HealthcareCrossing Jobs

RN Homecare- Full Time - USA-OH-Grove City

Fri, 18 Aug 2023 00:00:00 CDT

About Us Contact Us Blog COVID-19 My office: Find Other Office I want to Explore Care Options Search Career Opportunities Hire Healthcare Professionals Pay My Bill Find a Location Contact Maxim Learn ...

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-OH-Cincinnati

Tue, 15 Aug 2023 00:00:00 CDT

Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinat...

Pharmacy Technician Dr. Call Phones ($500 bonus) Work at Home - USA-OH-Cincinnati

Thu, 07 Sep 2023 00:00:00 CDT

Description Bring your unique talents and perspectives to Humana and help us bring better healthcare solutions to our members. At Humana, you'll have the opportunity to interact with members, provide...

Sr. Clinical Strategy Consultant - Work at Home - USA-OH-Cincinnati

Sun, 13 Aug 2023 00:00:00 CDT

Description The Senior Clinical Business Professional assists in the development and stabilization strategy of all Care Management program activities in all existing, new and expansion markets. This ...

Licensed Optician (Full-Time), Short North - USA-OH-Columbus

Mon, 26 Jun 2023 00:00:00 CDT

******* is searching for skilled and enthusiastic Opticians to join our growing team of in-house optical all-stars and play an integral part in what we’re all about—helping people see! In this rol...

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 ...

Commercial Medical Director - Work At Home - USA-OH-Cincinnati

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...

Claims Process & Policy Professional 2 - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated repor...

Mail Operations Pharmacy Technician 2 Doctor Call Phones - USA-OH-Springdale

Mon, 26 Jun 2023 00:00:00 CDT

Description The Mail Operations Pharmacy Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Typically works on semi-routine assign...

Health Equity Director - Ohio - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The Health Equity Director is responsible for setting direction and establishing strategy to advance equitable health outcomes for our members in Ohio. To achieve this, the Health Equity ...

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...

Associate Director, Problem, Incident and Event Management - USA-OH-Cincinnati

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...

Corporate Strategist - USA-OH-Cincinnati

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...

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-OH-Cincinnati

Sun, 13 Aug 2023 00:00:00 CDT

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Medical Director - Work at Home - USA-OH-Cincinnati

Wed, 30 Aug 2023 00:00:00 CDT

Associate Director, Accreditation - USA-OH-Cincinnati

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...

RN, Utilization Management - Behavioral Health - USA-OH-Cincinnati

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...

Physician Strategy Sr. Professional - USA-OH-Cincinnati

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana is seeking a Physician Strategy Sr. Professional to join our growing team. The Physician Strategy professional will be responsible for setting and implementing strategy for interna...

Actuary, Analytics/Forecasting, Individual Dental and Vision - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The Actuary, Analytics/Forecasting will develop the financial forecast for the dental and vision benefits included within Humana's growing Medicare Advantage business, as well as pricing ...

Administrative Care Coordinator - USA-OH-Dublin

Wed, 20 Mar 2024 00:00:00 CDT

At The Winchester Institute, we invest in our employees and believe in nurturing our company culture. We know that in order to retain the best, we need to offer the best. We a...