HealthcareCrossing Jobs

Inside Sales SWAT Executive - USA-CT-Bridgeport

Mon, 26 Jun 2023 00:00:00 CDT

Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assig...

Associate Director, Problem, Incident and Event Management - USA-CT-Bridgeport

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...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-CT-Bridgeport

Sun, 13 Aug 2023 00:00:00 CDT

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

Medical Coding Coordinator - USA-CT-Bridgeport

Sat, 22 Apr 2023 00:00:00 CDT

Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 r...

Director of the Pediatric Residency Program - USA-CT-Fairfield

Sat, 22 Apr 2023 00:00:00 CDT

Director of the Pediatric Residency Program Category: Academics Subscribe: Department: College of Health Professions [CHP] Locations: Fairfield, CT Posted: Apr 19, 2023 Closes: Apr 21, 2023 - 11:59 PM...

Telephonic Behavioral Health Care Manager - USA-CT-Bridgeport

Thu, 04 May 2023 00:00:00 CDT

Job Information Humana Telephonic Behavioral Health Care Manager in Bridgeport Connecticut Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' ...

Call Center Pharmacy Claims Technician - USA-CT-Bridgeport

Fri, 28 Apr 2023 00:00:00 CDT

Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. This position is for Enclara Pharmacia, a ...

Senior Pre-Authorization Nurse - USA-CT-Bridgeport

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...

Associate Director, Accreditation - USA-CT-Bridgeport

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...

Data Engineer Marketing Platforms - USA-CT-Bridgeport

Sat, 13 May 2023 00:00:00 CDT

Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we...

Pre-Authorization Nursing Supervisor - USA-CT-Bridgeport

Sat, 13 May 2023 00:00:00 CDT

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward reques...

Director, Pharmacy Clinical Pipeline - USA-CT-Bridgeport

Thu, 18 May 2023 00:00:00 CDT

Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position w...

Bilingual Manager, Learning Facilitation - USA-CT-Bridgeport

Thu, 18 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-CT-Bridgeport

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...

Sleep Lab Sales Manager - USA-CT-New Haven

Sat, 27 May 2023 00:00:00 CDT

Do you love working in retail and motivating a talented commissioned Bedding sales team? Well working in our growing, stable company that is built on family values is the place for you. Attracting an...

Bilingual Quality Auditor - USA-CT-Bridgeport

Thu, 01 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Bridgeport Connecticut Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medica...

Registered Nurse IV - Quality Manager - USA-NY-Northport

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n Basic Requirements:\n

United States Citizenship:

Senior Sales Enablement Product Marketer - USA-CT-Bridgeport

Sun, 18 Jun 2023 00:00:00 CDT
Job Information Humana Senior Sales Enablement Product Marketer in Bridgeport Connecticut Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Mark...

Senior Innovation Portfolio Strategy Professional - USA-CT-Bridgeport

Tue, 13 Jun 2023 00:00:00 CDT
Job Information Humana Senior Innovation Portfolio Strategy Professional in Bridgeport Connecticut Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideat...

Business Support Coordinator 1 - Medical Records - USA-CT-Bridgeport

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 ...