HealthcareCrossing Jobs

RN Manager - Utilization Management Nursing - Southeast Region - USA-NV-Las Vegas

Tue, 29 Jun 2021 00:00:00 CDT

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration...

Vendor Quality Medical Director - USA-NV-Las Vegas

Fri, 24 Sep 2021 00:00:00 CDT

Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical ve...

Pharmacy Technician Certified - USA-NV-North Las Vegas

Tue, 28 Sep 2021 00:00:00 CDT

Company Name: Smith's Food and Drug Position Type: Employee FLSA Status: Non-Exempt Position Summary: Create an outstanding customer experience through exceptional service. Establis...

UM Medical Director - Conviva - USA-NV-Las Vegas

Sat, 19 Feb 2022 00:00:00 CST

Job Information Humana UM Medical Director - Conviva in Las Vegas Nevada Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments ...

General Laboratory Services Manager INTERNAL ONLY - USA-NV-Las Vegas

Sun, 20 Feb 2022 00:00:00 CST

Job Description Position Summary EMPLOYER PAID PENSION PLAN OF 29.75% OF YOUR ANNUAL SALARY! GENEROUS BENEFITS PACKAGE! **OPEN TO CURRENT UMC EMPLOYEES ONLY** This position is considered AT-WILL and w...

Senior Quality Program Delivery Professional (Medicaid) - Remote, US - USA-NV-Las Vegas

Sun, 20 Feb 2022 00:00:00 CST

Job Information Humana Senior Quality Program Delivery Professional (Medicaid) - Remote, US in Las Vegas Nevada Description Humana Healthy Horizons is seeking a Senior Quality Program Delivery Profess...

Utilization Management Medical Director-NV - USA-NV-Las Vegas

Mon, 21 Feb 2022 00:00:00 CST

Job Description:

******* is a system of 24 hospitals, a broad range of clinics and services,160 clinics, a Medical Group of 2,400 employed physicians and advanced practitioners,...

Associate Director, Site Reliability Engineering - USA-NV-Las Vegas

Wed, 23 Feb 2022 00:00:00 CST

Job Information Humana Associate Director, Site Reliability Engineering in Las Vegas Nevada Description The Associate Director, Site Reliability Engineering maintains, integrates and implements softwa...

Quality Improvement Program Lead (National Medicaid Quality) - USA-NV-Las Vegas

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Las Vegas Nevada Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be re...

HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US - USA-NV-Las Vegas

Fri, 04 Mar 2022 00:00:00 CST

Job Information Humana HCS Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, US in Las Vegas Nevada Description The Risk Management Professional 2 identifies and a...

Enclara Clinical Liaison, Remote USA - USA-NV-Las Vegas

Sun, 19 Jun 2022 00:00:00 CDT

Description This position is for Enclara Pharmacia, a Humana company. Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's larg...

Medical Records Retrieval Specialist NV - USA-NV-Las Vegas

Mon, 04 Jul 2022 00:00:00 CDT

Description The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Cent...

Manager, Medicare Risk Adjustment - Remote - USA-NV-Las Vegas

Thu, 28 Jul 2022 00:00:00 CDT

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medi...

RN Clinical Manager Home Health Full Time - USA-NV-Las Vegas

Mon, 05 Sep 2022 00:00:00 CDT

Job Information Centerwell RN Clinical Manager Home Health Full Time in Las Vegas Nevada The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel....

Manager Software Engineering (Remote US) - USA-NV-Las Vegas

Mon, 12 Sep 2022 00:00:00 CDT

Description The Manager, Software Engineering codes software applications based on business requirements. The Manager, Software Engineering works within specific guidelines and procedures; applies ad...

Technical Product Manager - Remote - USA-NV-Las Vegas

Fri, 30 Sep 2022 00:00:00 CDT

Job Information Humana Technical Product Manager - Remote in Las Vegas Nevada Description The Senior Product Management Professional/Technical Product Manager (TPM) must be able to lead, plan and trac...

AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership - USA-NV-Las Vegas

Sun, 18 Dec 2022 00:00:00 CST

Job Information Humana AVP, MD, Stars and Risk Adjustment Clinical Strategy and Leadership in Las Vegas Nevada Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking...

AVP, Stars and Risk Adjustment National Medical Director - USA-NV-Las Vegas

Mon, 01 May 2023 00:00:00 CDT

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Las Vegas Nevada Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a talented...

Manager Risk Adjustment Coding Education - USA-NV-Las Vegas

Thu, 11 May 2023 00:00:00 CDT

Description Manages a team of coding educators and reports to Risk Adjustment Director. Responsible for implementing operational and clinical best practices in the risk adjustment methodology, unders...

Chief Nursing Officer CNO - USA-NV-Las Vegas

Tue, 30 May 2023 00:00:00 CDT

Develops and implements standard of care relevant to patient services and personnel. Supervises all nursing personnel who deliver direct patient services. Coordinates all patient services. Retains ...