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Kaiser Permanente jobs in Denver, CO

- 232 jobs
  • Physician Assistant / Nurse Practitioner - Spine Clinic, Denver

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Denver, CO

    Description: -May be entitled to translation/bilingual, shift or other wage premiums as governed by the applicable collective bargaining agreement. Please refer to the respective collective bargaining agreement for additional information on such wage premiums: ********************************************** Job Summary: APN:Practices professional nursing by the performance of both independent nursing and delegated medical functions in accordance with accepted practice standards. Utilizes specialized knowledge, judgment, and skills involving the application of biological, physical, social, and behavioral science principles.Functions include patient advocacy and the initiation and performance of nursing care and advanced clinical skillsto evaluate, diagnose, and treat human disease, pain, injury, physical or mental conditions, health maintenance and promotion, supportive and restorative care.PA:Practices medicine as delegated by andunder the supervision of a physician in accordance with accepted practice standards. Utilizes specialized knowledge, judgment, and skills involving the application of biological, physical, social, and behavioral science principles.Functions include patient advocacy and the initiation and performance of medical care to evaluate, diagnose, and treat human disease, pain, injury, physical or mental conditions, health maintenance and promotion, supportive and restorative care. Essential Responsibilities: DATA COLLECTION - Obtains a pertinent medical history, performs an appropriate physical examination, and reviews relevant laboratory or radiologic (or other) studies to assess the patients medical, physical, psychological, and relevant socio-economic status. - Will have full access to patient medical records and other information pertinent to those patients under his/her care. ASSESSMENT - Formulates an accurate and appropriate diagnosis based on elicited data, and includes differential diagnoses as appropriate. TREATMENT PLANNING - Develops and implements treatment plans that are aligned with the practice preferences of the Collaborating/SupervisingPhysician(s) including orders for medication and/or other treatment modalities, the need for additional testing, consultation to other providers, and follow-up provisions. - Provides care with attention to safety, efficiency, and cost effectiveness. - Plans are appropriately prioritized and adapted to the patient and circumstance. PROCEDURAL CONSIDERATIONS - Performs procedures within the limits of their expertise and in accordance with the State Regulations and Organizational Policies. PATIENT EDUCATION AND COUNSELING - Educates and counsels patients and their families regarding their treatment plan, including disease prevention and health promotion. - Promotes the availability of culturally-sensitive health and resource information that is evidence-based, patient centered, and enables informed choice. DOCUMENTATION - Documents all examination data, diagnostic impressions, appropriate codes, and other patient care activities in the medical record, including the name(s) of any consulted physicians or other providers. OTHER TASKS - Observes the principles and techniques of Universal Precautions. - Conducts telephonic and virtual encounters as appropriate. - Manages assigned in-basket tasks. - Takes necessary and appropriate actions in emergency situations. - Performs other clinical/administrative duties as directed. VALUE STATEMENTS - Makes the patient the primary focus of their actions; develops and sustains productive and compassionate patient relationships. - Leads the health care team by influence, innovation, and by modeling integrated effective patient care and exemplary service. - Promotes and maintains a physically safe and confidential environment for care. - Collaborates with all members of the health care team. - Knows their personal limitations and when to seek advice and/or consultation from other members of the health care team - Understands and acknowledges the impact of personal values and cultural differences on the patient-provider relationship. PROFESSIONAL EXPECTATIONS - Assumes responsibility for maintaining clinical competence through participation in continuing education and other activities. - Maintains professional certification and active licensure. - Participates in quality assurance activities including the Peer Review process. - Participates in the training and/or mentoring of new employees, colleagues, and students. - Has the quality of their care evaluated by the Collaborating/Supervising Physician(s) as stipulated by State and/or KFHP/CPMG policies. - Evaluates personal performance and establishes annual goals aligned with KFHP regional expectations. - Maintains a working knowledge of, and complies with relevant (Federal, State, and/or Organizational) laws, rules, and policies; including licensure and certification. Educates and promotes the roles of the APN/PA to patients and members of the health care team. Basic Qualifications: Experience Education For APNs: - Masters Degree in Nursing - Graduation from an accredited graduate nursing program approved by the Colorado State Board of Nursing. For PAs: - Bachelors Degree required. - Graduation from a program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) License, Certification, Registration Physician Assistant License (Colorado) AND Pathologist's Assistant Certificate from National Commission for the Certification of Physician Assistants OR Registered Nurse License (Colorado) AND Nurse Practitioner-Pediatrics Certification AND Nurse Practitioner-Family Certification AND Nurse Practitioner National Certificate AND Advanced Practice Nurse Registration (Colorado) Basic Life Support within 3 months of hire National Provider Identifier required at hire Drug Enforcement Administration Registration Additional Requirements: - Must obtain and remain credentialed by the Colorado Permanente Medical Group by start date. - For positions requiring the administration of procedural sedation, ACLS certification and procedural sedation competency required within ninety (90) days of hire. Preferred Qualifications: 2 years experience preferred
    $124k-213k yearly est. 1d ago
  • Licensed Practical Nurse

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Lakewood, CO

    Description: -May be entitled to translation/bilingual, shift or other wage premiums as governed by the applicable collective bargaining agreement. Please refer to the respective collective bargaining agreement for additional information on such wage premiums: ********************************************** Job Summary: Makes members/patients and their needs a primary focus of ones actions; develops and sustains productive member/patient relationships. Actively seeks information to understand member/patient circumstances, problems, expectations, and needs. Builds rapport and cooperative relationship with members/patients. Considers how actions or plans will affect members; responds quickly to meet member/patient needs and resolves problems. Performs duties as under Nurse Practice Act (Portions adopted from the Colorado State Nurse Practice Act CRS 12-38-103). Essential Responsibilities: This position knows and complies with all Kaiser Permanente quality, safety, and emergency policies and procedures. Demonstrates quality and effectiveness in work habits and clinical practice in every interaction with patients, colleagues, providers, and leadership. Ensures patient safety in the preparation and provisioning of care related to but not limited to medications including the consistent use of 5 rights and 3 checks of medication administration, procedures, infection prevention, fall prevention, including consistent use of two patient identifiers and procedural time outs. Reports safety hazards, accidents and incidents, and unsafe working conditions promptly. Applies principles of asepsis and infection control. Maintains a safe and therapeutic patient care environment, including identifying malfunctioning equipment. Supports the physician and other medical providers in the care and treatment of patients, including rooming the patient; communicating delays to patient, provider, and team members; and facilitating the medical providers schedule. Performs duties and responsibilities with excellence, enthusiasm, great service orientation demonstrating courteous behaviors and mannerisms, and by anticipating physician and other medical providers needs. Practices within scope of practice perimeters as inferred by licensure, standard nursing practice, knowledge, skill level, and KP guidelines. Performs routine and specialized nursing procedures following physicians orders and approved nursing care plan, e.g. administers treatment using therapeutic equipment, such as intermittent positive pressure breathing apparatus; administers medications (including narcotics) orally or by injections; and provides specialized nursing care to acutely ill patients. If IV certified LPN, may perform intravenous therapy, as per Colorado State Board of Nursing Chapter IX. Monitors patients condition by observing, collecting, reporting, and recording objective/subjective data; identifies changes in the patients condition; collect data and report sign and symptoms of deviation from normal health status, symptoms and/or reactions to medications and treatments; initiates appropriate standard emergency procedures and reports adverse patient conditions to physician, Nursing Manager, or registered nurse. Teaches and promotes general preventive health measures to patients and members of their families regarding home health care, such as use of medications, administering injections, taking blood pressure, general post-operative care, and general diabetic care. Disseminates pre-printed standard aftercare instructions and pre-printed patient instruction material. Licensed Practical Nurse. Assists physician with examinations, treatments and minor surgery, by preparing patient and room for a specific procedure and attending patient during procedure. Records pertinent information in patients medical chart, e.g., patients nursing history, physical data, vital signs, symptoms, treatments, examinations, medications administered, reactions and general observations, according to standard requirements. Assists in orienting and training new employees, as assigned. May perform the duties of a Nursing Assistant or Medical Receptionist, as required. May assign/coordinate activities for nursing and medical assistants and medical receptionist. Orders, stores and maintains adequate inventory of supplies and instruments used by department as assigned. In addition to defined technical requirements, accountable for consistently demonstrating service behaviors and principles defined by the Kaiser Permanente Service Quality Credo, the KP Mission as well as specific departmental/organizational initiatives. Also accountable for consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to purchasers, contracted providers and vendors. Basic Qualifications: Experience N/A Education Graduation from an accredited Practical Nursing program and licensed as a Practical Nurse (LPN) in the State of Colorado and completed a minimum of 400 clock hours of faculty planned clinical experience and guided learning activities which required direct supervision by faculty, associate nursing instructional personnel (ANIP) or preceptor who is physically present or immediately accessible. High School Diploma OR General Education Diploma (GED) required. License, Certification, Registration Practical Nurse License (Colorado) Additional Requirements: Demonstrated customer service focus and exemplary service skills. I.V. therapy certification may be required for some positions. Preferred Qualifications: BLS preferred. Six (6) months of experience with adults, pediatrics and/or trauma preferred. I.V. therapy certification preferred. Pediatric experience preferred. New grads acceptedaa415a4b-8b21-40fc-a65c-70d2b25ca29a
    $42k-54k yearly est. 1d ago
  • Health Insurance Exchange Liaison

