Lead Solutions Architect - Cloud (Remote) - USA-MO-Springfield

Fri, 15 Sep 2023 00:00:00 CDT

Description The Lead Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. The Lead Solutions Archi...

Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-MO-Springfield

Mon, 04 Sep 2023 00:00:00 CDT

Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior S...

SeniorBridge Home Care Scheduler/Referral Coordinator-Work at home nationwide - USA-MO-Springfield

Sun, 10 Sep 2023 00:00:00 CDT

Description The Referral Coordinator 2 schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office. The Referral Coordi...

Commercial Medical Director - Work At Home - USA-MO-Springfield

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...

Lead Quality Technology Leader - Healthcare Services & Group (Remote) - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new challenges and ...

Senior Provider Contracting Professional - WAH OK, AR, KS, MO, NE - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides heal...

Psych Advanced Practitioner 7on/7off Inpatient - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

We’re a Little Different

Actuary, Analytics/Forecasting, Individual Dental and Vision - USA-MO-Springfield

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 ...

Associate Director, Problem, Incident and Event Management - USA-MO-Springfield

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...

Medical Director - Part Time - USA-MO-Springfield

Mon, 26 Jun 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...

Corporate Strategist - USA-MO-Springfield

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...

Informaticist 2 - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Description The Informaticist 2 coordinates with other analytics, IT and business areas across the organization to ensure work is completed with insights from knowledge SMEs. The Informaticist 2 work...

Staff Utilization Management Pharmacist (Contract Position) - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. Th...

Medical Director - Work at Home - USA-MO-Springfield

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-MO-Springfield

Fri, 04 Aug 2023 00:00:00 CDT

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

Physician Strategy Sr. Professional - USA-MO-Springfield

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana is seeking a Physician Strategy Sr. Professional to join our growing team. The Physician Strategy professional will be responsible for setting and implementing strategy for interna...

Physician Assistant III - Ortho Pediatrics - Springfield - USA-MO-Ozark

Fri, 23 Jun 2023 00:00:00 CDT

Ortho Pediatrics

Associate Director, Accreditation - USA-MO-Springfield

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accred...

Business Support Coordinator 1 - Medical Records - USA-MO-Springfield

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 ...

Enterprise Clinical Operating Model (ECOM) Intern - USA-MO-Springfield

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...

HealthcareCrossing Jobs

Lead Solutions Architect - Cloud (Remote) - USA-MO-Springfield

Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-MO-Springfield

SeniorBridge Home Care Scheduler/Referral Coordinator-Work at home nationwide - USA-MO-Springfield

Commercial Medical Director - Work At Home - USA-MO-Springfield

Lead Quality Technology Leader - Healthcare Services & Group (Remote) - USA-MO-Springfield

Senior Provider Contracting Professional - WAH OK, AR, KS, MO, NE - USA-MO-Springfield

Psych Advanced Practitioner 7on/7off Inpatient - USA-MO-Springfield

Actuary, Analytics/Forecasting, Individual Dental and Vision - USA-MO-Springfield

Associate Director, Problem, Incident and Event Management - USA-MO-Springfield

Medical Director - Part Time - USA-MO-Springfield

Corporate Strategist - USA-MO-Springfield

Informaticist 2 - USA-MO-Springfield

Staff Utilization Management Pharmacist (Contract Position) - USA-MO-Springfield

Medical Director - Work at Home - USA-MO-Springfield

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-MO-Springfield

Physician Strategy Sr. Professional - USA-MO-Springfield

Physician Assistant III - Ortho Pediatrics - Springfield - USA-MO-Ozark

Associate Director, Accreditation - USA-MO-Springfield

Business Support Coordinator 1 - Medical Records - USA-MO-Springfield

Enterprise Clinical Operating Model (ECOM) Intern - USA-MO-Springfield