HealthcareCrossing Jobs

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

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-MO-Springfield

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...

Lead Quality Technology Leader - Healthcare Services & Group (Remote) - USA-MO-Springfield

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-MO-Springfield

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-MO-Springfield

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-MO-Springfield

Wed, 30 Aug 2023 00:00:00 CDT

Senior Clinical Pharmacy Advisor, Clinical Program Innovation - USA-MO-Springfield

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Springfield Missouri Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with b...

Nurse Practitioner III - Urology - Springfield - USA-MO-Springfield

Fri, 24 Mar 2023 00:00:00 CDT

Urology Advanced Practitioner Opportunity in Springfield, MO!<...

Nurse Practitioner - Family Medicine Scenic - Springfield - USA-MO-Springfield

Fri, 24 Mar 2023 00:00:00 CDT

Family Medicine

Nurse Practitioner or Physician Assistant - Inpatient Psychiatry - Springfield - USA-MO-Springfield

Mon, 27 Mar 2023 00:00:00 CDT

Psychiatry

Patient Svc Representative Springfield - USA-MO-Springfield

Sat, 01 Apr 2023 00:00:00 CDT

M-F, 8a-5p

Nurse Practitioner - Pediatrics - Springfield (PRN) - USA-MO-Springfield

Fri, 07 Apr 2023 00:00:00 CDT

Pediatrics

Supervisor, UM Administration (Central Region) - USA-MO-Springfield

Sat, 22 Apr 2023 00:00:00 CDT

Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; u...

Grievances and Appeals Medical Director - Nationwide - USA-MO-Springfield

Sat, 22 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...

Medical Director - Behavioral Health - Tricare - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

Behavioral Health Medical Director - Tricare - USA-MO-Springfield

Fri, 28 Apr 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...

Physician Assistant III - Ortho Pediatrics - Springfield - USA-MO-Ozark

Fri, 23 Jun 2023 00:00:00 CDT

Ortho Pediatrics

Nurse Practitioner Clinical Specialist - 7on/7off - Springfield - USA-MO-Springfield

Tue, 06 Jun 2023 00:00:00 CDT

Hospitalist Advanced Practitioner Opportunity in Springfield, MO!

Associate Director, Pharmacy Trend - USA-MO-Springfield

Sun, 18 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...