HealthcareCrossing Jobs

SeniorBridge PCA/CNA - USA-VA-Richmond

Fri, 27 Nov 2020 00:00:00 CST

Description The Caregiver 1 (PCA/CNA) is a paraprofessional employee, trained to provide personal and related services in the home. She/he functions under the direct supervision of a Registered Nurse...

Hospital Coding Auditor (IP/OP) - Remote FT - USA-VA-Portsmouth

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-VA-Glen Allen

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...

Radiology Assistant-Full Time Days/Evenings - USA-VA-Fredericksburg

Sun, 20 Feb 2022 00:00:00 CST

Admin / Clerical (188) Advanced Practice Registered Nurses / Physician Assistants (339) Allied Health (3185) Executive (81) Operations (252) Physicians/Surgeons (1354) Quality/Risk Management (19) Typ...

Patient Care Coordinator - USA-VA-Sterling

Mon, 21 Feb 2022 00:00:00 CST

Patient Care Coordinator Job ID 2021-23547 Company Name The Jackson Clinics Overview The Jackson Clinics Physical Therapy is a nationally-recognized Orthopedic and Sports Medicine Physical Therapy gro...

Dermatology Senior Health & Science Specialist - DERM SHSS Roanoke, VA B1 - USA-VA-Roanoke

Sun, 27 Feb 2022 00:00:00 CST

ROLE SUMMARY
All over the world, Pfizer colleagues work together to positively impact health for everyone, everywhere. Our colleagues have the opportunity to grow and develop a career that off...

FP&A Lead, Medicaid Market - USA-VA-Glen Allen

Wed, 06 Apr 2022 00:00:00 CDT

Job Information Humana FP&A Lead, Medicaid Market in Glen Allen Virginia Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the S...

Sr Provider Installation Professional - Remote Nationwide - USA-VA-Glen Allen

Wed, 11 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...

Medical Record Retrieval Specialist - Remote VA (travel VA, MD, DE, DC) - USA-VA-Glen Allen

Sun, 05 Jun 2022 00:00:00 CDT

Description The Medical Record Retrieval Specialist (Risk Adjustment Representative) travels to provider offices within the region and scans medical records into a secure system. The records are revi...

Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) - USA-VA-Glen Allen

Sat, 09 Jul 2022 00:00:00 CDT

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Glen Allen Virginia Description The Supervisor, Pre-Authorization Nursing will be managing th...

UM Administration Coordinator 2 - Behavioral Health UM - Remote, US - USA-VA-Glen Allen

Sat, 27 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...

Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME - USA-VA-Glen Allen

Mon, 05 Sep 2022 00:00:00 CDT

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Glen Allen Virginia Description Humana is looking for an experienced Senior Healthcare Investigator to join its indu...

Enrollment Specialist (iCare) - Remote, US - USA-VA-Glen Allen

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...

Supervisor, UM Administration (Gulf South Region) - USA-VA-Glen Allen

Wed, 23 Nov 2022 00:00:00 CST

Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; u...

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-VA-Glen Allen

Mon, 05 Dec 2022 00:00:00 CST

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Glen Allen Virginia Description Humana is looking for an experienced Healthcare Investigator to join its indu...

Grievances and Appeals Medical Director - Nationwide - USA-VA-Glen Allen

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-VA-Glen Allen

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-VA-Glen Allen

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-VA-Glen Allen

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-VA-Glen Allen

Thu, 01 Jun 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...