HealthcareCrossing Jobs

Lead Quality Technology Leader - Healthcare Services & Group (Remote) - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new challenges and ...

Supervisor, Care Management Support-Remote, US - USA-OH-Cincinnati

Fri, 30 Sep 2022 00:00:00 CDT

Description The Supervisor, Care Management Support contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements...

Medical Director - Ohio Medicaid - Work from Home - USA-OH-Cincinnati

Mon, 03 Oct 2022 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 situ...

Medical Director - Home Health - USA-OH-Cincinnati

Wed, 05 Oct 2022 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpre...

Market Research Lead (Remote) - USA-OH-Cincinnati

Fri, 07 Oct 2022 00:00:00 CDT

Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that w...

Medical Director - Mid West Region - USA-OH-Cincinnati

Mon, 24 Oct 2022 00:00:00 CDT

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-OH-Cincinnati

Mon, 05 Dec 2022 00:00:00 CST

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

Grievances and Appeals Medical Director - Nationwide - USA-OH-Cincinnati

Fri, 14 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-OH-Cincinnati

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-OH-Cincinnati

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-OH-Cincinnati

Thu, 20 Apr 2023 00:00:00 CDT

Behavioral Health Medical Director - Tricare - USA-OH-Cincinnati

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...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid (MUST LIVE IN OHIO: WORK AT HOME/SOME TRAVEL) - USA-OH-Milford

Sat, 13 May 2023 00:00:00 CDT

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance ...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid (MUST LIVE IN OHIO: WORK AT HOME/SOME TRAVEL) - USA-OH-Moraine

Thu, 18 May 2023 00:00:00 CDT

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid (MUST LIVE IN OHIO: WORK AT HOME/SOME TRAVEL) - USA-OH-Springdale

Thu, 18 May 2023 00:00:00 CDT

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid (MUST LIVE IN OHIO: WORK AT HOME/SOME TRAVEL) - USA-OH-Dayton

Sat, 13 May 2023 00:00:00 CDT

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid (MUST LIVE IN OHIO: WORK AT HOME/SOME TRAVEL) - USA-OH-Cincinnati

Fri, 19 May 2023 00:00:00 CDT

Pre-Authorization Nursing Supervisor - USA-OH-Cincinnati

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...

Occupational Health Nurse Or Senior Occupational Health Nurse - Cincinnati, OH - Military Veterans - USA-OH-Cincinnati

Sun, 28 May 2023 00:00:00 CDT

\u003cb\u003e More than a career - a chance to make a difference in people's lives. \u003c/b\u003e\u003cbr\u003e\u003cbr\u003eBuild an exciting, rewarding career with us - help us make a difference fo...

Registered Nurse - Informaticist - USA-OH-Cincinnati

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n Applicants pending the completion of educational or certification/licensure requirements ...