    Humana 4.8company rating

    Denver, CO job

    **Become a part of our caring community and help us put health first** The Health Insurance Exchange Liaison is primarily focused on Humana's obligations, as a Qualified Dental Plan (QDP) issuer, to meet all federal Affordable Care Act (ACA) and state-based requirements to participate in their respective programs on the Federally-facilitated Exchange (FFE) and State Based Exchanges (SBEs). This position is responsible for gathering, reviewing, analyzing, and disseminating relevant participation requirements to internal and external partner teams charged with fulfilling those requirements and overseeing program requirements and deliverables to ensure Humana is compliant with these requirements year-over-year in accordance with federal and state-level timelines. This position will also interface with Humana Dental business leaders, including - but not limited to - actuarial, product strategy, product strategy advancement, and network, about the evolving footprint in accordance with Humana Dental's overall public exchange strategy. Health Insurance Exchange Liaison will be responsible for: **_Exchange Liaison_** + Establish and maintain effective communication and relationships with numerous Federal and State organizations in support of efforts to participate as a QDP with respect to Exchange operations and integration for Federal and State Based health insurance exchange platforms. + Research, review, analyze, and disseminate regulatory information and requirements to all associated internal teams to support Exchange operations and integration with the Federal and State Based health insurance exchange platforms. + Serve as the single point of contact for multiple Federal and State Based organizations including, but not limited, to state Departments of Insurance (DOIs) in coordination with corporate affairs and regulatory compliance (when appropriate), exchange regulatory boards, and exchange operation committees. **_Exchange Facilitator_** + Research, review, analyze, and disseminate timelines/deadlines/due dates, exchange requirements, and required documents (i.e., templates) to all associated internal teams in support of efforts to participate in Exchange operations and integration with the Federal and State Based health insurance exchange platforms. This dissemination effort includes - but is not limited to - maintenance of Humana's internal Exchange SharePoint site. + Collaborate with product strategy, product strategy advancement, information technology, vendor, and other implementation teams to gather requirements associated with product development, product expansion specific to Exchange operations (i.e., data transmission) and integration efforts for Federal and State Based health insurance exchange platforms. + Establish and facilitate regular meetings with all associated internal teams in support of Exchange operations and integration efforts for Federal and State Based health insurance exchange platforms. + Partner with Federal and State Regulatory agencies, vendors, and multiple internal teams to analyze requirements to identify and document meaningful executable tasks to establish a workable project plan, calendar, schedule of events, and product guidance for Exchange operations and integration efforts for Federal and State Based health insurance exchange platforms. + Operational ownership of all communication to contribute toward strategy execution for Exchange operations and integration efforts for Federal and State Based health insurance exchange platforms, including documenting processes for managing security access, utilizing each SBE's portal/website, etc. + Facilitate the gathering of required information and the completion of applications, documents, and points of contact for all Exchange operations and integration efforts for Federal and State Based health insurance exchange platforms in accordance with individual Federal and State regulatory organizations. + In coordination with corporate affairs, assist in collecting and disseminating information about future requirements released by Federal and State regulatory organizations concerning Exchange operations and the Federal and State Based health exchange platforms. **Use your skills to make an impact** **Required Qualifications** + 5 or more years of health industry experience. + 3 or more years of ACA/Health Insurance Exchange Qualified Health Plan (QHP) or Qualified Dental Plan (QDP) experience with Federal and/or State Based health insurance exchange platforms + Experience working with directly health insurance regulatory entities + Experience researching and analyzing Federal and State requirements + 2 or more years of project leadership experience + Proficient Microsoft 365 (Office) applications, including Word, Excel, Teams, and SharePoint as well as in Adobe Acrobat + Hours: 9am to 5 pm EST; will also work PST hours for SBE support (i.e., occasional meetings **Preferred Qualifications** + Experience with Specialty, Dental, and/or Vision products. + Experience/familiarity with the Individual QDP health insurance exchange + 3 or more years of experience with Federal and State legislation and policy review and communication to diverse teams across a wide range of disciplines + 3 or more years of external facing interactions with Federal and State regulatory agencies. + Demonstrated attention to detail and accuracy + Proven analytical and problem-solving ability + Complex program and project management skillset with the ability to synthesize inputs across multiple disciplines and ensure a quality output + Excellent oral and written communication skills. This includes ability to collaborate effectively with associates across all levels of the organization + Oversight experience working with multidisciplinary teams of high performing subject matter experts **Additional Information** **Work Style** : Remote US (excluding AK & HI) **Location:** This role is posted remote - nationwide. Regardless of location, it is expected that this person will work East Coast (EST) hours and, when needed, will also work West Coast (PST) hours for SBE support (i.e., occasional meetings). **Additional Information** As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. **Work at Home Guidance** To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/vivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker. \#LI-BB1 Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $94,900 - $130,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-09-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $94.9k-130.5k yearly 6d ago
  • OneHome - Medical Director - Part Time

