Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistDenver, ColoradoSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Clinical Psychologist US Department of Health and Human ServicesClinical PsychologistTowaoc, CO$103,225–$159,575 / yearYour resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Providing clinical psychological services including evaluation, diagnosis, referral, psychotherapy, crisis intervention, and specialized treatment modalities for mental health problems of children, adolescents, adults and families. Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Park Ranger (I) - FUL U.S. Department of the InteriorPark Ranger (I) - FULCO$44,932–$88,510 / yearSuperior Academic Achievement (SAA): Successfully completed a bachelors degree in a directly related field AND meet one of the following: (1) Class Standing: rank in the upper 3rd of the graduating class in the college, university, or major subdivision, based on the completed courses; OR (2) Grade-Point Average (GPA): earn a GPA of (a) 3.0 or higher out of a possible 4.0 ("B" or better) based on 4 years of education, or based on courses completed during the final 2 years of the curriculum -or- (b) 3.5 or higher out of a possible 4.0 ("B" or better) based on the average of the required courses completed in the major field, or the required courses completed during the final two years. Education: Successful completion of a 4year course of study above high school leading to a bachelors degree with 24 semester hours of related course work in a major study such as: natural resource management, natural sciences, earth sciences, history, archeology, anthropology, park and recreation management, law enforcement/police science, social sciences, museum sciences, business administration, public administration, behavioral sciences, sociology, or other closely related subjects pertinent to the management and protection of natural and cultural resources.
Staff Systems Engineer CACI International Inc.Staff Systems EngineerAurora, CO$98,500–$206,800 / yearPay Range: There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. As a valued team member, you'll be part of a high-performing group dedicated to our customer's missions and driven by a higher purpose - to ensure the safety of our nation.
Enterprise Systems Engineer CACI International IncEnterprise Systems EngineerAurora, CO$82,100–$172,400 / yearPay Range: There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. As a valued team member, you'll be part of a high-performing group dedicated to our customer's missions and driven by a higher purpose - to ensure the safety of our nation.
Staff Systems Engineer CACIStaff Systems EngineerAurora, ColoradoPay Range : There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. As a valued team member, you’ll be part of a high-performing group dedicated to our customer’s missions and driven by a higher purpose – to ensure the safety of our nation.
NewEnterprise Systems Engineer CACIEnterprise Systems EngineerAurora, ColoradoPay Range : There are a host of factors that can influence final salary including, but not limited to, geographic location, Federal Government contract labor categories and contract wage rates, relevant prior work experience, specific skills and competencies, education, and certifications. As a valued team member, you’ll be part of a high-performing group dedicated to our customer’s missions and driven by a higher purpose – to ensure the safety of our nation.
X-Ray Technologist (CT) US Department of Health and Human ServicesX-Ray Technologist (CT)Towaoc, CO$64,924–$93,227 / yearNote: Certain exceptions may apply: 1) Individuals employed by the Federal Government as radiologic personnel before January 13, 1986, may qualify based on evidence of current or satisfactory performance, or certification from a licensed practitioner authorized to prescribe radiologic procedures (such as a physician, osteopath, dentist, podiatrist, or chiropractor). Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
X-Ray Technologist US Department of Health and Human ServicesX-Ray TechnologistTowaoc, CO$54,307–$84,398 / yearMINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: operating fixed and portable radiographic equipment to perform routine and moderately complex diagnostic examinations; positioning patients and selecting technical factors to produce diagnostic-quality images; assisting with fluoroscopic and contrast procedures under supervision; and maintaining radiology records, examination files, and workload data. Required as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only."
Physician (Multiple Specialties) US Department of Health and Human ServicesPhysician (Multiple Specialties)Towaoc, CO$200,000–$400,000 / yearPhysician Specialties: Anatomic & Clinical Pathology, Anesthesiology, Cardiology, Dermatology, Emergency Medicine, Family Practice, General Surgery, Hospitalist, Informatics, Internal Medicine, Neurology, Obstetrics & Gynecology, Ophthalmology, Oral Surgery, Orthopedic Surgery, Otolaryngology, Pathology, Palliative, Pediatrics, Preventive Medicine, Primary Care, Psychiatry, Radiology, Tele-Psychiatry. Evidence of equivalency to accredited schools in the United States is demonstrated by permanent certification by the Educational Commission for Foreign Medical Graduates, a fifth pathway certificate for Americans who completed premedical education in the United States and graduate education in a foreign country, or successful completion of the U.S. Medical Licensing Examination.
Clinical Laboratory Scientist US Department of Health and Human ServicesClinical Laboratory ScientistTowaoc, CO$72,849–$140,165 / yearBASIC REQUIREMENT(S): Education: A. A Bachelors or graduate/higher level degree from a regionally accredited college/university including courses in biological science, chemistry and mathematics, AND successful completion of a Medical Laboratory Scientist/Clinical Laboratory Scientist program accredited by the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) or an accrediting body recognized by the U.S. Department of Education at the time the degree was obtained. A Bachelors or graduate/higher level degree from an accredited college/university, including 16 semester hours (24 quarter hours) of biological science (with one semester in microbiology), 16 semester hours (24 quarter hours) of chemistry (with one semester in organic or biochemistry), one semester (one quarter) of mathematics, AND five (5) years of full time acceptable clinical laboratory experience in Blood Banking, Chemistry, Hematology, microbiology, Immunology and Urinalysis/Body Fluids.
