- CenterWell (Denver, CO)
- …our caring community and help us put health first** The Manager of Pre -Bill Audit provides strategic leadership and operational oversight for the organization's ... pre -billing function. This role is responsible for ensuring all claims are audit-ready prior to release, driving standardization across branches, and delivering… more
- HCA Healthcare (Denver, CO)
- …is hired below midpoint of the range. **Introduction** Last year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As a(an) AVP ... protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage,… more
- Humana (Denver, CO)
- …years' advanced experience developing complex SQL queries + 1+ years' experience in Healthcare related data ie. Provider, Insurance, etc. + Experience with pharmacy ... claims data + Advanced knowledge of Excel (ex. Pivot...provide work visa sponsorship for this role._** Work at Home /Remote Requirements **Work-At- Home Requirements** + To ensure… more
- Humana (Denver, CO)
- …escalations. **Use your skills to make an impact** **WORK STYLE:** Remote/Work at Home . While this is a remote position, occasional travel to Humana's offices for ... certification experience utilizing coding guidelines by reading and interpreting claims + Exceptional understanding of Centers for Medicare &...hours are 8AM - 5PM Eastern time. **Work at Home Requirements** * At minimum, a download speed of… more
- Evolent (Denver, CO)
- …seamlessly with diverse teams and stakeholders. + Deep understanding of healthcare claims , reimbursement methodologies, and cost/utilization KPIs, including ... preferred. + 10+ years of analytics & reporting experience in healthcare , including medical economics, cost/utilization analysis, and membership trend reporting. +… more
- Evolent (Denver, CO)
- …to ensure clean and consistent tracking of Evolent's covered membership and claims + Synthesize complex analyses into succinct presentations for communication to key ... of Actuaries credentials with Group Health track **(Preferred)** + Familiarity with healthcare claim processing **(Preferred)** + 5+ years experience at payer or… more
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