EmploymentCrossing Jobs

Associate Director - Network Engineering ( remote / work at home eligible ) - USA-NV-Las Vegas

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...

Staff Utilization Management Pharmacist - Work at Home - Contract Position - USA-NV-Las Vegas

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...

Staff Utilization Management Pharmacist (Contract Position) - USA-NV-Las Vegas

Mon, 26 Jun 2023 00:00:00 CDT

Senior Compliance & Regulatory Professional - USA-NV-Las Vegas

Thu, 23 Mar 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...

Medical Director - Florida Medicaid - USA-NV-Las Vegas

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Las Vegas Nevada Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assign...

Director, Digital Transformation and Implementation - USA-NV-Las Vegas

Sun, 16 Apr 2023 00:00:00 CDT

Job Information Humana Director, Digital Transformation and Implementation in Las Vegas Nevada Description The purpose of the Director, Technology Solutions Implementation is to lead the Business Syst...

M&A Integration Technology Lead - USA-NV-Las Vegas

Mon, 07 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 ...

Medical Director-KY Medicaid - USA-NV-Las Vegas

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...

Leadership Development - Senior Talent Management Professional - USA-NV-Las Vegas

Mon, 17 Apr 2023 00:00:00 CDT

Description The Talent Management Senior develops, implements, and evaluates employee development plans and programs to support organizational needs in a combination of disciplines such as management...

Lead Java Developer - Software Engineer - USA-NV-Las Vegas

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...

Medical Director - Behavioral Health - Tricare - USA-NV-Las Vegas

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-NV-Las Vegas

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-NV-Las Vegas

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...

Provider Engagement Principal - USA-NV-Las Vegas

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...

Value Based Programs Strategy Lead - USA-NV-Las Vegas

Sat, 13 May 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-NV-Las Vegas

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...

Information Technology Portfolio Management - Financial - USA-NV-Las Vegas

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 ...

Business Support Coordinator 1 - Medical Records - USA-NV-Las Vegas

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 ...

Senior Health Care Regulatory Associate Attorney - USA-NV-Las Vegas

Thu, 20 Jun 2024 00:00:00 CDT

A law firm in Las Vegas is seeking a Senior Health Care Regulatory Associate Attorney with 3+ years of experience in health care regulatory matters. The ideal candidate will have experience represe...

Transactional Attorney - USA-NV-Las Vegas

Tue, 28 May 2024 00:00:00 CDT

A law firm in Las Vegas, NV, is seeking an experienced Transactional Attorney to join their team. The ideal candidate will be responsible for assisting in non-court and transactional matters, inclu...