    Humana 4.8company rating

    Denver, CO job

    **Become a part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. All work occurs with a context of regulatory compliance, and work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements, and will understand how to operationalize this knowledge in their daily work. The Medical Director works in a structured environment with expectations for consistency in thinking, authorship, meeting departmental expectations, and compliance timelines. **Use your skills to make an impact** **Required Qualifications** + MD or DO degree + **Current and ongoing board certification through an approved ABMS or AOABPS Medical Specialty is a requirement. NBPAS certification is not accepted.** + **A current and unrestricted license in at least one jurisdiction and willing to obtain license, as required, for various states in region of assignment** + **5+ years of direct clinical patient care experience post residency or fellowship** + **No sanctions from Federal or State Governmental organizations** + **The ability to pass credentialing requirements** + **Excellent verbal and written communication skills with analytic and interpretative skills** + **Participate in educational activities by attending required conferences and also create content to lead/teach/present for individual subject matter contribution** **Preferred Qualifications** + Experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age) + **Internal Medicine, Family Practice, Geriatrics, Physiatry, Emergency Medicine, Critical Care or hospital based clinical specialists** + **Ability to function in a dynamic fast paced environment** + **Commitment to a culture of innovation** + **Passionate about contributing to an organization's focus on consistency in outcomes, consumer experiences, and a highly engaged team culture** + **Knowledge and experience with national guidelines such as NCD/LCD, MCG or InterQual** **The Medical Director conducts clinical case reviews of requests received by members of the Medicare population and reports to the Lead Medical Director.** **Other duties:** + Identify medical management operational improvements, including those within the medical director area + **Participate in call rotation which includes weekend coverage** + **Develop collaborative relationships with Team and key partners within the Medicare Line of Business.** + **Support Home Solutions as needed** + **Other activities as assigned by the managing Medical Director** Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 1 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $223,800 - $313,100 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. Application Deadline: 01-31-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $223.8k-313.1k yearly 20d ago
  • Patient Services Coordinator-LPN, Home Health

    Humana Inc. 4.8company rating

    Denver, CO job

    Become a part of our caring community and help us put health first The Patient Services Coordinator-LPN is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination and continuity of care. The role also assists with day-to-day office and staff management * Manages schedules for all patients. Edits schedule for agents calling in sick, ensuring patients are reassigned timely. Updates agent unavailability in worker console. * Initiates infection control forms as needed, sends the HRD the completed "Employee Infection Report" to upload in the worker console. * Serves as back up during the lunch hour and other busy times including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. * Maintains the client hospitalization log, including entering coordination notes, and sending electronic log to all office, field, and sales staff. * Completes requested schedule as task appears on the action screen. Ensures staff are scheduled for skilled nurse/injection visits unless an aide supervisory visit is scheduled in conjunction with the injection visit. * Completes requested schedules for all add-ons and applicable orders: * Schedules discharge visit / OASIS Collection or recert visit following case conference when task appears on action screen. * Schedules TIF OASIS collection visits and deletes remaining schedule. * Reschedules declined or missed (if appropriate) visits. * Processes reassigned and rescheduled visits. * Ensures supervisory visits are scheduled. * Runs all scheduling reports including Agent Summary Report and Missed Visits Done on Paper Report. * Prepares weekly Agent Schedules. Performs initial review of weekly schedule for productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. * Verifies visit paper notes in scheduling console as needed. * Assists with internal transfer of patients between branch offices. * If clinical, receives lab reports and assesses for normality, fax a copy of lab to doctor, make a copy for the Case Manager, and route to Medical Records Department. Initiate Employee / Patient Infection Reports as necessary. * If clinical, may be required to perform patient visits and / or participate in on-call rotation. Use your skills to make an impact Required Experience/Skills: * Be a Licensed Professional Nurse or a Licensed Vocational Nurse licensed in the state in which he / she practices * Have at least 1 year of home health experience. * Prior packet review / QI experience preferred. * Coding certification is preferred. * Must possess a valid state driver's license and automobile liability insurance. * Must be currently licensed in the State of employment if applicable. * Must possess excellent communication skills, the ability to interact well with a diverse group of individuals, strong organizational skills, and the ability to manage and prioritize multiple assignments. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $49,900 - $67,400 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 04-09-2026 About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $49.9k-67.4k yearly 6d ago
  • Home Health Aide

    Humana Inc. 4.8company rating

    Denver, CO job

    Become a part of our caring community and help us put health first A Home Health Aide ( HHA ): * Provides direct patient care to patient under direction of the RN and according to the Aide Plan of Care (POC). * Correctly assists the patient with self-administered medications by opening bottle caps for the patient, reading medication labels to the patient, checking the dose being self-administered against the prescribed dose on the container label and observing the patient takes the medication * Consistently takes accurate temperature, pulse and blood pressure measurements and recognizes and reports abnormal results to supervisor * Helps patient maintain good personal hygiene by performing or supervising bathing, grooming, skin care, shaving, oral care, nail/foot care and other activities * Assists in feeding patients. Is able to communicate basic principles of nutrition, observe and record food and fluid intake when necessary. Safely positions patient for meals and feeds or assists in self feeding * Assists with patient toileting including use of bed pan/urinal, change and position catheter bags and bag change procedures on well-regulated ostomies * Provides necessary skills to safely assist the patient with patient mobility, exercises, positioning/turning, transfers and ambulation per Plan of Care and CenterWell Home Health policy * Provides necessary skills to appropriately report changes and document pertinent information and care rendered to patient to ensure continuity of care. Documents interactions with patients, caregivers, doctors and other staff members appropriately, legibly, thoroughly and in the amount of time allowed * Practice acceptable infection control principles. Provide a clean, safe and comfortable environment * Willingly assists with other household duties including light laundry, bed changing and bed making, light meal preparation, light housekeeping and shopping (if no other assistance is available and an MD order is present). Use your skills to make an impact Required Experience/Skills: * High school diploma or equivalent * Completion of Certified Nursing Assistant or Certified Home Health Aide Program within the last 24 months * Must meet applicable state certification requirements * A valid driver's license, auto insurance, and reliable transportation are required * Must be in good standing on the HHA Registry (if applicable) and have completed HHA/CNA course to work for a Medicare certified agency. * At least one year experience in the last 24 months as a Home Health Aide or Certified Nursing Assistant in a hospital, nursing home, home health/hospice agency. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $41,300 - $48,200 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-24-2025 About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $41.3k-48.2k yearly 53d ago
  • Charge Audit Analyst

    Sutter Health 4.8company rating

    Centennial, CO job

    We are so glad you are interested in joining Sutter Health! Organization: S3-Sutter Shared Services-Valley Responsible for activities which improve the accuracy of facility outpatient clinical documentation coding and charging, including education with the clinical departments and coding staff and root cause correction to support accurate charging and coding in compliance with policies. The analyst assists clinical areas to effectively document services and understand the relationship of documentation and charging for the services provided in accordance with policies and procedures. Job Description: EDUCATION: High School Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CPC-Certified Professional Coder OR COC-Certified Outpatient Coder OR RHIA- Registered Health Information Administrator OR RHIT- Registered Health Information Technician TYPICAL EXPERIENCE: 5 years recent relevant experience SKILLS AND KNOWLEDGE: * Knowledge of medical terminology, disease processes, patient health record content and the medical record coding process. * Basic knowledge of anatomy, physiology and pharmacology. * Familiarity with billing functions and the components of a charge description master. * General knowledge of Revenue Cycle applications, including Electronic Health Record systems. * Ability to work concurrently on a variety of tasks / projects in a fast-paced environment with identified productivity requirements and with individuals having diverse personalities and work styles. * Ability to comply with Sutter Health policies and procedures. * Ability to work with and maintain confidential information. * Understanding of hospital-based outpatient charging and coding * Knowledge of Medicare APC and OPPS reimbursement structures * In-depth knowledge of medical and billing terminology, common procedure terminology, diagnosis codes, healthcare common procedure coding system, and revenue codes. * Knowledge of government and/or commercial payer requirements. * Knowledge of Federal, State, and Local regulatory publications and how to access. * Knowledge of Outpatient National Correct Coding Edits. * Demonstrated ability to review a health record and determine applicable charges/codes for hospital/facility billing for a range of service lines. * Demonstrated ability to utilize official coding/billing resources including CPT/HCPCS references, OPPS Manual, NCCI Manual, NUBC Manual, etc. to determine applicable charges/codes as documented in the health record. * Possesses strong project management skills. * Possesses strong interpersonal skills, with demonstrated success at communicating effectively with all levels of the organization, especially senior leadership and department heads. * Demonstrates skilled ability and comfort with electronic medical records (EPIC preferred) and hospital billing functions. * Proficient with Microsoft Office computer applications (Excel, Word, and PowerPoint). * Effective organizational skills with the ability to prioritize and manage multiple functions and responsibilities simultaneously. * Effective verbal and written communication skills, good listening skills, and the ability to interpret end users' needs. * Strong problem solving and investigative skills. Job Shift: Days Schedule: Full Time Shift Hours: 8 Days of the Week: Monday - Friday Weekend Requirements: None Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $34.25 to $51.38 / hour. California, New Jersey, and Washington Pay Range is $41.45 to $62.18 / hour. Colorado, Florida, Georgia, Illinois, Michigan, Minnesota, Nevada, North Carolina, Ohio, Oregon, Pennsylvania, Texas, and Virginia Pay Range is $37.31 to $55.97 / hour. Arizona, Arkansas, Idaho, Louisiana, Missouri, Montana, South Carolina, Tennessee, and Utah Pay Range is $33.16 to $49.75 / hour. The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
    $34.3-51.4 hourly 35d ago
  • Medicare Sales Field Agent - Denver, CO

