HealthcareCrossing Jobs

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...

Director, National Medicaid Care Management Strategy and Practice - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT

Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. T...

Associate Director, Problem, Incident and Event Management - USA-KY-Louisville

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...

Associate VP, Technology Solutions, Pharmacy - USA-KY-Louisville

Thu, 06 Jul 2023 00:00:00 CDT

Job Information Humana Associate VP, Technology Solutions, Pharmacy in Louisville Kentucky Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with the ...

Provider Services Advisor (Medicaid) - USA-IN-Clarksville

Thu, 04 May 2023 00:00:00 CDT

Description Humana Healthy Horizons in Indiana is seeking a Provider Services Advisor (Market Development Advisor) who will be responsible for the strategic and tactical support of the Provider Servi...

Provider Services Advisor (Medicaid) - USA-IN-Corydon

Thu, 04 May 2023 00:00:00 CDT

Provider Services Advisor (Medicaid) - USA-IN-Jeffersonville

Thu, 04 May 2023 00:00:00 CDT

Senior Pharmacy Clinical Advisor - PDP Pharmacy Stars - USA-KY-Louisville

Thu, 04 May 2023 00:00:00 CDT

Description The Senior Pharmacy Clinical Advisor is an integral part of the Pharmacy Stars team which is accountable for Humana's medication related Star measure performance. The Senior Pharmacy Clin...

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...

Enterprise Risk Management Lead-US-Remote - USA-KY-Louisville

Sun, 07 May 2023 00:00:00 CDT

Job Information Humana Enterprise Risk Management Lead-US-Remote in Louisville Kentucky Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Pro...

Senior Software Engineer .Net Backend - USA-KY-Louisville

Wed, 10 May 2023 00:00:00 CDT

Description As a Senior Software Engineer within Centerwell Clinical IT engineering team, you will develop applications which have a distinct positive impact upon members services utilization and cas...

Stars Improvement Nurse - USA-KY-Louisville

Sat, 13 May 2023 00:00:00 CDT

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

Senior Incentive Design Professional - USA-KY-Louisville

Sat, 13 May 2023 00:00:00 CDT

Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to compl...

Athletics Performance Analytics Coordinator (Sport Science Coordinator) - R101608 - USA-KY-Louisville

Thu, 18 May 2023 00:00:00 CDT

Department:

*******

Location: Belknap Campus

Time Type:

Full time

Worker Type:

Regular

Job Req ID: R101608

Principal, Healthcare Strategy - USA-KY-Louisville

Sun, 21 May 2023 00:00:00 CDT

Description Humana is a publicly traded, Fortune 50 healthcare company with a long history of successful innovation and reinvention. It has transformed itself from the largest US nursing home company...

Rx Clinical Programs Pharmacy Lead - Care Management - Pharmacy Integrated Program Strategies - USA-KY-Louisville

Tue, 30 May 2023 00:00:00 CDT

Description The Pharmacy Clinical Programs Pharmacist Lead will be a part of an interactive team with broad exposure and scope within Humana. This individual will develop and invest in both clinical ...

Remote Systems Clinical Pharmacist - USA-KY-Louisville

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 ...

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...

Senior Sales Enablement Product Marketer - USA-KY-Louisville

Tue, 20 Jun 2023 00:00:00 CDT

Job Information Humana Senior Sales Enablement Product Marketer in Louisville Kentucky Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Markete...

Associate Director, Pharmacy Trend - USA-KY-Louisville

Sun, 18 Jun 2023 00:00:00 CDT

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understand...