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45 Jobs in Denver, CO

  • Business Analyst III- Overpayment Prevention

    Elevance Health - DENVER, Colorado
    ... Business Analyst III _Location: This position will work a hybrid model (remote and ... incorporated into query design, completes and coordinates UAT testing on claims identified as potential ...
  • Clinically Integrated Network Data Analyst

    HCA Healthcare - Denver, Colorado
    ... Integrated Network (CIN) and the related population health management program. The Data Analyst is a subject ... reporting within the population health management solution. The Data Analyst II will ensure the effective ...
  • Insurance Biller

    National Jewish Health - Denver, Colorado
    ... of receivables. Audits and bills claims according to federal, state, and payor regulatory and ... network problems to Application Analyst or Supervisor. Has a thorough understanding of CPT, HCPCS &amp ...
  • Sr Claims Recovery & Analysis Analyst

    Carrington - Denver, Colorado
    ... Come join our amazing team and work remote from home! The Sr Claims Recovery & Analysis Analyst is responsible for performing financial reconciliation on all liquidated loans. Determine the ...
  • Business Systems Configuration Analyst I

    Intermountain Health - Denver, Colorado
    ... Job Description: At SelectHealth, the Business Systems Configuration Analyst I is ... situations where configuration cannot fully meet the requirements. Works with management to identify the ...
  • Senior Benefit Plan Configuration Analyst

    Prime Therapeutics - Denver, Colorado
    ... ** Senior Benefit Plan Configuration Analyst Job Description Summary This position specializes in ... Senior Analyst will ensure a high level of quality and accuracy through benefit configuration, test ...
  • Actuarial Analyst- Analytics/Forecasting

    Humana - Denver, Colorado
    ... Become a part of our caring community and help us put health first The Actuarial Analyst 2 ... position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require ...
  • Financial Analyst (Actuarial Focus)

    Humana - Denver, Colorado
    ... , enhancing DVACO's total number of beneficiaries to over 200,000. The Financial Analyst _(Actuarial Focus ... key stakeholders at the DVACO. The Financial Analyst is seen as a subject matter expert and will lead ...
  • Operations Analyst III - Claims

    Trustmark - Denver, Colorado
    ... years’ experience within operations (preferably Claims) or as a business analyst with progressive ... are seeking a detail-oriented and analytical Operations Analyst to join our team, specializing in the ...
  • Business Analyst II - Remote preferably in the Florida market

    Prime Therapeutics - Denver, Colorado
    ... system process analysis and/or program management. The Pharmacy Analyst shall have experience in managing ... ** Business Analyst II - Remote preferably in the Florida market Job Description Summary Serves as ...
  • Senior Medical Review Nurse Analyst (RN) - REMOTE

    WPS Health Solutions - Denver, Colorado
    ... , seniors, and group health plans for small to large businesses. We process claims and provide customer ... workplace: WPS Newsroom - Awards and Recognition Role Snapshot Our Senior Medical Review Nurse Analyst ...
  • Procurement Analyst I

    Swire Pacific Holdings Inc. - Denver, Colorado
    ... Procurement Analyst I Denver, CO, USA Req #15960 Monday, May 13, 2024 Who is Swire Coca-Cola?We ... Procurement Analyst I do at Swire Coca-Cola? Responsible for managing inventory forecasting, ordering and ...
  • Senior Analyst, Product Stewardship

    VF Corporation - Denver, Colorado
    ... BUSINESS TITLE: Senior Analyst, Product Stewardship Become the Newest Member of the VF Family: The Product Stewardship Senior Analyst for VF harnesses the power of internal standards ...
  • Engagement Consultant - Denver, CO

    The Cigna Group - Denver, Colorado
    ... account management team, Engagement Consultant recommends the appropriate delivery and coordination of ... . Sr. Analyst Engagement Consultant will research and respond to Cigna health information and wellness ...
  • Senior System Analyst - Finance And Accounting - Remote

    WPS Health Solutions - Denver, Colorado
    ... , seniors, and group health plans for small to large businesses. We process claims and provide customer ... Analyst maintains support, data integrity, ad hoc reporting, and other daily operations of the ...
  • Decision Support Analyst - Medicaid Operations

