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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 ..
Acute Rehab Social Worker - PRN','25100-68837','United States-Colorado-Denver-Spalding at PSL','PRN/Per Diem','Case Management','!*!Acute Rehab Social Worker - PRN Position Summary: The Rehabilitation Case Coordinator is responsible and accountable for coordinating and facilitating successful ..
... teams to share geographical and healthcare provider information within compliance boundaries. ... about new subject areas and healthcare environments. Knowledge Desired In-depth knowledge ... data. Knowledge of the US..
Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..
Description Our search is focused on identifying a certified coder who will primarily be responsible for conducting prospective and concurrent reviews to identify documentation improvement opportunities according to CMS and ICD-10 ..
Description Humana's National Medicaid Quality team is seeking a Market Consultant to be responsible for supporting individual Medicaid market quality teams and serving as the main relationship broker and liaison to ..
Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, contract compliance, and federal contract application submissions. The Senior Market ..
... physicians, physician groups, and integrated healthcare delivery systems throughout the country. ... delivery systems throughout the country. Healthcare isn't just about health anymore. ... of our members, and the..
... 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 Clinical Recruiter recruits and interviews prospective employees for hourly and salaried positions for our Care Delivery Organization. Humana is seeking a recruiter who is a self-starter, able to work ..
Description The Senior Clinical Business Professional is a clinical partner to the Commercial Product Strategy team. The Senior Clinical Business Professional work assignments involve moderately complex to complex issues where the ..
Amazing Care, Home Health Services is currently hiring Part Time or Full-time Certified Nursing Assistant's for Home Healthcare Visits. We offer market competitive pay and excellent benefits for those who work ..
Job Information Humana Clinical Analytics and Trend Program Manager in Colorado Springs Colorado Description The Clinical Strategy and Practice Lead builds strategies for development, engagement, best clinical practices and processes for ..
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 Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. All ..
Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
... 41) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an experienced healthcare leader to join our team ... President, Strategy Advancement for our..
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 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 ..
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 ..