HealthcareCrossing Jobs

Director, Pharmacy Clinical Trend and Pipeline - USA-OR-Salem

Thu, 18 Aug 2022 00:00:00 CDT

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Salem Oregon Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary team...

Medical Director - Central Region - USA-OR-Salem

Thu, 18 Aug 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...

Care Management Support Specialist - USA-OR-Salem

Thu, 18 Aug 2022 00:00:00 CDT

Description Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requ...

Medical Director - Florida Medicaid - USA-OR-Salem

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Salem Oregon Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignment...

Senior Clinical Pharmacy Advisor, Clinical Program Innovation - USA-OR-Salem

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Salem Oregon Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad exp...

UM Administration Coordinator 2 - Behavioral Health UM - Remote, US - USA-OR-Salem

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...

Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME - USA-OR-Salem

Mon, 05 Sep 2022 00:00:00 CDT

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Salem Oregon Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry le...

Medical Records Specialist - USA-NC-Winston Salem

Fri, 02 Sep 2022 00:00:00 CDT

Job Information Centerwell Medical Records Specialist in Winston Salem North Carolina The primary function of the Medical Records Specialist is to provide clerical support for the Medical Records dep...

Enrollment Specialist (iCare) - Remote, US - USA-OR-Salem

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...

Director, Pharmacy Clinical Formulary and Medical Drug Strategies - USA-OR-Salem

Fri, 23 Sep 2022 00:00:00 CDT

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commer...

Medical Director - Home Health - USA-OR-Salem

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-OR-Salem

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 - Pacific Region - USA-OR-Salem

Mon, 24 Oct 2022 00:00:00 CDT

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-OR-Salem

Mon, 05 Dec 2022 00:00:00 CST

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

Nurse Practitioner - Family Medicine - Salem, MO - USA-MO-Salem

Wed, 07 Dec 2022 00:00:00 CST

Family Medicine Advanced Practitioner Opportunity in Salem, MO!

Medical Director - Central West - USA-OR-Salem

Mon, 12 Dec 2022 00:00:00 CST

Grievances and Appeals Medical Director - Nationwide - USA-OR-Salem

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...

Grievances and Appeals Medical Director - Weekends Required - USA-OR-Salem

Thu, 20 Apr 2023 00:00:00 CDT

Wound Care Coordinator - RN - USA-WV-Salem

Sat, 27 May 2023 00:00:00 CDT

Genesis is one of the leading providers of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. We are changing how care is de...

Director, National Medicaid Care Management Strategy and Practice - USA-OR-Salem

Mon, 26 Jun 2023 00:00:00 CDT

Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. T...