HealthcareCrossing Jobs

Outpatient Registered Nurse - RN - USA-NY-Mineola

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000ERIAvailable Openings 2 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses....

Commercial Medical Director - Work At Home - USA-CT-Bridgeport

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...

Associate VP, Technology Solutions, Pharmacy - USA-CT-Bridgeport

Mon, 19 Jun 2023 00:00:00 CDT

Job Information Humana Associate VP, Technology Solutions, Pharmacy in Bridgeport Connecticut Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with t...

Health Information Management Professional - USA-CT-Bridgeport

Sat, 22 Apr 2023 00:00:00 CDT

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require ...

Stars Improvement Professional - USA-CT-Bridgeport

Thu, 20 Apr 2023 00:00:00 CDT

Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direc...

Medical Coding Coordinator - USA-CT-Bridgeport

Sat, 22 Apr 2023 00:00:00 CDT

Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 r...

Grievances and Appeals Medical Director - Weekends Required - USA-CT-Bridgeport

Thu, 20 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...

Telephonic Behavioral Health Care Manager - USA-CT-Bridgeport

Thu, 04 May 2023 00:00:00 CDT

Job Information Humana Telephonic Behavioral Health Care Manager in Bridgeport Connecticut Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' ...

Pre-Post Op RN - USA-NY-New York City

Mon, 01 May 2023 00:00:00 CDT

POSITION FEATURES:Immediate Openings at Azura Vascular in Manhattan!Our outpatient surgical center performs vascular-access procedures, PAD, and embolization and care for ESRD patients.We work only da...

AVP, Stars and Risk Adjustment National Medical Director - USA-CT-Bridgeport

Mon, 01 May 2023 00:00:00 CDT

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

Dialysis Registered Nurse - Roslyn (Evenings) - USA-NY-Garden City

Sun, 07 May 2023 00:00:00 CDT

PURPOSE AND SCOPE:The Inpatient RN provides direct patient care in accordance to company policies and procedures which includes FMCNA compliance programs and contracted hospitals’ policies and procedu...

Dialysis Registered Nurse- Port Jefferson - USA-NY-Garden City

Sun, 07 May 2023 00:00:00 CDT

Data Engineer Marketing Platforms - USA-CT-Bridgeport

Sat, 13 May 2023 00:00:00 CDT

Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we...

Associate VP, Digital Experience - Shopping, Enrollment, Self-Service - USA-CT-Bridgeport

Thu, 18 May 2023 00:00:00 CDT

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health a...

Bilingual Manager, Learning Facilitation - USA-CT-Bridgeport

Thu, 18 May 2023 00:00:00 CDT

Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST s...

Regional Healthcare Program Operations Manager - USA-NJ-Rochelle Park

Fri, 19 May 2023 00:00:00 CDT

113 W Essex St,Maywood,New Jersey,07607,United States of America Regional Home Manager As a Regional Home Manager, you will be responsible for sustaining and growing our home dialysis programs - p...

Associate VP, Digital Experience - Self-Service - USA-CT-Bridgeport

Tue, 30 May 2023 00:00:00 CDT

Bilingual Quality Auditor - USA-CT-Bridgeport

Thu, 01 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Bridgeport Connecticut Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medica...

Surgical Coordinator - USA-NY-Ardsley

Fri, 02 Jun 2023 00:00:00 CDT

Job Summary: Performs various clerical duties for practice manager and/or supervisor, clinical team, or physicians including: answering telephones, taking messages for providers, scheduling surgical ...

Registered Nurse IV - Quality Manager - USA-NY-Northport

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n Basic Requirements:\n

United States Citizenship: