- Takeda Pharmaceuticals (Denver, CO)
- …+ Responsible for the technical and analytical support for payer contracts including: + Drafting and editing of contract documents + Highlighting ... of my knowledge. **Job Description** Join Takeda as a Manager of Payer Contracting. Where you will...you will lead the development and implementation of assigned Payer and PBM contracts with an emphasis… more
- Sumitomo Pharma (Denver, CO)
- …a dynamic, highly motivated, and experienced individual for the position of **Sr. Manager , Medicaid Contract Administration.** The Sr. Manager , Medicaid ... of the life science industry specific to the Medicaid payer landscape. The decisions made in this position affect...Compliance, and Legal) to clarify policy compliance requirements and contract language clauses. + Keep current on regulatory and… more
- CommonSpirit Health (Englewood, CO)
- …leadership experience. + Experience in healthcare **Strongly Preferred Experience** + Experience in payer contract analysis and payer process preferred + ... Health's Payer Strategy, Analytics & Innovation capability. The System Manager , Data Engineering oversees complex data design and the creation and maintenance… more
- Takeda Pharmaceuticals (Denver, CO)
- …is true to the best of my knowledge. **Job Description** The Key Account Manager (KAM) is the liaison between Takeda and strategic prioritized National and Regional ... needed. + Engage with applicable stakeholders to deliver and help execute contracts where applicable. + Develops relationships with Key Opinion Leaders, leveraging… more
- Intermountain Health (Broomfield, CO)
- …plan is evidence based and consistent with goals and objectives of referral, payer contract , or established care processes. Maintains records by reviewing case ... Plans and fully-funded and self-funded Commercial plan. Summary: The field care manager partners with members, their family and/or caregivers and providers so that… more
- HealthEdge Software Inc (Denver, CO)
- **Overview** **Position Overview** **:** As a Product Manager forHealthEdgeSource, you willbededicatedto developing innovative solutions for the healthcare ... to grow with their organization over time-bringing disparate parts of a payer 's organization together for improved accuracy and insights. The Source platform offers… more
- HealthEdge Software Inc (Denver, CO)
- **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the ... to grow with their organization over time-bringing disparate parts of a payer 's organization together for improved accuracy and insights. The Source platform offers… more
- Acosta Group (Denver, CO)
- …our carrier counterparts across these disciplines. **In this role as Channel Sales Manager , you will do the following:** + Manage Regional Sellout Performance: Work ... 3rd party vendor resources to deliver upon SLA's and contract terms **QUALIFICATIONS** + Bachelor's degree or equivalent practical...poste au moment de cette publication. Acosta pourrait finalement payer plus ou moins que la fourchette affichee en… more
- CenterWell (Denver, CO)
- …to the clinical team who will deliver the services requested. + Identify potential payer sources, verify benefits with payer sources (as required by department ... visits from case managers. Establish primary payers and document conversations with payer sources. + Access national or regional account information, including the… more
- University of Colorado (Aurora, CO)
- …copayments, co-insurance, out of pocket, and deductible amounts and determining contract and benefit eligibility. Contact insurance companies as needed. + Review, ... and functions as a liaison between the patient and payer to answer reimbursement questions and avoid insurance delays....and serve under the supervision of the Business Services Manager and Program Director at the Department of Psychiatry.… more
- Intermountain Health (Denver, CO)
- …automated screening at time of service. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Identify copay and deductibles. Communicate ... applicable. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Collect patient payments and provide accurate receipt.… more
- Randstad US (Denver, CO)
- …8 days ago **job details** summary + $56.08 - $66.08 per hour + contract + bachelor degree + category computer and mathematical occupations + reference1065274 job ... compliance with data standards location: Denver, Colorado job type: Contract salary: $56.08 - 66.08 per hour work hours:...- Serves as Data Steward dedicated to health care payer Clinical data operations & initiatives - Works collaboratively… more
- Randstad US (Denver, CO)
- …9 days ago **job details** summary + $56.08 - $66.08 per hour + contract + bachelor degree + category computer and mathematical occupations + reference1065171 job ... data, and business rules location: Denver, Colorado job type: Contract salary: $56.08 - 66.08 per hour work hours:...- Serves as Data Steward dedicated to health care payer Client data operations & initiatives - Works collaboratively… more
- Intermountain Health (Denver, CO)
- …any reasons for cancellation. 9. Escalates non-routine issues to the practice manager or physician. 10. Greets patients. Answers phones, takes messages, returns ... insurance coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to determine… more
- Intermountain Health (Grand Junction, CO)
- …coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to ... balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues… more
- Intermountain Health (Denver, CO)
- …coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to ... balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues… more
- Intermountain Health (Wheat Ridge, CO)
- …coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to ... balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues… more