EmploymentCrossing Jobs

Senior Compliance Professional - Louisville, KY or Work at Home (Central and Eastern Time Zone) - USA-OH-Cincinnati

Fri, 15 Sep 2023 00:00:00 CDT

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues wher...

Associate Director - Network Engineering ( remote / work at home eligible ) - USA-OH-Cincinnati

Wed, 30 Aug 2023 00:00:00 CDT

Description The Associate Director, Network Engineering designs, analyzes, plans and modifies network components supporting customer communication implementation activities. The Associate Director, N...

Associate Director of IT Category/Procurement Management - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Associate Director of IT Category Management will lead the team of Category Managers to drive cost savings via a robust 7-step process, oversee negotiations, impleme...

Senior Market Development Professional - WAH - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The Senior Market Development Professional provides support to assigned health plan and/or specialty companies relative to Medicare/Medicaid/TRICARE product implementation, operations, co...

Medical Director - Florida Medicaid - USA-OH-Cincinnati

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Cincinnati Ohio Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignm...

Senior Compliance & Regulatory Professional - USA-OH-Cincinnati

Thu, 23 Mar 2023 00:00:00 CDT

Compliance Lead - Remote - USA-OH-Cincinnati

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Compliance Lead - Remote in Cincinnati Ohio Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse s...

Insurance Product Manager 2 - Medicaid - USA-OH-Cincinnati

Sun, 25 Dec 2022 00:00:00 CST

Description Responsibilities The Insurance Product Manager 2 will: Research each State's Medicaid rules, as it pertains to base benefits, expanded benefits, competitive analysis, etc. for intellig...

Medical Director-KY Medicaid - USA-OH-Cincinnati

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...

Claims Research and Resolution Professional 2 - USA-OH-Cincinnati

Sun, 01 Jan 2023 00:00:00 CST

Description The Claims Educator is responsible for ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of claims. The Claims Educator m...

Business Analyst - USA-OH-Cincinnati

Mon, 20 Mar 2023 00:00:00 CDT

Conducts process analysis and identify areas for improvement in existing business operations Design and implement process changes to improve efficiency and productivity Develop process maps, diagrams,...

Medical Director - Behavioral Health - Tricare - USA-OH-Cincinnati

Thu, 20 Apr 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...

Behavioral Health Medical Director - Tricare - USA-OH-Cincinnati

Thu, 04 May 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...

Pharmacy Contracting Executive - USA-OH-Cincinnati

Thu, 18 May 2023 00:00:00 CDT

Description The Pharmacy Contracting Executive leads a team responsible for contracting pharmacies and managing Humana's hospice pharmacy network on behalf of Enclara Pharmacia. The Pharmacy Contract...

Correspondence Representative 2 - USA-OH-Cincinnati

Tue, 30 May 2023 00:00:00 CDT

Description The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insuran...

Business Support Coordinator 1 - Medical Records - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for ...

Corporate Associate Attorney - USA-OH-Cincinnati

Tue, 30 Apr 2024 00:00:00 CDT

A law firm in Cincinnati, OH, is seeking a highly qualified Corporate Associate Attorney. The ideal candidate should have 3-5 years of business and transaction law experience, be licensed or soon-t...

Corporate Transactions And Securities Associate Attorney - USA-OH-Cincinnati

Tue, 11 Jun 2024 00:00:00 CDT

Job Overview: A law firm based in Cincinnati, OH, is seeking a highly qualified and experienced Corporate Transactions and Securities Associate Attorney to join their dynamic legal team. The ideal ...

Entrepreneurial Attorney - USA-OH-Cincinnati

Tue, 30 Apr 2024 00:00:00 CDT

Job Overview: A law firm in Cincinnati, OH, is seeking an Entrepreneurial Attorney to join their team. The ideal candidate will possess an active license to practice law in Ohio with no disciplinar...

Mid-level Labor and Employment Associate Attorney - USA-OH-Cincinnati

Tue, 11 Jun 2024 00:00:00 CDT

A law firm is seeking a Mid-level Labor and Employment Associate Attorney for their Cincinnati, OH office.

Job Overview:

The Mid-level Labor and Employment...