HealthcareCrossing Jobs

SeniorBridge Home Care Scheduler/Referral Coordinator-Work at home nationwide - USA-ME-Portland

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...

Inside Sales SWAT Executive - USA-ME-Portland

Mon, 26 Jun 2023 00:00:00 CDT

Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assig...

Commercial Medical Director - Work At Home - USA-ME-Portland

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...

Director, National Medicaid Care Management Strategy and Practice - USA-ME-Portland

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-ME-Portland

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...

Medical Director - Part Time - USA-ME-Portland

Mon, 26 Jun 2023 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 situa...

Medical Director - Work at Home - USA-ME-Portland

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-ME-Portland

Sun, 13 Aug 2023 00:00:00 CDT

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

Associate VP, Technology Solutions, Pharmacy - USA-ME-Portland

Thu, 06 Jul 2023 00:00:00 CDT

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

Senior Pre-Authorization Nurse - USA-ME-Portland

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...

Associate Director, Accreditation - USA-ME-Portland

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...

Bilingual Quality Auditor - USA-ME-Portland

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Portland Maine Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Servi...

Marketing and Admissions Director - USA-ME-Scarborough

Thu, 01 Jun 2023 00:00:00 CDT

Job Information ******* Marketing and Admissions Director in Scarborough Maine Looking for a change in careers. A great opportunity to work with a great team. This may be the position for you. Ben...

Clinical Physician Assistant - Mental Health - Rumford CBOC - USA-ME-Rumford

Mon, 05 Jun 2023 00:00:00 CDT

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

Business Office Manager - USA-ME-Orono

Sat, 10 Jun 2023 00:00:00 CDT

Genesis is a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. Why Genesis? We improve the lives we t...

Business Office Manager - USA-ME-Camden

Sun, 18 Jun 2023 00:00:00 CDT

Senior Sales Enablement Product Marketer - USA-ME-Portland

Sun, 18 Jun 2023 00:00:00 CDT

Job Information Humana Senior Sales Enablement Product Marketer in Portland Maine Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Marketer who...

Regional Medical Director of Anesthesia * 85K SIGN ON BONUS* - USA-ME-Portland

Mon, 12 Jun 2023 00:00:00 CDT

An incredible opportunity presents itself for an Anesthesiologist in this beautiful marine town in Coastal Maine. We are searching for an Anesthesiologist to join our compassionate care team. As the M...

Senior Innovation Portfolio Strategy Professional - USA-ME-Portland

Tue, 13 Jun 2023 00:00:00 CDT

Job Information Humana Senior Innovation Portfolio Strategy Professional in Portland Maine Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and ...

Business Support Coordinator 1 - Medical Records - USA-ME-Portland

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 ...