EmploymentCrossing Jobs

Senior Database Engineer - Louisville, KY or Work at Home - USA-TN-Knoxville

Wed, 30 Aug 2023 00:00:00 CDT

Description The Senior Database Engineer leads important projects in design, development, implementation and management of databases. The Senior Database Engineer work assignments involve moderately ...

Senior Database Engineer - Louisville, KY or Work at Home - USA-TN-Brentwood

Mon, 04 Sep 2023 00:00:00 CDT

Lead Solutions Architect (Work at Home / Virtual Optional) - USA-TN-Brentwood

Mon, 04 Sep 2023 00:00:00 CDT

Description Are you interested in using your technology experience to make an impact at a fortune 100 company? Are you confident that you can quickly learn business processes and provide an industry ...

Database Engineer 2 (Remote Nationwide) - USA-TN-Brentwood

Sun, 10 Sep 2023 00:00:00 CDT

Description Are you interested in working with Big Data? Do you have Python programming experience? Have you worked on NLP projects in the past? If so, an exciting opportunity as a Data Engineer 2 wi...

Oncology Staff Utilization Management Pharmacist - Full time, Work at Home - USA-TN-Brentwood

Tue, 08 Aug 2023 00:00:00 CDT

Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authoriz...

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

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...

Senior Process Improvement Professional-Finance - USA-TN-Brentwood

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Senior Process Improvement Professional researches best business practices within and outside the organization to establish benchmark data. Collects and analyzes pro...

Senior Technology Leadership Professional - MACS (Work at Home Optional) - USA-TN-Brentwood

Mon, 26 Jun 2023 00:00:00 CDT

Description The Voice and Call Delivery team is looking for an individual who thrives working on a highly collaborative team where you still have autonomy to make decisions based on both technical an...

Medical Director - Part Time - USA-TN-Brentwood

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...

Senior Finance Professional - IT Financial Management - USA-TN-Brentwood

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The IT Finance Professional collects, compiles, verifies, and analyzes financial information and economic indicators so that senior management has accurate and timely in...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-TN-Brentwood

Mon, 26 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Salesforce Marketing Cloud Technology Leader - Work At Home Eligible - USA-TN-Brentwood

Wed, 30 Aug 2023 00:00:00 CDT

Description A Salesforce Marketing Cloud Technology Leader is in a strategic position within Humana. Leaders in this role provide thought leadership and oversight within the domain of establishing a ...

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

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-TN-Brentwood

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-TN-Brentwood

Sun, 13 Aug 2023 00:00:00 CDT

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

Technology Leader - Work At Home Eligible - USA-TN-Brentwood

Mon, 26 Jun 2023 00:00:00 CDT

Description This position establishes strategy, develops business plans, and oversees and leads in the design, development and implementation of technology solutions to meet business needs. Leaders i...

Senior Pre-Authorization Nurse - USA-TN-Brentwood

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...

Director, National Medicaid Care Management Strategy and Practice - USA-TN-Brentwood

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...

Managed Care Associate Attorney - USA-TN-Knoxville

Mon, 27 May 2024 00:00:00 CDT

A law firm in Knoxville is seeking a highly qualified Managed Care Associate Attorney with a background in managed care, specializing in provider contract and billing disputes, medical necessity, l...

Associate Attorney needed for Knoxville office - USA-TN-Knoxville

Sat, 13 Apr 2024 00:00:00 CDT

A law firm in Knoxville, TN, is currently seeking a qualified Associate Attorney with a focus on Workers' Compensation. The ideal candidate should be licensed to practice law in Tennessee and p...