EmploymentCrossing Jobs

Associate Director - Network Engineering ( remote / work at home eligible ) - USA-RI-Newport

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-RI-Newport

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-RI-Newport

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-RI-Newport

Mon, 26 Jun 2023 00:00:00 CDT

Senior Compliance & Regulatory Professional - USA-RI-Newport

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-RI-Newport

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Newport Rhode Island Description The Medical Director relies on medical background and reviews health claims. The Medical Director work as...

M&A Integration Technology Lead - USA-RI-Newport

Tue, 11 Jul 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 ...

Senior Corporate Attorney - USA-RI-Providence

Thu, 19 Sep 2024 00:00:00 CDT

Providence office of a ******* Top Ranked Law Firm seeks a senior corporate attorney with 8 years of continuous, specific, and verifiable corporate experience. The candidate will have the ability ...

Assistant Sales Trainee Manager - USA-MA-North Dartmouth

Wed, 11 Jan 2023 00:00:00 CST

Assistant Sales Trainee Manager - ( 230000MV ) Description WELCOME TO SHERWIN-WILLIAMS Here, we believe there’s not one path to success, we believe in careers that grow with you. Whoever you...

Leadership Development - Senior Talent Management Professional - USA-RI-Newport

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...

Procurement Analytics Lead - USA-RI-Newport

Thu, 20 Apr 2023 00:00:00 CDT

Description The Lead Analyst - Procurement Center of Excellence is responsible for Analytics & Insights in the organization, Project Management on key initiatives, and management of ad hoc leadership...

Medical Director - Behavioral Health - Tricare - USA-RI-Newport

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-RI-Newport

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-RI-Newport

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-RI-Newport

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-RI-Newport

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-RI-Newport

Sun, 21 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-RI-Newport

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-RI-Newport

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 ...

Associate Attorney needed for Providence office - USA-RI-Providence

Sat, 10 Aug 2024 00:00:00 CDT

A law firm in Providence, RI, is seeking a dedicated and skilled Associate Attorney with a strong background in estate planning, elder law, probate/trust administration, and/or corporate commercial...