HealthcareCrossing Jobs

Lead Quality Technology Leader - Healthcare Services & Group (Remote) - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new challenges and ...

Director, National Medicaid Care Management Strategy and Practice - USA-OH-Cincinnati

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...

Medical Director - Part Time - USA-OH-Cincinnati

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-OH-Cincinnati

Wed, 30 Aug 2023 00:00:00 CDT

Medical Director - Florida Medicaid - USA-OH-Cincinnati

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Cincinnati Ohio 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-OH-Cincinnati

Fri, 07 Apr 2023 00:00:00 CDT

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

Health Fitness Specialist - USA-KY-Covington

Wed, 15 Feb 2023 00:00:00 CST

Job Location Covington, KY -3602 - Covington, KY Position Type Full Time Salary Range $37,000.00 - $38,000.00 Salary/year There's a spot on our team waiting for you! Become a Team Leader at Corporate ...

Grievances and Appeals Medical Director - Nationwide - USA-OH-Cincinnati

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...

RN Care Manager - Remote, nationwide - USA-OH-Cincinnati

Sat, 22 Apr 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies an...

Medical Director - Behavioral Health - Tricare - USA-OH-Cincinnati

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-OH-Cincinnati

Thu, 20 Apr 2023 00:00:00 CDT

Behavioral Health Medical Director - Tricare - USA-OH-Cincinnati

Thu, 04 May 2023 00:00:00 CDT

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately comple...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid (MUST LIVE IN OHIO: WORK AT HOME/SOME TRAVEL) - USA-OH-Milford

Sat, 13 May 2023 00:00:00 CDT

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance ...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid (MUST LIVE IN OHIO: WORK AT HOME/SOME TRAVEL) - USA-OH-Springdale

Thu, 18 May 2023 00:00:00 CDT

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid (MUST LIVE IN OHIO: WORK AT HOME/SOME TRAVEL) - USA-OH-Norwood

Sat, 27 May 2023 00:00:00 CDT

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid (MUST LIVE IN OHIO: WORK AT HOME/SOME TRAVEL) - USA-OH-Cincinnati

Fri, 19 May 2023 00:00:00 CDT

Pre-Authorization Nursing Supervisor - USA-OH-Cincinnati

Sat, 13 May 2023 00:00:00 CDT

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward reques...

Occupational Health Nurse Or Senior Occupational Health Nurse - Cincinnati, OH - Military Veterans - USA-OH-Cincinnati

Sun, 28 May 2023 00:00:00 CDT

\u003cb\u003e More than a career - a chance to make a difference in people's lives. \u003c/b\u003e\u003cbr\u003e\u003cbr\u003eBuild an exciting, rewarding career with us - help us make a difference fo...

Registered Nurse - Informaticist - USA-OH-Cincinnati

Mon, 05 Jun 2023 00:00:00 CDT

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

Registered Nurse- Care Manager FLOAT Team - USA-KY-Bellevue

Mon, 05 Jun 2023 00:00:00 CDT

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