    Humana Inc. 4.8company rating

    Denver, CO job

    Become a part of our caring community and help us put health first With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live in the designated territory to effectively serve their local community. As part of a collaborative team of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll help bring Humana's strategy to life: Deliver on the fundamentals, differentiate through exceptional service, and grow by expanding our reach and impact. What You'll Do in This FIELD Based Role: * Deliver: Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage. * Differentiate: Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visits-providing a personalized experience that sets Humana apart. * Grow: Drive self-generated sales, meet performance goals, and expand Humana's presence in the market by becoming a valued resource in your community. You'll engage with customers in the FIELD through a mix of in-person, virtual, and phone interactions. Face-to-face visits in prospective members' homes are a key part of this role. Why Join Humana? * People-first culture that supports your personal and professional growth. * Inclusive and diverse environment that values multilingual talent and cultural understanding. * Autonomy and flexibility to manage your schedule and success. * Purpose-driven mission to help people achieve their best health-and transform healthcare along the way. Benefits include: * Medical, Dental, Vision, and a variety of other supplemental insurances * Paid Time Off (PTO) and Paid Holidays * 401(k) retirement savings plan with a competitive match * Tuition reimbursement and/or scholarships for qualifying dependent children * And much more! Use your skills to make an impact Required Qualifications * Active Health Insurance License or ability to obtain. * Must reside in the designated local territory to effectively serve the community. * Comfortable with daily face-to-face interactions in prospective members' homes and engaging with the community through service, organizations, volunteer work, or local events. * Valid state driver's license and proof of personal vehicle liability insurance meeting at least 25/25/10 coverage limits (or higher, based on state requirements). Preferred Qualifications * Active Life and Variable Annuity Insurance License. * Prior experience selling Medicare products. * Experience in public speaking or delivering presentations to groups. * Associate's or Bachelor's degree. * Experience using Microsoft Office tools such as Teams, Excel, Word, and PowerPoint. * Bilingual in English and Spanish, with the ability to speak, read, and write fluently in both languages. Additional Information * This position is in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and MVR review. * Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. * Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. Schedule: Meeting with members requires appointments and/or event times that may vary on nights and weekends. Flexibility is essential to your success. Training: The first five weeks of employment and attendance is mandatory. Interview Format: As part of our hiring process for this opportunity, we are using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected to move forward in the process, you will receive a text message inviting you to participate in a HireVue prescreen. In this prescreen, you will receive a set of questions via text and given the opportunity to respond to each question. You should anticipate this prescreen taking about 15 minutes. Your responses will be reviewed and if selected to move forward, you will be contacted with additional details involving the next step in the process. Pay Range The range below reflects a good faith estimate of total compensation for full time (40 hours per week) employment at the time of posting. This compensation package includes both base pay and commission with guarantee. The pay range may be higher or lower based on geographic location. Actual earnings will vary based on individual performance, with the base salary and commission structure aligned to company policies and applicable pay transparency requirements. $80,000 - $125,000 per year #medicaresalesrep Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $27k-33k yearly est. Easy Apply 53d ago
  • Senior Communications Consultant IV

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Denver, CO

    Kaiser Permanente Colorado's Communications team supports internal and external communications for the Colorado region, using owned, earned, and crisis communications channels. In addition to the responsibilities listed below, the Senior Communications Consultant IV drafts, edits, and distributes stories and communications that support strategic and operational priorities while advancing Kaiser Permanente's mission to provide high-quality, affordable health care services and improve the health of our members and the communities we serve. This position leads editorial content meetings and drafts executive communications for both internal and external audiences. In consultation with internal and external stakeholders, this senior consultant regularly develops and leads strategic communications plans and tactics. This may include public relations and thought leadership content, social media, multimedia content, and crisis communications. Job Summary: This individual contributor is primarily responsible for developing strategic communication plans and ensuring successful implementation of communication efforts. This position develops communications, manages projects or project components, and conducts communication activities. Essential Responsibilities: Practices self-development and promotes learning in others by proactively providing information, resources, advice, and expertise with coworkers and customers; building relationships with cross-functional stakeholders; influencing others through technical explanations and examples; adapting to competing demands and new responsibilities; listening and responding to, seeking, and addressing performance feedback; providing feedback to others; creating and executing plans to capitalize on strengths and develop weaknesses; supporting team collaboration; and adapting to and learning from change, difficulties, and feedback. Completes work assignments and supports business-specific projects by applying expertise in subject area; supporting the development of work plans to meet business priorities and deadlines; ensuring team follows all procedures and policies; coordinating resources to accomplish priorities and deadlines; collaborating cross-functionally to make effective business decisions; solving complex problems; escalating high priority issues or risks as appropriate; and recognizing and capitalizing on improvement opportunities. Ensures successful implementation of communication efforts by consulting with stakeholders on change management and implementation strategies; assessing effectiveness of communications and making modifications as necessary; monitoring key performance indicators and ongoing effectiveness of communications; and ensuring communication plans are implemented on time, on budget, and within agreed upon specifications. Develops communications by writing, editing, and producing complex content for KP communications programs and projects; proofreading and coordinating production of communications materials; ensuring final placement and distribution of materials; updating content on client-specific and internal/external channels; and ensuring content is consistent with the Kaiser Permanente brand and editorial guidelines in terms of tone, manner, and messaging. Manages projects or project components by coordinating stakeholder contacts; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project plans; and coordinating project schedules and resource forecasts. Conducts communication activities by providing support to internal and/or external stakeholders; managing and maintaining vendor relationships; defining and communicating the KP brand to ensure positive reputation and recognition; ensuring communications align with KP standards; and ensuring communication activities and performance metrics are documented and tracked. Develops strategic communication plans by consulting with clients and stakeholders to identify business objectives, key performance indicators, and communication requirements; gathering and analyzing data and information; obtaining input and resources to fulfill communication plan objectives; ensuring plans are aligned with the organizational strategy; coordinating project schedules; providing input into budget; identifying and leveraging appropriate audiences and channels; and providing strategic support on a variety of organizational initiatives. Minimum Qualifications: Minimum one (1) year experience in a leadership role with or without direct reports. Bachelors degree in Communications, Journalism, English, Humanities, Business, Social Science, or related field and Minimum five (5) years experience in communications, writing, marketing, or a directly related field. Additional equivalent work experience in a directly related field may be substituted for the degree requirement. Additional Requirements: Click here for Important Additional Job Requirements. Share this job with a friend You may also share this job description with a friend by email or social media. All the relevant details will be included in the message. Click the button labeled that is next to Submit.
    $56k-79k yearly est. Auto-Apply 23d ago
  • Research Investigator II - Behavioral & Mental Health

