HealthcareCrossing Jobs

Medical Director - Central Region - USA-KY-Louisville

Thu, 18 Aug 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...

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...

Regional Medical Director - CenterWell - Louisville - USA-KY-Louisville

Fri, 07 Apr 2023 00:00:00 CDT

Description CenterWell Senior Primary Care, a subsidiary of ******* , is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana...

Behavioral Health Medical Director - TRICARE - USA-KY-Louisville

Wed, 13 Jul 2022 00:00:00 CDT

Description The Medical Director is a leadership position that leverages medical expertise, understanding of the TRICARE business, and managed care to support and lead on both clinical programs as we...

Healthcare Sales Representative - Home Health - USA-KY-Danville

Sun, 17 Jul 2022 00:00:00 CDT

Job Information Kindred at Home Healthcare Sales Representative - Home Health in Danville Kentucky As a Home Health Specialist , you will: Call on physicians, hospitals, skilled nursing facilities’ m...

Senior Provider Contracting Professional - TRICARE Behavioral Health - USA-KY-Louisville

Wed, 07 Sep 2022 00:00:00 CDT

Job Information Humana Senior Provider Contracting Professional - TRICARE Behavioral Health in Louisville Kentucky Description Responsibilities The position will provide corporate support to the Direc...

Medical Director - Home Health - USA-KY-Louisville

Mon, 03 Oct 2022 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpre...

Care Manager, Telephonic Nurse Assistant 3 - USA-KY-Louisville

Mon, 24 Oct 2022 00:00:00 CDT

Description The Care Manager, Telephonic Nurse Assistant 3, in a telephonic environment, assess and evaluates beneficiary needs and requirements to achieve and/or maintain an optimal wellness state b...

Coordinator - General Internal Medicine (Job Id: 44704) - USA-KY-Louisville

Sat, 12 Nov 2022 00:00:00 CST

Job ID: 44704

Location: undefined

Minimum Qualifications

Master's degree in a related field and two years of related experience. Experience may be used on a one-to...

Supervisor, Care Management Support - USA-KY-Louisville

Mon, 12 Dec 2022 00:00:00 CST

Job Information Humana Supervisor, Care Management Support in Louisville Kentucky Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-cli...

Director Behavorial Sciences and Psych (Interim) - USA-KY-Prestonsburg

Wed, 14 Dec 2022 00:00:00 CST

Overview\nThe Director, Behavioral Sciences and Psychiatry Services is responsible for directing the various components of the division of Behavioral Science in an efficient manner which will meet the...

Grievances and Appeals Medical Director - Nationwide - USA-KY-Louisville

Mon, 17 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

Medical Director - Behavioral Health - Tricare - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

Claims Research & Resolution Professional - USA-KY-Bowling Green

Thu, 04 May 2023 00:00:00 CDT

Description The Claims Research & Resolution Professional 2 works with enterprise shares team comprised of calls/claims/contracting and external provider associates researching the resolution to a pe...

Claims Research & Resolution Professional - USA-KY-Hopkinsville

Thu, 04 May 2023 00:00:00 CDT

Claims Research & Resolution Professional - USA-KY-Paducah

Thu, 04 May 2023 00:00:00 CDT

Claims Research & Resolution Professional - USA-KY-Owensboro

Thu, 04 May 2023 00:00:00 CDT

Claims Research & Resolution Professional - USA-KY-Mayfield

Thu, 04 May 2023 00:00:00 CDT

Medical Director - Kentucky Medicaid - USA-KY-Louisville

Tue, 13 Jun 2023 00:00:00 CDT

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...