Tax Law Specialist Tax Exempt Bond Specialist Department of the Treasury, USTax Law Specialist Tax Exempt Bond SpecialistDenver, CO$125,776–$192,694 / yearPerforming analytical services related to the structuring of municipal financings including tax advantaged bonds and other financial products beyond traditional tax advantaged bonds including: Short-Term Debt and Cash Flow Management which include Tax Anticipation Notes, Revenue Anticipation Notes, Bond Anticipation Notes, and Commercial Paper. When assigned to the TEB Voluntary Closing Agreement Program, the incumbent confers with customers and representatives to explain financial, legal and other significant issues involved and the applicability of pertinent tax laws, regulations, and related filing requirements and explains corrective actions required or adjustments to promote future compliance.
Medical Technician (Laboratory Support) US Department of Health and Human ServicesMedical Technician (Laboratory Support)Towaoc, CO$37,193–$65,599 / yearGS-05: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-04 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Performing CLIA-waived laboratory testing and documenting quality control activities; Collecting routine venipuncture and capillary specimens while verifying patient identity and documentation; Preparing, labeling, storing, and accessioning specimens into laboratory information systems; Maintaining laboratory supplies, equipment, and logs in compliance with biosafety and infection control procedures; Providing laboratory support by distributing reports, instructing patients on specimen collection, and assisting with routine cleaning and sanitizing of laboratory areas. Six (6) months of specialized experience performing technical medical laboratory support work such as performing laboratory tests and examinations (chemical, microbiologic, hematologic and blood banking) and preparing reports of findings or technical support work in a closely related, field such as biological laboratory technician work, that required application of the methods and techniques for the position to be filled.
License Practical Nurse US Department of Health and Human ServicesLicense Practical NurseTowaoc, CO$46,655–$73,625 / yearSpecialized Experience GS-6: Perform a range of treatment procedures such as insert catheters, administer immunizations, change sterile dressings, and provide wound care, administer medications safely and monitoring for therapeutic or adverse effects, recognize urgent and emergent situations and initiate appropriate emergency interventions, provide patient and family education on health maintenance, medication use, and disease management, assist physicians and RNs with complex procedures and specialized diagnostic tests, and serve as a preceptor or resource to less experienced staff and participate in quality improvement and training activities. Specialized Experience GS-5: Observe, record, and report changes in patients behavior or physical condition, carry out nursing procedures in accordance with established guidelines and care plans, take vital signs, collect specimens, and maintain accurate documentation, set up and maintain medical equipment for procedures., assist physicians and Registered Nurses during examinations and treatments, and provide instructions to patients and families regarding care and follow-up activities.
Medical Records Technician (Coder) US Department of Health and Human ServicesMedical Records Technician (Coder)Towaoc, CO$50,460–$72,644 / yearRequired as applicable for the purposes of specific eligibility and appointment claim(s), and position requirements: Indian Preference Applicants: If claiming Indian preference, applicants must provide a completed copy of the Form BIA-4432, "Verification of Indian Preference for Employment in the BIA and IHS Only." Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
Optometrist US Department of Health and Human ServicesOptometristTowaoc, CO$119,297–$185,885 / yearRefer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference. Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: Provided primary eye care services by performing comprehensive ocular examinations.
Contact Representative (PRC) US Department of Health and Human ServicesContact Representative (PRC)Towaoc, CO$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-07 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: applying and interpreting complex federal, state, Tribal, and private-sector regulations to make eligibility and funding determinations for programs such as Purchased/Referred Care, Medicare, Medicaid, Veterans Affairs healthcare, and Affordable Care Act plans; independently analyzing medical, financial, and eligibility documentation to resolve complex or controversial benefit issues; coordinating with agencies, providers, and patients to ensure fiscal accountability and continuity of care; issuing medical authorizations or denial determinations based on regulatory, clinical, and fiscal requirements; maintaining fund control records, monitoring expenditures, and applying appropriate accounting codes; identifying and resolving program or funding discrepancies; and compiling and analyzing reports related to program operations, funding, and utilization. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: identifying and verifying patient eligibility for Medicare, Medicaid, SSA benefits, private insurance, Tribal programs, and other assistance resources; interviewing patients to obtain required documentation; assisting individuals and families with benefit applications; reviewing records to determine the status of claims and applications; responding to inquiries regarding patient eligibility requirements, benefits, and program guidelines; and maintaining accurate patient records through data entry, discrepancy resolution, and follow-up on pending claims and missing documentation.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)Towaoc, CO$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Medical Records Technician US Department of Health and Human ServicesMedical Records TechnicianTowaoc, CO$40,736–$59,031 / yearHealth information management support functions, including reviewing medical records for completeness; preparing, scanning, indexing, and filing medical documentation into electronic health record systems; conducting quality control checks of scanned records; processing requests for release of information in accordance with Privacy requirements; maintaining medical record tracking logs; retrieving and archiving records; and communicating with healthcare providers and staff to ensure accurate and complete patient records. Refer to BIA-4432 link: Verification of Indian Preference for Employment in the BIA and IHS When an Indian Preference candidate possesses Veterans preference the rules regarding Veterans preference apply under ESEP and the applicant must provide documentation in order to receive preference.
NewTax Law Specialist Department of the Treasury, USTax Law SpecialistDenver, CO$147,945–$197,200 / yearCoordinates, on behalf of the Division Commissioner or Division Director/Director, Technical Guidance, or Director ACA with the Office of the Chief Counsel, Health Care Counsel, other Operation Divisions and/or Justice Department in providing technical advice and assistance in connection with ACA, employee plans, exempt organizations, or government entity or appeals matters in litigation or preparing to go to litigation. You must also meet the following requirement(s): TIME AFTER COMPETITIVE APPOINTMENT (TACA): Current civilian employees must have completed at least 90 days of federal civilian service since their latest non-temporary appointment from a competitive referral certificate, known as time after competitive appointment.