EmploymentCrossing 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...

Director, Group Provider Strategy - North - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Description The Director, Group Provider Strategy partners with the assigned Employer Group Market Presidents within the Region on the Employer Group provider strategy, provider performance and healt...

Director, Group Provider Strategy - South - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Director, Group Market Operations - South - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Description The Director, Group Market Operations partners with the assigned Group Market Presidents on cost of care and profitable growth management, risk management and operations. The Market Opera...

AVP Business Technology Solution Implementation - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Description The AVP, Business Technology Solutions Implementation will oversees various system programs of a highly complex nature to deliver new technological solutions to meet business needs within...

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...

Director, Group Market Operations - North - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Medical Director - Work at Home - USA-MO-Springfield

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-MO-Springfield

Fri, 04 Aug 2023 00:00:00 CDT

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

Associate Director, Provider Data Interoperability - USA-MO-Springfield

Fri, 25 Aug 2023 00:00:00 CDT

Job Information Humana Associate Director, Provider Data Interoperability in Springfield Missouri Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficien...

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

Fri, 23 Jun 2023 00:00:00 CDT

Ortho Pediatrics

Associate Director, Accreditation - USA-MO-Springfield

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...

Director of Data Science - USA-MO-Springfield

Wed, 24 May 2023 00:00:00 CDT

Description The Director, Data Science uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Direct...

CenterWell Pharmacy Tech Manager - USA-MO-Springfield

Tue, 30 May 2023 00:00:00 CDT

Description Looking for an opportunity to help provide easy access and necessary care for our senior population and broader community through technology innovation? CenterWell pharmacy focuses on pro...

Contingent Labor Category Lead - USA-MO-Springfield

Tue, 30 May 2023 00:00:00 CDT

Description The Contingent Labor Category Lead generates and implements efficient sourcing and category management strategies for non-clinical Contingent Labor and Recruiting Services across the ente...

Clinical Product Technology Senior Product Manager - USA-MO-Springfield

Sat, 03 Jun 2023 00:00:00 CDT

Description The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager works on problems of diverse scope and complexity ranging fr...

Remote Systems Clinical Pharmacist - USA-MO-Springfield

Sat, 03 Jun 2023 00:00:00 CDT

Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical ...

Clinical Data Product Manager - USA-MO-Springfield

Sun, 18 Jun 2023 00:00:00 CDT

Description We are seeking a talented and experienced Senior Product Manager to lead the development of our innovative clinical data products, focusing on data-driven clinical insights using the late...

Nurse Practitioner or Physician Assistant - Primary Care Float - Nixa - USA-MO-Nixa

Thu, 15 Jun 2023 00:00:00 CDT

Float Pool