5 Medical Director And Reviewer Positions jobs in Denver.

Hiring now: Rn Medical Policy Review @ Elevance H, Sr Medical Dir @ Pinnacol A, Pain Management Spec @ Independen.Explore more at jobswithgpt.com.

🔥 Skills

utilization review (3) clinical operations (2) medical research (1) Oncology Solution (1) medical claim issues (1) Medicare policy (1) coding changes (1) NCCN (1) medical review policies (1) complex claims review (1)

đź“Ť Locations

Denver (5)
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Elevance Health

RN Medical Policy Review Analyst (Utilization Review / Oncology) Denver
Skills & Focus: medical research, utilization review, Oncology Solution, medical claim issues, Medicare policy, coding changes, NCCN, medical review policies, complex claims review, internal physician liaison
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. They are a Fortune 25 company with a longstan…
Experience: Requires a BA/BS degree and a minimum of 2 years related experience including clinical experience.
Salary: $70,000 to $115,500
Benefits: comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution
Medical Director Denver
Skills & Focus: clinical consultation, healthcare quality, cost-effectiveness, medical policy, program management, clinical operations, peer-to-peer reviews, innovation, utilization management, regulatory compliance
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 10 years of clinical experience
Salary: $250,236 to $393,228
Type: Hybrid
Benefits: comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution

Pinnacol Assurance

Senior Medical Director Denver
Skills & Focus: managed care, utilization review, workers' compensation, clinical programs, data-driven insights, network quality, continuous improvement, stakeholder management, provider relations, accreditation standards
About the Company: Pinnacol Assurance provides caring workers’ compensation protection to Colorado employers and employees, celebrating continuous improvement, innovation, and co…
Experience: Minimum of five years of clinical experience with at least two years in a supervisor or Medical Director position.
Benefits: Diverse benefit offerings for medical, dental and vision; positive collaborative work environment; commitment to divers…

Elevance Health

Behavioral Health Medical Director- Child Psychiatrist Denver
Skills & Focus: medical necessity reviews, peer-to-peer clinical reviews, utilization review, clinical knowledge, health care quality, medical policies, patient office visits, Board Certified, clinical operations, innovation opportunities
About the Company: Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstandi…
Experience: Minimum of 10 years of clinical experience
Salary: $250,236 to $428,976
Type: Hybrid
Benefits: Comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution

Independent Medical Examinations

Pain Management Specialist Denver
Skills & Focus: Pain Management, Independent Medical Examinations, Medical Records, Physical Exams, Clinical Questions, IME Reports, Board Certification, Analytical Skills, Communication Abilities, In-Person Evaluations
Experience: Previous experience in performing IMEs is a plus but not required.
Type: Contract
Benefits: Flexible scheduling, competitive rates, organized documentation.