HealthcareCrossing Jobs

Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-AR-Rogers

Mon, 04 Sep 2023 00:00:00 CDT

Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior S...

SeniorBridge Home Care Scheduler/Referral Coordinator-Work at home nationwide - USA-AR-Rogers

Sun, 10 Sep 2023 00:00:00 CDT

Description The Referral Coordinator 2 schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office. The Referral Coordi...

Director, National Medicaid Care Management Strategy and Practice - USA-AR-Rogers

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...

Care Management Support Specialist - USA-AR-Rogers

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...

Director, Pharmacy Clinical Trend and Pipeline - USA-AR-Rogers

Thu, 18 Aug 2022 00:00:00 CDT

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Rogers Arkansas Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary t...

Medical Director - Florida Medicaid - USA-AR-Rogers

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Rogers Arkansas Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignm...

Senior Clinical Pharmacy Advisor, Clinical Program Innovation - USA-AR-Rogers

Fri, 07 Apr 2023 00:00:00 CDT

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

UM Administration Coordinator 2 - Behavioral Health UM - Remote, US - USA-AR-Rogers

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...

Clinical Application Trainer, Pharmacist Or Nurse - USA-AR-Rogers

Thu, 01 Sep 2022 00:00:00 CDT

Description The Clinical Applications Trainer (aka Senior Technology Sales Professional) promotes and sells a portfolio of technical products and/or services and solutions directly to current and new...

Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME - USA-AR-Rogers

Thu, 01 Sep 2022 00:00:00 CDT

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

Supervisor, Care Management Support-Remote, US - USA-AR-Rogers

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 - Home Health - USA-AR-Rogers

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-AR-Rogers

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...

GoHealth Advanced Practitioner - Northwest AR - Full-Time - USA-AR-Rogers

Tue, 25 Oct 2022 00:00:00 CDT

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GoHealth Advanced Practitioner - Northwest AR - PerDiem - USA-AR-Rogers

Thu, 10 Nov 2022 00:00:00 CST

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Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-AR-Rogers

Mon, 05 Dec 2022 00:00:00 CST

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

Cardiology Advanced Practitioner - Mercy Clinic Cardiology Springdale - USA-AR-Rogers

Wed, 01 Feb 2023 00:00:00 CST

Cardiology Advanced Practitioner Opportunity in Springdale, AR!

Grievances and Appeals Medical Director - Nationwide - USA-AR-Rogers

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...

Grievances and Appeals Medical Director - Weekends Required - USA-AR-Rogers

Thu, 20 Apr 2023 00:00:00 CDT

Associate Director, Pharmacy Trend - USA-AR-Rogers

Tue, 13 Jun 2023 00:00:00 CDT

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understand...