18 healthcare jobs found in Denver, CO

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Evaluate, manage, and negotiate large national home infusion & specialty pharmacy contracts, reimbursement structure standards and other key process controls Forecast contract impacts to UHC lines of business, departments, health plans and Optum affiliate companies In coordination with UHC healthcare economics and national ancillary colleagues, manage departmental unit cost budgets, target setting, score carding, performance reporting and...

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) As the Health Care Economics Consultant you will design and develop reports and analyze data to measure clinical and financial outcomes. You will investigate key business problems through quantitative analyses of utilization and health care data. As the Consultant, you will interpret and analyze clinical data from various sources and recommend best approaches for its consolidation.  The Healthcare Economics Consultant will be at the forefront of efforts to innovate analytical approaches to support the Mental Health Parity efforts of the organization as well as standardize documentation, data...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This Health Care Economics Consultant role will work within the Revenue Projections team to analyze and forecast CMS reimbursement for Medicare members. In addition, you will monitor and track metrics associated with the Chart Review program to inform and assist leadership in key decisions. This position will report to the Director of Quality & Risk Adjustment. You’ll enjoy the...

Optum Home & Community Care, part of the UnitedHealth Group family of businesses, is creating something new in health care. We are uniting industry-leading solutions to build an integrated care model that holistically addresses an individual’s physical, mental and social needs – helping patients access and navigate care anytime and anywhere.    As a team member of our Landmark product, we help bring home-based medical care to complex, chronic patients. This life-changing work helps give older adults more days at home.   We’re connecting care to create a seamless health journey for patients across care settings. Join our team, it’s your chance to improve the lives of millions while doing your life’s best work.(sm)  The Nurse Care Manager (NCM), is an integral part of the Interdisciplinary care team (IDT), and is responsible for the overall care management process for high acuity engaged patients. The NCM has oversight for developing, managing, and coordinating...

Are you passionate about improving the quality of healthcare? Are you ready to leverage your talents to make healthcare better for everyone? Do you want the opportunity to give back to your community? Do you want to have fun at work ? Then join the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States! Summary This is a home-based position with work related to Colorado's Medicaid program. Travel is not required. With limited direction, this individual will participate in and conduct designated projects and external quality review-related (EQR-related) activities within the State and Corporate Services division. Excellent interpersonal skills are required as this individual will interact directly and coordinate with internal HSAG teams and other divisions as well as with external clients including managed care entities (MCEs) and State Medicaid Agency personnel. Essential Competencies,...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.(sm) The Clinical Documentation Improvement Specialist (CDI Specialist) is responsible for completing daily concurrent documentation reviews to ensure the consistency and accuracy of physician documentation. The goal of the CDI Specialist’s role is to assess, review, and provide relevant feedback to reinforce physician education.  This position collaborates with health care team members to ensure consistent, evidence-based clinical...

ABOUT US: Navient (Nasdaq: NAVI) provides asset management and business processing solutions to education, healthcare and government clients at the federal, state, and local levels. We help our clients and millions of Americans achieve financial succ Customer Service, Service, Remote, Home, Retail, Customer, Skills

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm)   The Compliance & Contract Consultant is an individual contributor role that will be responsible to support Compliance programs spanning financial, licensing, regulatory filing, data use (Artificial Intelligence/Machine Learning), and governance compliance matters across all UHC lines of business.  Accountabilities will include monitoring changes to the regulatory environment to ensure compliance with state and federal law, regulations, mandates, and contractual requirements.  The position will establish and implement standard policies, procedures, and best practice across UHC....

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us and start doing your life's best work.(sm) Senior RN Case Managers are RNs who serve as a key member of the UnitedHealthcare Global Emergency Response Center Team and utilize evidenced based practice to assess global traveler’s medical care needs, treatment plans of healthcare providers and the ability of the local healthcare systems to provide appropriate quality and cost effective care when acute, chronic or catastrophic events occur in countries around the world. RNs evaluate, recommend and monitor patient status and associated treatment plans to ensure complex medical cases are managed to the highest level of quality and patient...

Are you passionate about  improving  the quality of healthcare? Are you ready to  leverage your talents  to make healthcare better for everyone? Do you want the opportunity to  give back  to your community? Do you want to have  fun at work ? Then  join  the growing team at Health Services Advisory Group (HSAG) that is transforming the delivery of healthcare in the United States! Summary This is a home-based position with work related to Colorado’s Medicaid program. Travel is not required. With limited direction, this individual will participate in and conduct designated projects and external quality review-related (EQR-related) activities within the State and Corporate Services division. Excellent interpersonal skills are required as this individual will interact directly and coordinate with internal HSAG teams and other divisions as well as with external clients including managed care entities (MCEs) and State Medicaid Agency personnel. Essential...

