Healthcare Finance Jobs in Colorado

Physician Advisor, Utilization Management','Full-time','Hospitalist','Days','Days','80','80','Occasional','Occasional','COLORADO-ENGLEWOOD-DENVER INVERNESS','','!*!Job Summary:   As the Utilization Management physician advisor, the Physician Advisor (PA) conducts clinical case reviews referred by case management staff and/or other health care professionals to ..

u003cpu003eu003cstrongu003eThis job exists to:u003c/strongu003e perform audits of the documentation and posted CPT, HCPCs and ICD-10 codes of a sample of billed claims to determine whether services ordered by providers are rendered ..

u003cpu003eu003cstrongu003eThis job exists to u003c/strongu003eefficiently, effectively, and accurately convert patient encounters into reimbursable claims for timely payment from Clinicau0026rsquo;s payer mix.u003c/pu003enu003cpu003eAccept charges, review, analyze, and code diagnostic and procedural information that ..

... actuarial leader within Care Delivery finance. They will be the national ... and Analytics, and Care Delivery Finance. They will have access to ... actuarial leader within Care Delivery..

Description The Director of Product Management for Clinical Pharmacy Products develops and evaluates new product ideas, enhance existing products or strategic product extensions, and translates research discoveries into marketable products. This ..

Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Analyst works on problems ..

Description Responsibilities The Associate Director Medical/Financial Risk Evaluation leads a few powerful teams dedicated to reducing waste and abuse in the health care industry and its impacts on Humana. These teams ..

Description The Associate Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for claims reserve valuation, financial forecasting, and strategic and operational decisions within ..

Description Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud ..

u003cpu003eu003cstrongu003eThis job exists to:u003c/strongu003e Serve as coach and leader for the clinic, to problem solve and trouble-shoot operational issues at the site and provide support so the pods run effectively and ..

Description The Actuary, Pricing MA-PD is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Supports implementation of rates, new ..

... This person will work with Finance and Analytics to gather and ... Qualifications Bachelor's degree ideally in finance, accounting or similar field 3 ... years of experience in a..

u003cpu003eu003cstrongu003eThis job exists to:u003c/strongu003e The purpose of this position is to maximize patient services revenue, in accordance with applicable federal and state laws, regulations, etc., and to provide effective leadership and ..

Description The Financial Analytics Professional 2 manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Professional 2 work assignments are ..

Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work assignments are ..

Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, you will ..

Description The Senior Value-Based Financial Analyst supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Senior Value-Based Programs Professional works on problems ..

... What, Why and Where Twilio’s healthcare industry vertical is growing rapidly ... is growing rapidly by helping healthcare customers build world-class patient communication ... and most innovative organizations in..

Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insurance. The Senior Provider Contracting Professional work ..

u003cpu003eu003cstrongu003e*Must be bilingual in Spanish and English*u003c/strongu003eu003c/pu003enu003cpu003eu0026nbsp;u003c/pu003enu003cpu003eu003cstrongu003eThis job exists to:u003c/strongu003e The purpose of this position is to have a staff member who is fully cross trained in all aspects of administrative ..

... regular connections to the larger Finance and Analytics team. Responsibilities The ... This person will work with Finance and Analytics to gather and ... Qualifications Bachelor's degree ideally in..

Description The Director, Provider Contracting- Behavioral Health Medicaid initiates, negotiates, and executes physician, hospital, and/or other provider behavioral health contracts for an organization that provides managed Medicaid health insurance. Requires an ..

Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..