HealthcareCrossing Jobs

Commercial Medical Director - Work At Home - USA-MO-Springfield

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...

Corporate Strategist - USA-MO-Springfield

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...

NP - vAcute Nights - USA-MO-Chesterfield

Thu, 23 Mar 2023 00:00:00 CDT

Mercy Virtual is seeking an experienced Nurse Practitioner o...

Medical Director - Florida Medicaid - USA-MO-Springfield

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Springfield Missouri Description The Medical Director relies on medical background and reviews health claims. The Medical Director work as...

Medical Director - Southeast Region - Work from Home - USA-MO-Springfield

Sat, 08 Oct 2022 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 situ...

Medical Director - Home Health - USA-MO-Springfield

Wed, 05 Oct 2022 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home health episodic and per diem requests. The Medical Director provides medical interpre...

Medical Director - Southeast Region - MUST WORK EVERY OTHER WEEKEND - USA-MO-Springfield

Sat, 08 Oct 2022 00:00:00 CDT

NP - vAcute PRN - USA-MO-Chesterfield

Tue, 18 Oct 2022 00:00:00 CDT

Mercy Virtual is seeking an experienced Nurse Practitioner o...

Medical Director - South East Region - USA-MO-Springfield

Wed, 02 Nov 2022 00:00:00 CDT

Director, Medicaid Strategic Solutions - USA-MO-Springfield

Wed, 02 Nov 2022 00:00:00 CDT

Job Information Humana Director, Medicaid Strategic Solutions in Springfield Missouri Description Humana Medicaid is seeking exceptional candidates to join our Medicaid Product Strategy & Optimization...

Behavioral Health Medical Director - USA-MO-Springfield

Fri, 23 Dec 2022 00:00:00 CST

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive cl...

Medical Director-KY Medicaid - USA-MO-Springfield

Sun, 25 Dec 2022 00:00:00 CST

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Directo...

Certified Registered Nurse Anesthetist CRNA or AA - Springfield Missouri - USA-MO-Springfield

Sat, 07 Jan 2023 00:00:00 CST

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 - Claims Management - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - South Central - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

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...

RN, Utilization Management - Behavioral Health - USA-MO-Springfield

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...