HealthcareCrossing Jobs

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-MD-Bethesda

Sun, 10 Sep 2023 00:00:00 CDT

Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinat...

Commercial Medical Director - Work At Home - USA-MD-Bethesda

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...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Business Support Coordinator 1 - Medical Records - USA-MD-Bethesda

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 ...

Actuary, Analytics/Forecasting, Individual Dental and Vision - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Description The Actuary, Analytics/Forecasting will develop the financial forecast for the dental and vision benefits included within Humana's growing Medicare Advantage business, as well as pricing ...

Enterprise Clinical Operating Model (ECOM) Intern - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Description The Intern - General 2 performs duties in field of study or profession. The Intern - General 2 performs varied activities and moderately complex administrative/operational/customer suppor...

Associate Director, Problem, Incident and Event Management - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platfor...

Optician (Full-Time), Downtown Crown (New Store Opening Fall 2021) - USA-MD-Gaithersburg

Mon, 26 Jun 2023 00:00:00 CDT

******* is searching for skilled and enthusiastic Opticians to join our growing team of in-house optical all-stars and play an integral part in what we’re all about—helping people see! In this rol...

Apprentice Optician, Downtown Crown (New Store Opening Fall 2021) - USA-MD-Gaithersburg

Mon, 26 Jun 2023 00:00:00 CDT

******* is searching for skilled and enthusiastic Apprentice Optician to join our growing team of in-house optical all-stars and play an integral part in what we’re all about—helping people see! I...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Corporate Strategist - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future...

Corporate Strategist - USA-VA-Arlington

Mon, 26 Jun 2023 00:00:00 CDT

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

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...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-MD-Bethesda

Sun, 13 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Bethesda Maryland Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to su...

Associate VP, Technology Solutions, Pharmacy - USA-MD-Bethesda

Thu, 06 Jul 2023 00:00:00 CDT

Job Information Humana Associate VP, Technology Solutions, Pharmacy in Bethesda Maryland Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with the bu...

Direct Support Professional - USA-MD-Gaithersburg

Mon, 03 Jun 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Gaithersburg, MD

Location: Gaithersburg, MD

Department: Jubilee Association of Maryland

Type: Part Time

Min...

Direct Support Professional - USA-MD-Rockville

Fri, 03 May 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Silver Spring, MD

Location: Silver Spring, MD

Department: Jubilee Association of Maryland

Type: Part-Time

M...

Senior Pre-Authorization Nurse - USA-MD-Bethesda

Mon, 11 Sep 2023 00:00:00 CDT

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to t...

RN, Utilization Management - Behavioral Health - USA-MD-Bethesda

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Director, National Medicaid Care Management Strategy and Practice - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. T...