HealthcareCrossing Jobs

Lead Solutions Architect - Cloud (Remote) - USA-KY-Louisville

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...

Director, Software Engineering (Platform Engineering AI/Machine Learning) - USA-KY-Louisville

Fri, 15 Sep 2023 00:00:00 CDT

Description The Director, Software Engineering codes software applications based on business requirements. The Director, Software Engineering requires an in-depth understanding of how organization ca...

Claims Process & Policy Professional 2 - USA-KY-Louisville

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...

Medical Director - Florida Medicaid - USA-KY-Louisville

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Louisville Kentucky Description The Medical Director relies on medical background and reviews health claims. The Medical Director work ass...

Associate Vice President, Business Intelligence - USA-KY-Louisville

Mon, 24 Oct 2022 00:00:00 CDT

Description The Associate VP, Business Intelligence solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Associate VP, ...

Medical Director - South East Region - USA-KY-Louisville

Wed, 02 Nov 2022 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 situ...

Senior Quality Improvement Professional - USA-KY-Louisville

Thu, 03 Nov 2022 00:00:00 CDT

Description The Senior Quality Improvement Professional will focus organizational efforts on improving South Carolina Medicaid clinical quality performance measures to achieve optimal performance and...

Medical Director-KY Medicaid - USA-KY-Louisville

Sun, 25 Dec 2022 00:00:00 CST

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Directo...

Director of Finance & Operations - HSC - USA-KY-Louisville

Thu, 09 Feb 2023 00:00:00 CST

Department:

*******

Location: Health Sciences Center

Time Type:

Full time

Worker Type:

Regular

Job Req ID: R1005...

Sr. Director, Business Affairs - R100886 - USA-KY-Louisville

Wed, 08 Mar 2023 00:00:00 CST

Department:

*******

Location: Health Sciences Center

Time Type:

Full time

Worker Type:

Regular

Job Req ID: R1008...

Senior Utilization Management Behavioral Health Professional - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

Description The Senior Utilization Management Behavioral Health Professional utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical s...

RN, Senior Stars Improvement, Clinical Professional - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Louisville Kentucky Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Pro...

Associate Director, Program Integrity - USA-KY-Louisville

Thu, 04 May 2023 00:00:00 CDT

Description Are you looking to join a team where you can be a part of our important mission of supporting the TRICARE healthcare program for our nation's military? Humana Government Business is a top...

Senior Pre-Authorization Nurse - USA-KY-Louisville

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...

HEDIS Senior Data Manager - USA-KY-Louisville

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana's Health Quality and Stars organization is seeking a HEDIS Senior Data Manager to deliver quality and value in a fast-paced, dynamic environment. The successful candidate will be s...

Pre-Authorization Nursing Supervisor - USA-KY-Louisville

Thu, 01 Jun 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...

Lead User Interface Designer - USA-KY-Louisville

Fri, 19 May 2023 00:00:00 CDT

Description The Lead User Interface Designer leads the team that designs web page layout and online content, user interface graphics, icons, color schemes, content and infrastructure for new product ...

Epic Inpatient ASAP Analyst - Remote - 2162270 - USA-KY-Louisville

Mon, 05 Jun 2023 00:00:00 CDT

Job Code 2162270 Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outc...

Medical Director - Kentucky Medicaid - USA-KY-Louisville

Tue, 13 Jun 2023 00:00:00 CDT

Data and Reporting Professional II - USA-KY-Louisville

Sun, 18 Jun 2023 00:00:00 CDT

Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scri...