    Highmark Health - Denver, Colorado
    ... data management staff to define an operational framework that will define, develop and implement ... . Role sits within my 007620 COE Claims Portfolio, who supports our Operations (Claims/Provider ...
  • Senior Medical Pharmacy Analyst - Remote

    Prime Therapeutics - Denver, Colorado
    ... ** Senior Medical Pharmacy Analyst - Remote Job Description Summary Responsible for leading and ... pharmacy claims data manipulation and analysis. Understanding of CPT and ICD-9 codes preferred ...
  • Sr IT Analyst - MedPharm

    Prime Therapeutics - Denver, Colorado
    ... ** Sr IT Analyst - MedPharm Job Description Summary This position will analyze, evaluate and ... Management, ITIL, Design Thinking and structured systems analysis and design. Work quickly and independently ...
  • Data Analyst Sr

    Sedgwick - Denver, Colorado
    ... . Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Data Analyst Sr ... program management; identifies poor work quality and cost effectiveness trends; and works with appropriate ...
  • Business Analyst II - Remote in the California market

    Prime Therapeutics - Denver, Colorado
    ... ** Business Analyst II - Remote in the California market Job Description Summary Serves as liaison between departmental team business owners, end users, IT, Claims and Clinical departments. Responds to ad ...
  • Senior Assistant Attorney General I (Medicaid Fraud)

    State of Colorado - Denver, Colorado
    ... mentor, focusing on investigating and litigating civil violations of Medicaid False Claims Acts at the ... attorneys, thirteen sworn investigators, a forensic auditor, a paralegal, a nurse analyst, and a program ...
  • Advisory Services Analyst- State Health

    Mathematica - Denver, Colorado
    ... implementing all-payer claims databases, alternative payment models, or tools to support analytics, or ... enrollment, claims, financial, or program data is preferred. * Excellent written and oral communication ...
  • Labor Law: Compliance Investigator Intern

    State of Colorado - Denver, Colorado
    ... investigating claims, assuring all parties a fair opportunity to be heard, (B) to produce decisions efficiently ... federal or state statutes and regulations. Case management experience. Fluency (read, write, and ...
  • Big Data and Artificial Intelligence Policy Director (Analyst VI): DORA/Division of Insurance

    State of Colorado - Denver Metro, Colorado
    ... Big Data and Artificial Intelligence Policy Director (Analyst VI): DORA/Division of Insurance ...  Big Data and Artificial Intelligence Policy Director (Analyst VI): DORA/Division of Insurance ...
  • Operations Analyst II - Damage Collections

    Lumen - Denver, Colorado
    ... , excavators and property owners to resolve billed damage claims. This role is responsible to meet scope ... risk, identify potential alternatives and escalate as required to the appropriate level of management ...
  • Senior Knowledge Analyst, Data Science - Life Sciences

    McKinsey & Company - Denver, Colorado
    ... Consulting Senior Knowledge Analyst, Data Science - Life Sciences Job ID: 88879 Who You'll Work ... amounts of medical and pharmacy claims data to drive insights that will be used to make strategic ...
  • Sr Director, Behavioral Scientist

    Travelers Insurance Company - Denver, Colorado
    ... , designer and data analyst related to behavioral considerations. Serve as a researcher, interviewer, design thinking facilitator, and data analyst for the application of behavioral science to Travelers Claim ...
  • Clinical & Population Health Analyst

    Highmark Health - Denver, Colorado
    ... languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider ...
  • Senior Data Engineer - Health Data Intelligence

    Oracle - Denver, Colorado
    ... . Work with product management and analysts to address performance needs. Create informative and ... – Claims, EHR, PBM. Build processes supporting data transformation, data structures, metadata ...
  • Senior Data Engineer - Health Data Intelligence

    Oracle - Denver, Colorado
    ... . Work with product management and analysts to address performance needs. Create informative and ... – Claims, EHR, PBM. Build processes supporting data transformation, data structures, metadata ...
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