Overview HSS specializes in managed security services in both physical and virtual high-risk environments – keeping the excitement out of security since 1967. We partner and serve with organizations in healthcare, aviation, government, oil and gas, schools, and other settings where safety and security are top of mind. With nearly 3,500 highly knowledgeable security and support staff, HSS protects its partners and communities through healthcare technology management, integrated security services solutions, and an ingrained ability to assess and de-escalate situations in physical security. The combination of our experience and the way we deliver it through Our Agnostic Approach helps our customers stay calm and focused on what they need to do to keep their enterprises running smoothly. Headquartered in Denver, Colorado, the company provides services nationally and maintains a presence in most states. HSS is one of only a few companies to have earned leading industry...

Description - Will be making calls to high risk members who have not completed their eligibility renewal process. - The purpose of the call is to alert the member that according to records, they still need to submit their renewal. - Will educate members regarding the importance and urgency to complete the eligibility process, as well as provide telephonic support if they need assistance. - Will be required to operate phone system to perform the outbound calls during 2 weeks of each month/inbound calls during the other 2 weeks of the month related to PHE unwind. - They will transfer any calls unrelated to PHE unwind. - Will be required to navigate systems to document outreach efforts. Skills & Qualifications MUST HAVE: -At least 1-2+ years of experience in a call center environment -1+ year of health care experience -High School Diploma required -Knowledge of Microsoft Excel and Outlook -Need someone who has compassion and can work with individuals that are going...

+ Full cycle medical billing with focus on conducting root cause analysis of denials and reimbursement discrepancies + Process appeals / denials + Contacting payers to accelerate payments - working through plans, research, eliminating issues + Follow up on assigned accounts and work to resolve billing, payment and contractual issues with payers + Review, fix and submit bills manually and electronically + Take phone calls from internal and external customers answering questions, taking payments and resolving issues + Submit 'clean' electronic and paper claims to payers. Review, adjust and edit insurance coverage, bills and statements to ensure accuracy + REMOTE after training, must hit metrics before going remote About Aston Carter: Please Note: Scammers are posing as Aston Carter. We'll never contact you via Gmail, Telegram, or WhatsApp and we'll never solicit money from you. At Aston Carter, we're dedicated to expanding career opportunities for the skilled...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  Energize your career with one of Healthcare’s fastest growing companies.     You dream of a great career with a great company - where you can make an impact and help people.  We dream of giving you the opportunity to do just this.  And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position performs clinical validation, monitoring, and maintenance of the Predictive Scored Model (PSM) for external commercial clients.  This role works closely with commercial Data Scientists by providing clinical input for model improvements and new model development.  Positions in this function are responsible for the management and manipulation of mostly structured data, with a focus...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.  You’ll enjoy the flexibility to work remotely* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Functions as implementation primary point of contact for all inbound and outbound integrations between client systems and Optum Medicaid Management Services (OMMS) Works directly with client and Optum business and technology leadership to plan and...

Company Overview The Enlyte Family of Businesses Mitchell | Genex | Coventry Enlyte is the parent brand of Mitchell, Genex and Coventry, an organization unlike any other in the Property & Casualty industry, bringing together three great businesses with a shared vision of using technology innovation, clinical services and network solutions to help our customers and the people they serve. Our suite of products and services enable our employees to help people recover from challenging life events, while providing opportunities for meaningful impact and career growth. Job Description This is a full-time, work-from-home position. The candidate must be located in the Castle Rock, CO area due to regular local travel for in-person patient appointments. Compensation: Competitive salary plus potential for monthly bonuses. Perks: Full and comprehensive benefits program, 24 days of paid vacation/holidays in your first year plus sick days, home office equipment including...

A-Line Staffing is now hiring (Remote in Longmont) Medical Collections in Longmont, CO. The (Remote in Longmont) Medical Collections would be working for a Fortune 500 company and has career growth potential. This would be full time / 40+ hours per week. If you are interested in this position, please contact Lindsay Kopasz at 5867107959/LKopasz@AlineStaffing.com (Remote in Longmont) Medical Collections Compensation The pay for this position is $17.50 per hour Benefits are available to full-time employees after 90 days of employment and include health, optical, dental, life, and short-term disability insurance A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates (Remote in Longmont) Medical Collections Highlights This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs Mon-Fri some OT available Training 8a-430p MST...