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Aurora, CO

    Minimum Qualifications: Minimum four (4) years of experience serving as a principal investigator designing and conducting research in an externally and/or internally funded research environment. Doctoral degree in Health Services, Public Health, Community Health, Health Education, Social/Behavioral Science, Epidemiology, Biostatistics, Medicine, Dentistry, Nursing, Pharmacy or directly related scientific field related to health research AND Minimum four (4) years of experience in a scientific field related to health or health services research and/or evaluation or a directly related field. Minimum three (3) years of experience in a leadership role with or without direct reports. Additional Requirements: Knowledge, Skills, and Abilities (KSAs)\: Research Funding; Systems Thinking; Confidentiality; Data Governance; Stakeholder Management; Project Management; Research & Evaluation Data Collection; Scientific Writing; Research & Evaluation Study Design; Interpretation & Dissemination of Research; Research Ethics; Change Management Research Investigator II - Behavioral & Mental Health Research Investigator II - Behavioral & Mental Health will work with our team onsite at the Institute for Health Research in Aurora, Colorado. The IHR is seeking a scientist with demonstrated expertise and funding in Behavioral and Mental Health. This includes a background in mental health services research with preference for experience in one or more of the following\: Suicide and violence prevention; Quality improvement for care of depression and anxiety in primary care / collaborative care; Perinatal mental health and/or Digital mental health applications / Informatics in mental health research. Job Summary: In addition to the responsibilities listed below, this position is responsible for building and maintaining an innovative research program and the procurement of research funding from internal and external sources; managing the implementation of an externally-funded or internally-funded research project and/or program to ensure compliance with award requirements; overseeing fiscal management and ensuring the appropriate use of funds; and evaluating projects and forecasting workload and costs to determine budgets and proper allocation of staff. Essential Responsibilities: Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams. Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others. Participates in mentoring activities by\: seeking opportunities for professional growth and skill development, as well as sharing advanced knowledge and experience with colleagues and/or advising team members through formal or informal mentorships. Assists in the management of research projects by\: attending trainings and maintaining advanced knowledge of all applicable local, state, and federal laws, regulations, and accreditation standards, and any funding agency, grant, and/or contract management policies, as well as meeting the terms and conditions of the award to ensure compliance for complex and/or large research studies and mentoring team members on following correct processes to achieve a high degree of security, privacy, and safety; leveraging advanced knowledge to identify and develop research methodologies, protocols, and data collection and analysis plans in partnership with research collaborators across multiple, large, and/or complex research studies to ensure quality and scientific integrity and serving as a resource to team members through the process; leading and/or conducting complex qualitative and/or quantitative data collection, cleaning, management, and/or analyses, and providing feedback to team members to maintain the quality, accuracy, and integrity of data; serving as a liaison and building rapport with cross-functional research partners to facilitate communication, coordinate activities, and provide consultation toward achieving project goals; and supporting and/or leading the development and monitoring of budgets, timelines, and/or deliverables for complex and/or large research studies across a research program. Contributes to the development of proposals by\: leveraging advanced knowledge to lead and/or collaborate on the development and writing of large and/or complex proposals with national impact, including as a principal or co-investigator, from conceptualization to submission and providing oversight to team members; and participating in and/or leading the oversight of pre-award activities (e.g., define and negotiate aspects of the proposal including the scope of work and budget) for complex and/or large proposals that may vary number. Advances knowledge of the scientific community by\: applying advanced knowledge to assist and/or lead the interpretation and/or presentation of complex data; and lead- and/or co-authoring technical products and peer-reviewed publications and/or developing abstracts, posters, and/or presentations to disseminate research findings locally, nationally, or internationally to clinical partners, collaborators, stakeholders, or wider audiences, as well as serving as a resource on dissemination activities. Participates in service to the local and scientific community by\: regularly participating in activities in the scientific community such as serving as a reviewer for scientific journals and grant review panels, and participating in committees, conferences, and/or professional organizations. Click here for Important Additional Job Requirements. Share this job with a friend You may also share this job description with a friend by email or social media. All the relevant details will be included in the message. Click the button labeled that is next to Submit.
    $69k-98k yearly est. Auto-Apply 47d ago
  • Channel Development Lead

    Humana 4.8company rating

    Denver, CO job

    **Become a part of our caring community and help us put health first** With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. The Channel Development Lead defines the sales product strategy for single or multiple lines of business targeting specific markets and/or business segments. The Channel Development Lead works on problems of diverse scope and complexity ranging from moderate to substantial. **Typical responsibilities include but are not limited to:** + develops key performance indicators to drive sales program effectiveness and to ensure cost efficiencies. + Provide data driven expertise and management reporting to improve sales performance and increase market share. + Develop go to market strategies and identify new business opportunities to increase overall sales portfolio. + Identify key areas of improvement through trend and utilization analysis. Collaborate closely with business leaders, marketing and finance to ensure effective, strategic, and competitive sales plans. + Advises executives to develop functional strategies (often segment specific) on matters of significance. + Exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision. + Uses independent judgment requiring analysis of variable factors and determining the best course of action. **Use your skills to make an impact** **Required Qualifications** + Bachelor's Degree or higher + 3 or more years of experience with intake and governance to involve managing requests, prioritizing work, and ensuring compliance with organizational standards + 2 or more years of project management/leadership experience + Comprehensive knowledge of Microsoft Word, Excel, PowerPoint, and Outlook + Experience collaborating with key stakeholders on strategic initiatives + Experience communicating with strategic level Leaders + Ability to manage multiple projects effectively + 10% travel may be required as business dictates + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + PMP (Project Management Professional) Certification + Experience with Microsoft Planner + Strong financial acumen for budgeting, forecasting, and ROI analysis. + Excellent stakeholder management, communication, and negotiation skills. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $115,200 - $158,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-18-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $115.2k-158.4k yearly 14d ago
  • Strategy Advancement Advisor

    Humana 4.8company rating

    Denver, CO job

    **Become a part of our caring community and help us put health first** Humana is a publicly traded, Fortune 100 health benefits company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company in the 60's, to the largest US hospital corporation in the 80's, to a leading health benefits company beginning in the 90's. Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country. Consumer Segment Team Identifying and delivering new avenues of growth is a critical company priority. The Consumer Segment team is an entrepreneurial, multi-functional team within Humana's Medicare and Medicaid business unit. The team is focused on driving industry leading membership growth, retention and health outcomes by identifying new consumer insights, developing growth strategies, and activating them across the enterprise to serve the unique needs of prioritized segments. Humana is seeking an experienced team member with meaningful strategy consulting or healthcare strategy experience to join this team. As Strategy Advancement Advisor, you will support development and implementation of consumer segment strategies that drive growth and retention while optimizing member experience and outcomes. You'll collaborate with teammates and cross-functional partners to frame up business questions, conduct analyses, and recommend solutions. You will help answer key strategic business questions that arise during the annual product/sales cycle across multiple domains, including product design, plan footprint, marketing and sales performance, membership analytics, customer/provider satisfaction and more. You will proactively identify new consumer insights and create business cases to support new pilots and initiatives to address critical unmet consumer needs. **Key Responsibilities Include** : + Managing analysis and/or work streams within high-profile, high-impact strategy projects + Conducting industry, market, competitor, and financial analysis and deliverables that clearly frame objectives, issues/challenges, and articulate compelling, insightful findings, conclusions, and recommendations + Conducting interviews, working sessions, and report-outs with associates and leaders across the company + Own development and presentation of key deliverables for leadership and cross-functional partners + Innovate new pilots and member experiences to drive growth and improved retention + Support business case development for key initiatives **Use your skills to make an impact** **Required Qualifications** + 7+ years of full-time relevant strategic work experience, ideally post-MBA + Strategy management consulting experience + Experience leading broad initiatives with cross-functional collaboration + Strong problem-solving skills and the ability to perform complex qualitative and quantitative analysis + Experience leveraging consumer insights to design and implement new products/services/solutions + Proficiency in verbal/written communication to senior and executive leadership + Proficient in delivering engaging and informative presentations to diverse audiences **Preferred Qualifications** + MBA, MPH, PhD, or graduate degree in a management field + Prior healthcare industry experience, preferably in the managed care or provider sector Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $115,200 - $158,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-18-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $115.2k-158.4k yearly 11d ago
  • Director, General Accounting

