HealthcareCrossing Jobs

Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-MO-Springfield

Mon, 04 Sep 2023 00:00:00 CDT

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

Commercial Medical Director - Work At Home - USA-MO-Springfield

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...

Senior Provider Contracting Professional - WAH OK, AR, KS, MO, NE - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides heal...

Associate Director, Problem, Incident and Event Management - USA-MO-Springfield

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...

RN Case Manager - Telephonic Nurse 2 - Complex Case Management Program (Remote) - USA-MO-Springfield

Fri, 07 Apr 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding mem...

Senior Communications and Marketing Professional - USA-MO-Springfield

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Human...

Associate Director Technology Solutions - Medicaid - USA-MO-Springfield

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ...

Inpatient Medical Coding Auditor - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patie...

Medical Director - Claims Management - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - South Central - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

Senior Utilization Management Behavioral Health Professional - USA-MO-Springfield

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-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Springfield Missouri Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Pr...

Associate VP, Behavioral Strategy - USA-MO-Springfield

Thu, 20 Apr 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...

DoD SkillBridge, Military Spouse, Care Management, Registered Nurse - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

Description The Intern - Care Manager, Registered Nurse, RN performs varied activities moderately complex administrative/operational/member support and semi-routine assignments to support the busines...

RN, Utilization Management - Behavioral Health - USA-MO-Springfield

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Physician Assistant III - Ortho Pediatrics - Springfield - USA-MO-Ozark

Fri, 23 Jun 2023 00:00:00 CDT

Ortho Pediatrics

Remote Systems Clinical Pharmacist - USA-MO-Springfield

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 ...

Data and Reporting Professional II - USA-MO-Springfield

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...

Senior Copy Writer - USA-MO-Springfield

Sun, 18 Jun 2023 00:00:00 CDT

Job Information Humana Senior Copy Writer in Springfield Missouri Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, a creative c...

Nurse Practitioner or Physician Assistant - Primary Care Float - Nixa - USA-MO-Nixa

Thu, 15 Jun 2023 00:00:00 CDT

Float Pool