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...

Medical Director - Part Time - USA-GA-Atlanta

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...

Medical Director - Work at Home - USA-GA-Atlanta

Wed, 30 Aug 2023 00:00:00 CDT

Senior Pre-Authorization Nurse - USA-GA-Atlanta

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...

Clinical Manager-Dialysis - USA-GA-Lawrenceville

Sun, 07 May 2023 00:00:00 CDT

PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirement...

Associate Director, Accreditation - USA-GA-Atlanta

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...

Associate VP, Digital Experience - Shopping, Enrollment, Self-Service - USA-GA-Atlanta

Sat, 13 May 2023 00:00:00 CDT

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health a...

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...

Pharmacy Technician - USA-GA-Roswell

Fri, 19 May 2023 00:00:00 CDT

Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're helping peo...

RN Clinical Coordinator-PerOp-General Surgery - USA-GA-Austell

Sat, 20 May 2023 00:00:00 CDT

Overview\nMake a difference in patients\u2019 lives\u2026 and your own!\nMonday-Friday 6:45AM-3:30PM\n \nHow would you like to work in a place where your contributions and ideas are valued? A place wh...

Student Dietitian Clinical Placement - USA-GA-Suwanee

Fri, 26 May 2023 00:00:00 CDT

PURPOSE AND SCOPE:The student intern supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS ...

Pharmacy Technician - USA-GA-Powder Springs

Fri, 26 May 2023 00:00:00 CDT

Co Responder Licensed Clinician - USA-GA-Atlanta

Tue, 30 May 2023 00:00:00 CDT

Co-Responder Licensed Clinician We are looking to fill the position of Co-responder Licensed Clinician. The Co-responder Clinician will work in close partnership with EMTs, responding to calls invol...

Associate VP, Digital Experience - Self-Service - USA-GA-Atlanta

Tue, 30 May 2023 00:00:00 CDT

Remote Systems Clinical Pharmacist - USA-GA-Atlanta

Sat, 03 Jun 2023 00:00:00 CDT

Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical ...

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...

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 ...

Home Therapy Patient Care Technician - HT Dialysis PCT - USA-GA-Hiram

Mon, 05 Jun 2023 00:00:00 CDT

PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with o...

Clinical Manager HT II - USA-GA-Atlanta

Mon, 19 Jun 2023 00:00:00 CDT

PURPOSE AND SCOPE:Responsible for the day-to-day program operations and supporting the growth of the assigned single site Home Therapies program in coordination with the Business Unit management, in-c...

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 ...