NewHealthcare Payer Client Relationship Manager/Service Line Specialist (Remote) Cognizant Technology Solutions CorpHealthcare Payer Client Relationship Manager/Service Line Specialist (Remote)Englewood, CORemote$155,000–$170,000 / yearAs a Healthcare Payer Client Relationship Manager / Service Line Specialist, you will make an impact by driving the growth of Cognizant''s TriZetto Healthcare Payer business across the United States, owning the overall account relationship, delivery quality, and P&L for one or more key accounts. You will be a valued member of the Cognizant Healthcare Payer / TriZetto Products team and work collaboratively with service lines, innovation teams, alliance partners, and client decision-makers and influencers.
IT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote Denver) NTT DATA Group CorpIT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote Denver)Denver, CORemote$108,000–$250,000 / yearSells complex managed services, full IT Outsourcing solutions, application services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational services and application management/support, digital workplace services, Business Process Outsourcing (BPO), etc. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.
IT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote Denver) NTT DATA Services, LLCIT Sales/Managed Services Sr Sales Executive - Healthcare Payer (Remote Denver)Denver, CORemote$108,000–$250,000 / yearSells complex managed services, full IT Outsourcing solutions, application services, and industry vertical solutions to include things like regulatory compliance solutions, digital solutions, mobile solutions, transformational services and application management/support, digital workplace services, Business Process Outsourcing (BPO), etc. We deliver tangible business results by combining deep industry expertise with applied innovations in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services.
Healthcare Cost Reporting/Reimbursement Manager - Remote Eligible Eide Bailly LLPHealthcare Cost Reporting/Reimbursement Manager - Remote EligibleDenver, CORemote$95,000–$135,000 / yearLocation: Any state with an Eide Bailly office Work Arrangement: In-office, hybrid, or remote with the ability to come into an Eide Bailly office as needed Typical Day in the Life In this role, you will lead healthcare financial projects, including Medicare and Medicaid cost report services for a variety of healthcare facilities, while also supporting other reimbursement initiatives as needed. A typical day as a Healthcare Reimbursement Manager might include the following: Overseeing cost report preparation and reimbursement engagements to ensure objectives are met, including supporting staff development, addressing client needs, and maintaining engagement profitability.
NewProduct Management Senior Manager - Enterprise Gateway - Cigna Healthcare - Remote The Cigna GroupProduct Management Senior Manager - Enterprise Gateway - Cigna Healthcare - RemoteDenver, CORemote$131,400–$219,000 / yearThe Product Management Senior Manager partners closely with engineering, Gateway operations, trading partner management, solution leadership, architecture, compliance, data, and business stakeholders to translate enterprise priorities into actionable product plans. Gateway Domain, Industry & Operational Analysis: Develop strong working knowledge of Enterprise Gateway capabilities, including EDI transactions, trading partner exchange, attachments, acknowledgements, reporting, and downstream application dependencies.
Aurora Response and Support Call Center (Healthcare/Mental Health) - Remote Aurora Community ServicesAurora Response and Support Call Center (Healthcare/Mental Health) - RemoteCORemoteWe are seeking passionate and committed individuals to work in our call center; providing a one-stop resource for individuals needing a wide range of services, providing telephonic assistance with the Employee Achievement Program (EAP), Crisis Line, Scheduling/On Call, Injury Hotline, and Mental Health Support. For 40 years, Aurora has been a leader in providing customized services that support individuals with disabilities, chronic mental illness, and traumatic brain injuries in residential settings.
NewAssociate Director, Healthcare Economics (Remote) UnitedHealth Group Inc.Associate Director, Healthcare Economics (Remote)Denver, CORemote$112,700–$193,200 / yearThe Associate Healthcare Economics Director (Network Pricing & Analytics) is a strategic leadership role responsible for driving provider reimbursement analytics, network pricing strategy, financial forecasting, and healthcare cost management initiatives across the organization. This leader will oversee large-scale analytical programs and work closely with executive leadership, provider contracting, clinical operations, finance, actuarial, and technology teams to support data-driven decision making.
ViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains Region GSK plcViiV Healthcare (GSK) Regional Sales Director, Rocky Mountains RegionDenver, CORemote$182,250–$303,750 / yearKey Relationships to Drive Success (Internal & External) Marketing Senior Sales Leaders and current sales team Field Strategy and Operations Market Access Medical Science Liaison (MSL) Field Reimbursement Managers (FRM) Community Medical Liaisons/Contract Nurses HCPs - private practice, community clinics, and integrated systems Physician Support Staff Broader HIV community (Aids Service Orgs) Local business, regulatory and legal stakeholders Specialty Pharmacies Alternate Sites of Administration This role will provide YOU the opportunity to lead key activities to progress YOUR career, these responsibilities include some of the following: Managing the Business and Driving Performance Align and execute on business strategy marketing, market access pull-through, launches, multi-channel customer engagement, and employee development, to deliver exceptional results. 9+ years pharmaceutical sales experience including 6 plus years of specialty management experience leading teams Experience recruiting, developing and leading specialty teams to work cross functionally within an integrated account team model that includes multiple field-based team members.
