HealthcareCrossing Jobs

Commercial Medical Director - Work At Home - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

Consumer Engagement Professional 2 - (GA Heath and Life licenses, Travel 50%) Metro Atlanta, GA - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Job Information Humana Consumer Engagement Professional 2 - (GA Heath and Life licenses, Travel 50%) Metro Atlanta, GA in Atlanta Georgia Description The Consumer Engagement Professional 2 oversees th...

Claims Process & Policy Professional 2 - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated repor...

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-GA-Atlanta

Sun, 13 Aug 2023 00:00:00 CDT

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Medical Director - Claims Management - USA-GA-Atlanta

Thu, 20 Apr 2023 00:00:00 CDT

Broker Relationship Executive - USA-GA-Atlanta

Thu, 20 Apr 2023 00:00:00 CDT

Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability...

Bilingual Medicaid Inbound Call Center Rep - USA-GA-Atlanta

Thu, 04 May 2023 00:00:00 CDT

Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Med...

Medical Director - Behavioral Health - Tricare - USA-GA-Atlanta

Thu, 20 Apr 2023 00:00:00 CDT

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situa...

Grievances and Appeals Medical Director - Weekends Required - USA-GA-Atlanta

Thu, 20 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

Medical Director - South Central - USA-GA-Atlanta

Thu, 20 Apr 2023 00:00:00 CDT

Behavioral Health Medical Director - Tricare - USA-GA-Atlanta

Thu, 04 May 2023 00:00:00 CDT

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately comple...

Bilingual Manager, Learning Facilitation - USA-GA-Atlanta

Mon, 15 May 2023 00:00:00 CDT

Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST s...

Customer Service Representative - USA-GA-Atlanta

Sun, 21 May 2023 00:00:00 CDT

Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional experiences to our member...

Clinical Educator - USA-GA-Marietta

Sat, 03 Jun 2023 00:00:00 CDT

PURPOSE AND SCOPE:Supports the training and education of employees based in company facilities and programs within an assigned geographical area. Delivers standardized, competency based, training and ...

Bilingual Quality Auditor - USA-GA-Atlanta

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Atlanta Georgia Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Serv...

Epidemiologist/Health Services Research- Faculty Position - USA-GA-Atlanta

Fri, 02 Jun 2023 00:00:00 CDT

The Emory University School of Medicine, Department of Gynecology and Obstetrics, is recruiting a full-time Epidemiologist/Health Services Researcher. The position will hold a rank of Assistant Profes...

Nurse Manager - USA-GA-Decatur

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n Applicants pending the completion of educational or certification/licensure requirements ...

Healthcare Representative - Cobb County, GA - 2173496 - USA-GA-Austell

Mon, 05 Jun 2023 00:00:00 CDT

Job Code 2173496 Opportunities at Change Healthcare , part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities...

Business Support Coordinator 1 - Medical Records - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for ...

Healthcare Litigation (Government Investigations) / Associate / Atlanta - USA-GA-Atlanta

Sat, 24 Jun 2023 00:00:00 CDT

Atlanta Polsinelli has one of the largest health care practices in the U.S. with 23 offices and is currently seeking a health care litigation associate to join our national health care and government ...