HealthcareCrossing Jobs

Utilization Management Nurse 2 - Weekends (Work at Home KY) - USA-KY-Louisville

Wed, 23 Aug 2023 00:00:00 CDT

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-KY-Louisville

Tue, 15 Aug 2023 00:00:00 CDT

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

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT

Commercial Medical Director - Work At Home - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

OmniCare Clinical Care Product Management Lead - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT

Description The Lead Product Manager Conceives of, develops, delivers, and manages products for customer use. The Lead Product Manager works on problems of diverse scope and complexity ranging from m...

Director, National Medicaid Care Management Strategy and Practice - USA-KY-Louisville

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...

Associate Director, Problem, Incident and Event Management - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT

Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platfor...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT

Corporate Strategist - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-KY-Louisville

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Louisville Kentucky Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to ...

Associate VP, Technology Solutions, Pharmacy - USA-KY-Louisville

Thu, 06 Jul 2023 00:00:00 CDT

Job Information Humana Associate VP, Technology Solutions, Pharmacy in Louisville Kentucky Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with the ...

Senior Pre-Authorization Nurse - USA-KY-Louisville

Mon, 11 Sep 2023 00:00:00 CDT

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to t...

Physician Strategy Sr. Professional - USA-KY-Louisville

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana is seeking a Physician Strategy Sr. Professional to join our growing team. The Physician Strategy professional will be responsible for setting and implementing strategy for interna...

Associate Director, Accreditation - USA-KY-Louisville

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accred...

Assistant Professor - Term - Exercise Science - R101470 - USA-KY-Louisville

Fri, 23 Jun 2023 00:00:00 CDT

Department:

*******

Location: Belknap Campus

Time Type:

Full time

Worker Type:

Regular Term (Fixed Term)

Job Req ID:...

Clinical Assistant Professor of Higher Education - R101533 - USA-KY-Louisville

Fri, 23 Jun 2023 00:00:00 CDT
Department:

*******

Location: Belknap Campus

Time Type:

Full time

Worker Type:

Regular Term (Fixed Term)

Job Req ID:...

Business Support Coordinator 1 - Medical Records - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT
Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for ...

Enterprise Clinical Operating Model (ECOM) Intern - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT
Description The Intern - General 2 performs duties in field of study or profession. The Intern - General 2 performs varied activities and moderately complex administrative/operational/customer suppor...

Actuary, Analytics/Forecasting, Individual Dental and Vision - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT
Description The Actuary, Analytics/Forecasting will develop the financial forecast for the dental and vision benefits included within Humana's growing Medicare Advantage business, as well as pricing ...

Nurse Paralegal - USA-KY-Louisville

Thu, 28 Dec 2023 00:00:00 CST
Provides consultation, research, and investigation of medical records Provides medical record chronology, summary, and/or analysis Researches medical literature for cases Provides anatomy and pathophy...