EmploymentCrossing Jobs

Staff Utilization Management Pharmacist - Work at Home - Contract Position - USA-DE-Dover

Mon, 26 Jun 2023 00:00:00 CDT

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

Claims Process & Policy Professional 2 - USA-DE-Dover

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...

Staff Utilization Management Pharmacist (Contract Position) - USA-DE-Dover

Mon, 26 Jun 2023 00:00:00 CDT

M&A Integration Technology Lead - USA-DE-Dover

Tue, 29 Aug 2023 00:00:00 CDT

Description The M&A IT integration leader will provide strategic guidance with regards to IT integration efforts to Humana's corporate development team and integration management office (IMO) on all ...

Associate Director, Software Engineering - USA-DE-Wilmington

Sat, 22 Apr 2023 00:00:00 CDT

Description Are you a change agent that wants to work in a scaled agile organization? Do you have an agile mindset and are interested in modern technology and delivery methods to drive speed to custo...

Medical Director - Behavioral Health - Tricare - USA-DE-Dover

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...

Lead Java Developer - Software Engineer - USA-DE-Dover

Thu, 20 Apr 2023 00:00:00 CDT

Description We are looking for talented Lead Java Developer who loves building and pioneering in technology space. Team player who enjoys solving complex problems in fast paced, collaborative and ite...

Behavioral Health Medical Director - Tricare - USA-DE-Dover

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...

Innovation Design Advisor - USA-DE-Dover

Mon, 11 Sep 2023 00:00:00 CDT

Description Would you like the opportunity to bring human care to healthcare? To design business models and solutions that solve some of the most complex challenges facing our federal healthcare syst...

Senior Process Improvement Professional - USA-DE-Wilmington

Fri, 23 Jun 2023 00:00:00 CDT

Description The Provider Process Team is a process organization residing within the Consumer and Provider Service Organization. Provider Process's mission is to develop, operationalize, and train bus...

Provider Engagement Principal - USA-DE-Wilmington

Sat, 13 May 2023 00:00:00 CDT

Description Deliver a simplified Dental Provider Experience by driving digital and technology solutions forward in a cross collaborative and influential manner Identify the solutions and structure ne...

Provider Engagement Principal - USA-DE-Dover

Sat, 13 May 2023 00:00:00 CDT

Value Based Programs Strategy Lead - USA-DE-Dover

Thu, 01 Jun 2023 00:00:00 CDT

Description The Value-Based Programs Strategy Lead supports the creation of complex value-based programs. The Value-Based Programs Lead provides strategic advice and guidance to functional team(s) re...

Pharmacy Contracting Executive - USA-DE-Dover

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...

Associate Director Contract Strategy, Portfolio Contract Strategy - Military Veterans - USA-DE-Wilmington

Sun, 28 May 2023 00:00:00 CDT

At ******* , we turn ideas into life changing medicines. Working here means being entrepreneurial, thinking big and partnering with colleagues and customers to make the seemingly impossible a reali...

Information Technology Portfolio Management - Financial - USA-DE-Dover

Tue, 30 May 2023 00:00:00 CDT

Description The Finance Management Professional is a key business support function for the Humana IT Team. This role serves as a strategic finance partner for the Infrastructure and Operations group ...

Senior IT Compliance Professional - USA-DE-Wilmington

Tue, 30 May 2023 00:00:00 CDT

Description The Senior IT Compliance Professional audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and...

CONTRACT ANALYST - BUSINESS SERVICES - USA-DE-Lewes

Thu, 01 Jun 2023 00:00:00 CDT

Summary: The Contract Management Analyst is responsible for preparing financial and risk analysis for payer contract management and contract negotiations. Designs models and performs ad hoc ...

Business Support Coordinator 1 - Medical Records - USA-DE-Dover

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/M&A/Securities/Finance Transactional Attorney - USA-DE-Wilmington

Tue, 17 Sep 2024 00:00:00 CDT

A law firm in Wilmington, DE, is seeking an experienced Corporate/M&A/Securities/Finance Transactional Attorney to join their esteemed practice. This role is ideal for a seasoned attorney with ...