    Humana 4.8company rating

    Denver, CO job

    **Become a part of our caring community and help us put health first** The Director, General Accounting performs general accounting activities, including the preparation, maintenance and reconciliation of ledger accounts and financial statements such as balance sheets, profit-and-loss statements and capital expenditure schedules. Conducts or assists in the documentation of accounting projects. The Director, General Accounting requires an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director, General Accounting prepares, records, analyzes and reports accounting transactions and ensures the integrity of accounting records for completeness, accuracy and compliance with accepted accounting policies and principles. Provides financial support, including forecasting, budgeting and analyzing variations from budget. Analyzes and prepares statutory accounts, financial statements and reports. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy. **Use your skills to make an impact** **Required Qualifications** + Master's Degree + 8 or more years of technical experience + 5 or more years of management experience + Progressive financial and accounting analysis experience + Progressive leadership and management experience + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Master's Degree in Business Administration + Certified Public Accountant license + Prior experience in public accounting and auditing + Strong technical accounting skills + Prior insurance operations or financial industry experience + Knowledge of relational databases such as Access and SQL Server + Certified Public Accountant license **Additional Information** Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $168,000 - $231,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-16-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $168k-231k yearly 11d ago
  • Building Engineer, Franklin Medical Offices

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Denver, CO

    IUOE Local 1 - $34.70 -May be entitled to translation/bilingual, shift or other wage premiums as governed by the applicable collective bargaining agreement. Please refer to the respective collective bargaining agreement for additional information on such wage premiums: ********************************************** Job Summary: Implements preventive maintenance programs for the heating, air conditioning, ventilation, water, mechanical and electrical systems and mechanical equipment; performs maintenance checks; repairs systems and equipment; and performs minor electrical, plumbing and carpentry work for all facilities. Complies with all OSHA, HIPPI Standards as well as all other pertinent local, state and federal regulations. Maintains and supports a culture of compliance, ethics and integrity. Maintains knowledge of policies and procedures and performs in accordance with the Principles of Responsibilities and applicable regulatory requirements, external laws and accreditation standards. Appropriately reports observed fraud or abuse. Essential Responsibilities: + Operates facilities and performs routine trouble shooting and maintenance / repairs including HVAC, electrical, plumbing and mechanical systems in accordance with Regional Facility Standards, state and federal life safety codes. + Performs minor electrical, plumbing and carpentry work. Utilizes Computerized Maintenance Management System to maintain preventive maintenance repair and safety check records of facility systems and complete Corrective Maintenance work requests. + Performs all environmental and safety tasks in accordance with appropriate occupational, safety, health and environmental regulations. + Participates in the EH&S assessment process and performs the necessary tasks or operations to achieve compliance with assessment recommendations. Documents steps or measures taken in performing tasks in accordance to EH&S regulations. Serves as a liaison to outside contractors and vendors while overseeing contractor work requested by Engineer. Ensures the upkeep of building grounds. Ability to operate building automation systems. Participates in rotational 24/7 On Call as requested . Travel between facilities may be required. + Perform other duties as assigned. Basic Qualifications: Experience + Four (4) years of experience in operation and maintenance of steam boilers and/or refrigeration systems. + One (1) year experience in Operating and Maintaining Facility systems. Education + High school diploma OR General Education Diploma (GED) required. License, Certification, Registration + N/A Additional Requirements: + Knowledge of OSHA standards, regulations and record keeping requirements. + Basic computer skills, Windows, Excel and Word. + Strong Customer relations and communication skills. Preferred Qualifications: + N/A. COMPANY: KAISER TITLE: Building Engineer, Franklin Medical Offices LOCATION: Denver, Colorado REQNUMBER: 1386370 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.
    $59k-91k yearly est. 60d+ ago
  • Physical Therapist Assistant, Home Health

    Humana Inc. 4.8company rating

    Denver, CO job

    Become a part of our caring community and help us put health first As a therapist at CenterWell Home Health, you'll play a vital role in helping patients regain strength, mobility and independence-all from the comfort of their homes. By delivering personalized care that focuses on rehabilitation and functional improvement, you'll empower individuals to overcome physical limitations, perform everyday activities with confidence and enjoy a better quality of life. As a Home Health Physical Therapist Assistant, you will: * Administer the physical therapy treatment plan as developed by the Physical Therapist. * Administer non-complex active and passive manual therapeutic exercises, therapeutic massage, traction heat, light, cold, water, and electrical modalities to patients. * Accurately documents daily, weekly, or monthly records of clients'. Submits clinical paperwork to the office on time each week. * Attend educational meetings and coordinates and contributes to department in-services. * Notify physical therapist or Executive Director of any equipment failures, lack of supplies, staff or client changes, and any other departmental * Schedule clients and performs varied office tasks. * Apply concepts of infection control and universal precautions in performing patient care activities. * Accept clinical assignments that are consistent with education and competence to care for patients. * Promote compliance with all fiscal intermediaries and/or other third-party payors, through education, coaching, and other assistance as necessary. Use your skills to make an impact Required Experience/Skills: * Associate degree in Physical Therapy from an American Physical Therapy Association. * Current state license to practice Physical Therapy. * Valid driver's license, auto insurance and reliable transportation. * Proof of current CPR certification. * Minimum two years experience as a Physical Therapy Assistant, * Comprehensive knowledge of the physical, emotional, social, and biological changes that occur in the geriatric population. * Self-directed, enthusiastic, and accepts constructive feedback. * Demonstrates good verbal and written communication and organization skills. * Communicates and demonstrates a professional image/attitude for patients, families, clients, coworkers, and others. * Meets mandatory continuing education requirements of CenterWell Home Health and licensing board. Maintains clinical competency in Physical Therapy practice and theory. * Ability to work a flexible schedule and travel locally. * Able to maintain confidentiality. * Maintains current licensure certifications and meets mandatory continuing education requirements. * Must read, write, and speak fluent English. * Must have good and regular attendance. * Performs other related duties as assigned. Pay Range * $41.00 - $57.00 - pay per visit/unit * $64,200 - $88,000 per year base pay Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $64,200 - $88,000 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
    $64.2k-88k yearly 26d ago
  • Underwriting Consultant