Commercial & Healthcare Regulatory Counsel Alto IncCommercial & Healthcare Regulatory CounselCORemote$135,000–$185,000 / yearPhysical requirements for this role include the ability to work at a computer terminal with monitor, keyboard and mouse for extended periods of time, stoop, bend, and reach for equipment and supplies, make frequent repetitive motions required to operate a computer that include the wrists, hands and fingers, and lift, carry, push, pull, and move light objects up to 20 pounds. Issue-spot and provide practical guidance on applicable laws and regulations, such as the Anti-Kickback Statute (AKS), Stark Law, False Claims Act, FDA/DEA requirements relevant to pharmacy and telehealth operations, state pharmacy/professional licensing, PBM contracting/network participation, and HIPAA/HITECH.
Licensed Professional Counselor- Remote BetterHelpLicensed Professional Counselor- RemoteDenver, CORemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Psychologist- Remote BetterHelpLicensed Psychologist- RemoteDenver, CORemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Clinical Social Worker- Remote BetterHelpLicensed Clinical Social Worker- RemoteDenver, CORemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Licensed Marriage and Family Therapist- Remote BetterHelpLicensed Marriage and Family Therapist- RemoteDenver, CORemoteAlso, we are unable to accept substance abuse counselors, school counselors, registered nurses, career counselors, Christian counselors, and business coaches (unless they have an additional license as a mental health counselor). BetterHelp is one of the world's largest online therapy platforms for mental health professionals who want to focus on client care — not admin or overhead.
Senior Healthcare QA Analyst - Facets Claims & Medicare Cognizant Technology Solutions CorpSenior Healthcare QA Analyst - Facets Claims & MedicareEnglewood, CORemote$53,477–$92,500 / yearYou will be a valued member of the Quality Engineering team and work collaboratively with business stakeholders, Facets configuration teams, developers, and testing teams to deliver high-quality healthcare payer solutions. Our deep industry, process and engineering expertise enables us to build an organization's unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world.
Remote Nurse Care Manager - Mountain Time Evergreen Nephrology LLCRemote Nurse Care Manager - Mountain TimeCORemote$90,000–$103,000 / yearNurse Care Managers at Evergreen often focus on patients targeted for specific programs such as Chronic Complex Care Management, Compassionate Care Management, Post Acute Care, Transitions of Care, and CKD Management. Performing assessments and identifying the needs, including social determinants of health, of panel patients and caregivers based on values, care goals, and individual preferences, and translating these into patient-centric actionable care plans through comprehensive evaluations.
Supportive Care Case Manager/Palliative Care RN- Remote DaVita Inc.Supportive Care Case Manager/Palliative Care RN- RemoteDenver, CORemote$70,000–$106,000 / yearThis role functions autonomously to support the primary Integrated Kidney Care team with high-acuity patients, coordinating between the dialysis center, Nephrologist, primary care, and external agencies to facilitate quality, consistent, cost-effective care, ensuring a holistic, compassionate approach to end-of-life planning, symptom management to minimize care fragmentation and prevent unnecessary hospitalizations. The DaVita Integrated Kidney Care Supportive Care Case Manager/Palliative Care (RN) serves as a clinical subject matter expert and specialized support layer for patients with advanced Chronic Kidney Disease (CKD) and End Stage Kidney Disease (ESKD) who are experiencing significant health decline and assisting them in navigating a challenging healthcare system.
Senior Downstream Product Manager, Remote Monitoring and Analytics - Acute Care and Monitoring MedtronicSenior Downstream Product Manager, Remote Monitoring and Analytics - Acute Care and MonitoringLafayette, ColoradoRemoteThe following benefits and additional compensation are available to those regular employees who work 20+ hours per week: Health, Dental and vision insurance, Health Savings Account, Healthcare Flexible Spending Account, Life insurance, Long-term disability leave, Dependent daycare spending account, Tuition assistance/reimbursement, and Simple Steps (global well-being program). If you are applying to perform work for Medtronic, Inc. (“Medtronic”) in any position which will involve performing at least two (2) hours of work on average each week within the unincorporated areas of Los Angeles County, you can find here a list of all material job duties of the specific job position which Medtronic reasonably believes that criminal history may have a direct, adverse and negative relationship potentially resulting in the withdrawal of a conditional offer of employment.
NewPreservice Review Nurse - Remote UnitedHealth Group Inc.Preservice Review Nurse - RemoteDenver, CORemote$29–$52 / hourThe RN is expected to approve those requests that meet medical necessity, along with benefit level, and the contractual status of the provider / facility as appropriate for self-funded lines of business. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
Remote Utilization Manager - Inpatient AllHealth NetworkRemote Utilization Manager - InpatientWatkins, CORemote$75,000–$83,000 / yearPart timeActual salaries will vary and may be above or below the range based on various factors including but not limited to experience, education, training, merit, and the ability to embody the AllHealth Network mission and values. AllHealth Network is seeking a dedicated Utilization Review Specialist to help ensure clients receive the care they need while collaborating with a team that values your expertise and commitment.
NewRemote Medical Director, Inpatient Medicare Centene Corporation GroupRemote Medical Director, Inpatient MedicareCORemote$236,500–$449,300 / yearCollaborates effectively with clinical teams, network providers, appeals team, medical and pharmacy consultants for reviewing complex cases and medical necessity appeals. License/Certifications: Board certification in a medical specialty recognized by the American Board of Medical Specialists or the American Osteopathic Association's Department of Certifying Board Services.