HealthcareCrossing Jobs

Teacher's Aid - USA-NJ-North Brunswick

Wed, 19 May 2021 00:00:00 CDT

The Delta-T Group is a nationwide source for interim staffing referrals and workforce solutions within the K12 education, social service, and behavioral health, substance abuse, and disability fields....

Hospital Coding Auditor (IP/OP) - Remote - USA-NJ-Ridgewood

Tue, 28 Sep 2021 00:00:00 CDT

Hospital Coding Auditor (IP/OP) - Remote Location : US Type : Full-Time Salary : $19.00 - $23.00 / Hourly / DOE This is a full-time position that will be based from your home office, reporting to ...

Nurse Auditor 2 - Remote - USA-NJ-Jersey City

Sun, 17 Oct 2021 00:00:00 CDT

Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone who has a great attentio...

Lead Associate, Administrative Services - USA-NJ-Kenilworth

Mon, 21 Feb 2022 00:00:00 CST

Job Description\n\nAttention NJ Applicants: In April 2020, our Company announced plans to consolidate our New Jersey campuses into a single New Jersey headquarters location in Rahway, NJ by 2023. Ther...

Safety Data Management Specialist - USA-NJ-Peapack

Wed, 02 Mar 2022 00:00:00 CST

Why Patients Need You

Pfizer Worldwide Medical and Safety colleagues play a key role in connecting evidenced based, medical decision support with colleagues and stakeholders to enable better ...

FP&A Lead, Medicaid Market - USA-NJ-Jersey City

Wed, 06 Apr 2022 00:00:00 CDT

Job Information Humana FP&A Lead, Medicaid Market in Jersey City New Jersey Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over th...

Sr Provider Installation Professional - Remote Nationwide - USA-NJ-Jersey City

Thu, 12 May 2022 00:00:00 CDT

Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influ...

Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) - USA-NJ-Jersey City

Sat, 09 Jul 2022 00:00:00 CDT

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Jersey City New Jersey Description The Supervisor, Pre-Authorization Nursing will be managing...

Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME - USA-NJ-Jersey City

Mon, 05 Sep 2022 00:00:00 CDT

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Jersey City New Jersey Description Humana is looking for an experienced Senior Healthcare Investigator to join its i...

UM Administration Coordinator 2 - Behavioral Health UM - Remote, US - USA-NJ-Jersey City

Sun, 28 Aug 2022 00:00:00 CDT

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administ...

Enrollment Specialist (iCare) - Remote, US - USA-NJ-Jersey City

Mon, 05 Sep 2022 00:00:00 CDT

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and...

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-NJ-Jersey City

Mon, 05 Dec 2022 00:00:00 CST

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Jersey City New Jersey Description Humana is looking for an experienced Healthcare Investigator to join its i...

Grievances and Appeals Medical Director - Nationwide - USA-NJ-Jersey City

Sat, 22 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...

RN Care Manager - Remote, nationwide - USA-NJ-Jersey City

Sat, 22 Apr 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies an...

Medical Director - Behavioral Health - Tricare - USA-NJ-Jersey City

Thu, 20 Apr 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...

Behavioral Health Medical Director - Tricare - USA-NJ-Jersey City

Thu, 04 May 2023 00:00:00 CDT

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately comple...

Pre-Authorization Nursing Supervisor - USA-NJ-Jersey City

Sat, 13 May 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...