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Denver, CO

    Evaluates moderately complex data to understand premium, claim, exposure, and population. Identifies and escalates actionable data insights/irregularities, recommending solutions. Creates/uses/documents models, tools, and assumptions that support business strategy analysis and risk management. Making recommendations to improve the implementation of quality and process improvement efforts. Works in support of department initiatives, program, and enterprise goals. Independently assesses risk of accounts. Leverages advanced knowledge of the external business environment. With guidance as needed, presents renewal recommendations to clients/organization. Collaborates internally to develop case/investment strategies. Drives the development of rates and account plans that mitigate risk. Negotiates rates with external parties. Helps moderately complex customers understand underwriting approach. Addresses complex data needs and requests. Builds relationships and influences outcomes with customers and channel partners. Works with internal partners to bring financial solutions to increasingly complex customers. Provides self/peer review of complex cases. Maintains compliance with relevant policies, guidelines, and procedures. Essential Responsibilities: Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome. Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions. Analyzes and reports on data by\: evaluating moderately complex data to understand premium, claim, exposure, and inform understanding of population risk; applying advanced knowledge to evaluate credibility, utilization, and risk based on population size and prior predictive behavior of the pool/account; identifying and escalating actionable insights and potential data irregularities and recommending solutions; determining and executing on the best course of action for creating and using models (e.g., rate models and benefit pricing tools) and data analytics tools that support the analysis of business strategy and financial/underwriting risk management; and consistently documenting models, tools, assumptions, and data elements for increasingly complex accounts, as required. Completes case and underwriting work by\: independently processing renewal activities (e.g., running reports, re-quotes, investments, sold rates) for customers and/or book of business; in collaboration with internal departments, driving the development of rates that appropriately mitigate risk for the organization and optimize sustainable membership growth; exercising judgment and discretion when developing and executing an account plan that addresses threats and opportunities to ensure attainment of goals in collaboration with Sales and Account Management; negotiating rates with external parties (e.g., brokers, consultants, and customers); and representing Underwriting in partnership with internal and external partners to co-create effective consultative solutions (e.g., case strategy, investment strategy, benefits strategy). Contributes to case review and preparation by\: independently conducting account risk assessment using competitive analyses, broker behavior, network cost profiles, legislative and regulatory impacts, revenue requirements, and contributions, with guidance as needed, especially when working on complex cases; utilizing data and standardized tools to present underwriting and renewal actions and recommendations (e.g., rate drivers, potential risk, glide path, membership impact, projections for future) to clients and/or the organization, with guidance as needed; developing, applying, and expanding advanced knowledge of the external business environment and how it applies to the line of business and/or region; and collaborating with Sales and Account Management to develop case/investment strategies and recommendations with appropriate documentation. Engages with the external market by\: helping moderately complex market/customers understand the underwriting approach (e.g., rating methodology, rate drivers, reporting capabilities, and uniqueness from fee for service carriers); addressing complex data needs and requests reactively and proactively, as they arise; building relationships and influencing outcomes with customers and channel partners that enable them to understand KPs value; and collaborating with account management and sales partners to bring strategic, financial solutions to customers, communicate product capabilities, explain funding arrangements, and negotiate conditions of offering and pricing within the limits of their authority for increasingly complex accounts. Contributes to goals, initiatives, and program development efforts by\: making recommendations to address issues in implementation of innovative new quality and process improvement efforts; and executing their work in support of department initiatives, program goals, and enterprise goals. Ensures compliance of Underwriting work by\: providing self/peer review of complex cases, as required, to ensure accuracy and appropriateness of quotes and incorporating feedback from others; appropriately obtaining and documenting case approvals and any policy exceptions and investments; making investment decisions within their authority and escalating to the appropriate level, as needed; and maintaining awareness of and compliance with all relevant policies, guidelines, and procedures, applying them to their own work. Click here for Important Additional Job Requirements. Share this job with a friend You may also share this job description with a friend by email or social media. All the relevant details will be included in the message. Click the button labeled that is next to Submit. Minimum Qualifications: Bachelors degree in a related field AND minimum three (3) years of experience in Underwriting, Marketplace Evaluations, Financial Analysis, or a related field OR Minimum six (6) years of experience in Underwriting, Marketplace Evaluations, Financial Analysis, or a related field. Additional Requirements: Knowledge, Skills, and Abilities (KSAs)\: Business Acumen; Negotiation; Applied Data Analysis; Data Quality; Financial Modeling; Interpersonal Skills; Organizational Skills; Presentation Skills; Insurance; Claim Analysis; Actuarial Techniques and Principles; Microsoft Office
    $73k-103k yearly est. Auto-Apply 60d+ ago
  • Advance Practice Nurse -Specialty - PRN, Oncall - Endocrinology

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Denver, CO

    “May be entitled to translation/bilingual, shift or other wage premiums as governed by the applicable collective bargaining agreement. Please refer to the respective collective bargaining agreement for additional information on such wage premiums: Job Summary: Practices professional nursing by the performance of both independent nursing and delegated medical functions in accordance with accepted practice standards. Utilizes specialized knowledge, judgment, and skills involving the application of biological, physical, social, and behavioral science principles. Functions include patient advocacy and the initiation and performance of nursing care and advanced clinical skills to evaluate, diagnose, and treat human disease, pain, injury, physical or mental conditions, health maintenance and promotion, supportive and restorative care. SPECIALTIES INCLUDED UNDER THIS JOB DESCRIPTION: Emergency Room, Cardiology, Neurology, Endocrinology, Psychiatric Mental Health, Urogynecology, Oncology and Rheumatology. Essential Responsibilities: This description is for recruitment posting purposes only. It has not received full HR review and approval. DATA COLLECTION: Obtains a pertinent medical history, performs an appropriate physical examination, and reviews relevant laboratory or radiologic (or other) studies to assess the patients medical, physical, psychological, and relevant socio •economic status. • Will have full access to patient medical records and other information pertinent to those patients under his/her care. • ASSESSMENT: Formulates an accurate and appropriate diagnosis based on elicited data, and includes differential diagnoses as appropriate. • TREATMENT PLANNING: Develops and implements treatment plans that are aligned with the practice preferences of the Collaborating Physician(s) including orders for medication and/or other treatment modalities, the need for additional testing, consultation to other providers, and follow •up provisions. • Provides care with attention to safety, efficiency, and cost effectiveness. • Plans are appropriately prioritized and adapted to the patient and circumstance. • PROCEDURAL CONSIDERATIONS: Performs procedures within the limits of their expertise and in accordance with the State Regulations and Organizational Policies. • PATIENT EDUCATION AND COUNSELING: Educates and counsels patients and their families regarding their treatment plan, including disease prevention and health promotion. • Promotes the availability of culturally •sensitive health and resource information that is evidence •based, patient centered, and enables informed choice. • DOCUMENTATION : Documents all examination data, diagnostic impressions, appropriate codes, and other patient care activities in the medical record, including the name(s) of any consulted physicians or other providers. • OTHER TASKS: Observes the principles and techniques of Universal Precautions. • Conducts telephonic and virtual encounters as appropriate. • Manages assigned in •basket tasks. • Takes necessary and appropriate actions in emergency situations. • Performs other clinical/administrative duties as directed. • VALUE STATEMENTS: Makes the patient the primary focus of their actions; develops and sustains productive and compassionate patient relationships. • Leads the health care team by influence, innovation, and by modeling integrated effective patient care and exemplary service. • Promotes and maintains a physically safe and confidential environment for care. • Collaborates with all members of the health care team. • Knows their personal limitations and when to seek advice and/or consultation from other members of the health care team • Understands and acknowledges the impact of personal values and cultural differences on the patient •provider relationship. • PROFESSIONAL EXPECTATIONS: Assumes responsibility for maintaining clinical competence through participation in continuing education and other activities. • Maintains professional certification and active licensure. • Participates in the training and/or mentoring of new employees, colleagues, and students. • Participates in quality assurance activities including the Peer Review process. • Has the quality of their care evaluated by the Collaborating Physician(s) as stipulated by State and/or KFHP/CPMG policies. • Evaluates personal performance and establishes annual goals aligned with KFHP regional expectations. • Maintains a working knowledge of, and complies with relevant (Federal, State, and/or Organizational) laws, rules, and policies; including licensure and certification. • Educates and promotes the roles of the APN/PA to patients and members of the health care team. Basic Qualifications: Experience 1-2 years diabetes management experience required. Endo experience preferred Education • Masters Degree in Nursing. • Graduation from an accredited graduate nursing program approved by the Colorado State Board of Nursing. License, Certification, Registration APN Prescriptive Authority Certification (Colorado) required at hire OR APN Prescriptive Authority Certification - Provisional (Colorado) required at hire Advanced Practice Nurse Registration (Colorado) Registered Nurse License (Colorado) National Provider Identifier required at hire Basic Life Support within 3 months of hire Drug Enforcement Administration Registration required at hire CDE/CDCES Certification required within 24 months Additional Requirements: N/A Preferred Qualifications: • For positions requiring the administration of procedural sedation, ACLS certification and procedural sedation competency required within 90 days of hire. Department cannot support new grad at this time
    $70k-108k yearly est. 1d ago
  • Digital Applications Solutions Architect II

