicable. + Assists in problem solving with providers, claims or service issues. + Assists with development of… more
- Humana (Denver, CO)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- Fluor (Aurora, CO)
- …with a view to preventing leakage and being reimbursed for valid changes. * Provide support to business and execution units in the formation of prime contracts, ... and Insurance and Risk Management Groups to obtain and provide information regarding contractual issues, as well as coordinate...FAR and DFARS regulations. * Work with the project manager and project team to identify and maintain the… more
- RK Mechanical (Denver, CO)
- Senior Project Manager Electrical Denver, Colorado Apply Description RK Overview RK Industries (RK) is a second-generation family-owned business built on hard ... + Initiate, review and oversee required project administration and documentation to avoid claims and protect the best interest of RK Electrical and our client. +… more
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