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14 Jobs in Colorado

  • Staff Vice President (VP) Governance (Health Benefits Operations)

    DENVER, Colorado
    ... payments and encounter submissions, network, reporting, IT and infrastructure, performance guarantees and ...
  • Health Benefits Executive Director

    Denver, Colorado
    ... repositioning in a market, legislative changes, network/provider changes/ medical management program and policy ...
  • Go to Market Director

    DENVER, Colorado
    ... market plans to ensure readiness for products, network and digital features. **How you will make ... Management, Marketing, Operations Product, Network, Clinical, Member Experience) to evaluate opportunities ...
  • Nurse Reviewer I

    COLORADO SPRINGS, Colorado
    ... Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of ... imaging procedures, out of network services, and appropriateness of treatment. **How you will make ...
  • Nurse Reviewer I

    DENVER, Colorado
    ... Reviewer I** is responsible for conducting preauthorization, out of network and appropriateness of ... imaging procedures, out of network services, and appropriateness of treatment. **How you will make ...
  • Cost of Care Mgr (US)

    Denver, Colorado
    ... preferred. Prior experience with provider network contracting, provider networks, claims, finance, and ... processes around physician, hospital and ancillary network contract negotiation strategies, utilization ...
  • Cost of Care Mgr (US)

    Colorado Springs, Colorado
    ... Green Belt preferred. Prior experience with provider network contracting, provider networks ... processes around physician, hospital and ancillary network contract negotiation strategies, utilization ...
  • Nurse Reviewer I

    COLORADO SPRINGS, Colorado
    ... client health plan network. Notifies ordering physician or rendering service provider office of the ... conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging ...
  • Nurse Reviewer I

    COLORADO SPRINGS, Colorado
    ... the client health plan network. Notifies ordering physician or rendering service provider office ... responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for ...
  • Nurse Reviewer I

    DENVER, Colorado
    ... client health plan network. Notifies ordering physician or rendering service provider office of the ... conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging ...
  • Nurse Reviewer I

    DENVER, Colorado
    ... the client health plan network. Notifies ordering physician or rendering service provider office ... responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for ...
  • Wellness & Recovery Specialist

    DENVER, Colorado
    ... forming a supportive, recovery network. Develops and implements provision of onsite psychiatric ...
  • Oncology Practice Enablement Clinician

    DENVER, Colorado
    ... make an impact:** Independently manages relationships with provider practices by providing ... . Serve as the subject matter expert for provider practices on company programs for all lines of business ...
  • Audit & Reimbursement Sr

    DENVER, Colorado
    ... guidance from the manager Prepare detailed work papers and present findings in accordance with ...