    Sutter Health 4.8company rating

    Centennial, CO job

    We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Advises strategic direction while providing leadership for the design, engineering, and implementation for consolidating, standardizing infrastructure and developing applications throughout Sutter Health. Interprets architecture requirements, design, product evaluations, selection, build, and integration of new technology to support Sutter Health objectives. Develops enterprise infrastructure, data management, and application technology strategies, standards, and solution architecture. May oversee software, hardware and infrastructure design, owns Software Development Lifecycle (SDLC), continual integration process and tools, and integration strategies to delivers finished, high quality, and compelling products. Lastly, may lead Information Services (IS) systems engineering projects through collaboration, coordination, and implementation across multiple teams. Job Description: EDUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma. * Bachelor's: Computer Science, Information Technology, or related field TYPICAL EXPERIENCE: * 8 years of recent relevant experience. SKILLS AND KNOWLEDGE: * Advanced knowledge in formulating state-of-the-art enterprise strategic architecture framework plans. * Advanced knowledge in the engineering, implementation, operation, maintenance, and support of a wide range of server and storage platforms. * Expert knowledge of visualization technologies. * Set priorities which accurately reflect the relative importance of job responsibilities and prioritize assignments to complete work in a timely manner. * Analyze information, problems, situations, practices, or procedures in order to identify patterns, tendencies, and relationships resulting in the formulation of logical and objective conclusions. * Establish and maintain cooperative working relationships with audiences across all areas and levels within Sutter Health as well as external organizations. * Verbal and writing skills to effectively communicate with diverse groups such as: executives, managers, and subject matter experts. * Skilled in developing documentation at a technical and user level. Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $66.77 to $100.16 / hour. California Pay Range is $66.77 to $100.16 / hour. Colorado Pay Range is $60.10 to $90.15 / hour. The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.
    $66.8-100.2 hourly 31d ago
  • Senior Manager, MarketPoint Sales - Raleigh Durham, NC.

    Humana 4.8company rating

    Denver, CO job

    **Become a part of our caring community and help us put health first** With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact your own income potential? If so, we are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan products and educate beneficiaries on our services in a field setting. Our teams also sell Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. Humana has an inclusive and diverse culture welcoming candidates with multilingual skill sets to service our consumers. **This role is** **field** **based, and you will be out and about in the field in the Raleigh** **Durham, NC.** **area working with your team and meeting members face to face. You must reside in Raleigh** **Durham, NC.** **area or be willing to relocate to the area.** In this **field** position, you will; coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager, Medicare Sales, must have a solid understanding of the market they serve, how to resolve operational problems and provide creative solutions to increase sales while following CMS guidelines. This role also involves cultivating, maintaining, and building relationships with Humana's customers, both internal and external business partners, along with the community we serve through telephonic, virtual, and face-to-face interactions with individuals and groups. Other responsibilities include developing marketing budgets, and looking for branding opportunities. **Use your skills to make an impact** **Required Qualifications** + **Must reside in the** **Raleigh** **Durham, NC.** **area or be willing to relocate** + **Active Health & Life Insurance Licenses** + 2 or more years of sales leadership experience + 6 or more years of experience working in the insurance industry + Must be able to travel up to 50% of the time + Ability to lead a team of sales associates and train them in successful sales techniques, educational presentation skills, utilizing technology tools as well as building relationships with communities and medical providers + Strong aptitude for technology with proficiency in MS Office products, various CRM platforms, and various iPhone app capabilities + Must be a strong leader, strong producer + Strong organizational, interpersonal, communication and presentation skills + Ability to adapt and overcome when necessary + Community Engagement/Grassroots experience in marketing Medicare plans in the community + Must be passionate about contributing to an organization focused on continuously improving consumer experiences + This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits **Preferred Qualifications** + Bachelor's Degree + Prior experience working in Medicare and the health solutions industry + Engaged with the community through service, organizations, activities and volunteerism + Project management background or certification a plus + Bilingual with the ability to speak, read and write without limitations or assistance **Humana Perks:** Full time associates enjoy: + Base salary with a competitive commission structure + Medical, Dental, Vision and a variety of other supplemental insurances + Paid time off (PTO) & Paid Holidays + 401(k) retirement savings plan + Tuition reimbursement and/or scholarships for qualifying dependent children. + And much more! **Social Security Task:** Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions to add the information into the application at Humana's secure website. **Virtual Pre-Screen:** As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a HireVue interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes. \#MedicareSalesManager \#MedicareSalesReps Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $77,000 - $105,100 per year This job is eligible for a commission incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-18-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
    $77k-105.1k yearly Easy Apply 2d ago
  • Surgical First Assistant, Franklin Medical Offices

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Denver, CO

    May be entitled to translation/bilingual, shift or other wage premiums as governed by the applicable collective bargaining agreement. Please refer to the respective collective bargaining agreement for additional information on such wage premiums: ********************************************** Job Summary: Under the direct and immediate supervision of a surgeon, provides aid in exposure, hemostasis and other technical functions that will help the surgeon carry out a safe operation with optimal results for the patient. Makes members/patients and their needs a primary focus of ones actions; develops and sustains productive. Essential Responsibilities: * This position, knows and complies with all Kaiser Permanente quality, safety, and emergency policies and procedures. Demonstrates quality and effectiveness in work habits and clinical practice in every interaction with patients, colleagues, providers, and leadership. Ensures patient safety in the preparation and provisioning of care related to but not limited to medications including the consistent use of 5 rights and 3 checks of medication administration, procedures, infection prevention, fall prevention, including consistent use of two patient identifiers and procedural time outs. Reports safety hazards, accidents and incidents, and unsafe working conditions promptly. * Positions the patient in accordance with the surgeons instruction, which will give the best exposure for the surgical procedure. Uses standard and specialized equipment to aid in patient positioning. * Provides the surgeon(s) with appropriate visualization of the operative site using retractors, sponges, digital manipulation, and other techniques according to standards. Utilizes appropriate techniques to assist surgeon with temporary or permanent hemostasis. * Utilizes appropriate techniques to assist with closure of body planes (e.g., sutures, staples, other). Selects and applies appropriate wound dressings. * Assist Anesthesia with intubation, extubation, blocks and other requests as deemed necessary for care of the patient. * Assists with patient transport to and from OR, including from gurney to OR bed. * Must perform other duties as assigned. * The union and the company are currently investigation the bargaining unit status of this position. If it is determined that this is a bargaining unit position, bargaining unit status (seniority dates, dues payments etc.) will be applied on a retroactive basis based on the employment commencement date.
    $57k-72k yearly est. 6d ago

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