EmploymentCrossing Jobs

Associate Director - Network Engineering ( remote / work at home eligible ) - USA-LA-Metairie

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-LA-Metairie

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-LA-Metairie

Mon, 26 Jun 2023 00:00:00 CDT

M&A Integration Technology Lead - USA-LA-Metairie

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 ...

Medicaid Quality Audit Professional 2 - Behavior Health - USA-LA-New Orleans

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA doc...

Medicaid Quality Audit Professional 2 - Behavior Health - USA-LA-Metairie

Sat, 22 Apr 2023 00:00:00 CDT

Procurement Analytics Lead - USA-LA-Metairie

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-LA-Metairie

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-LA-Metairie

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...

Manager, Provider Relations - Medicaid Behavioral Health - USA-LA-Metairie

Fri, 28 Apr 2023 00:00:00 CDT

Description The Provider Relations Manager - Behavioral Health (BH) oversees, leads, and supports a team of associates that grow positive, long-term relationships with contracted BH providers in orde...

Innovation Design Advisor - USA-LA-Metairie

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-LA-New Orleans

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-LA-Metairie

Thu, 18 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-LA-Metairie

Thu, 18 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-LA-Metairie

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...

Rotating Equipment Engineer - Logistics - USA-LA-Norco

Wed, 24 May 2023 00:00:00 CDT

Job Information Shell Rotating Equipment Engineer - Logistics in Norco Louisiana Louisiana, United States of America Job Family Group: Discipline Engineering Worker Type: Regular Posting Start Date: M...

Information Technology Portfolio Management - Financial - USA-LA-Metairie

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-LA-New Orleans

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...

Business Support Coordinator 1 - Medical Records - USA-LA-Metairie

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 ...

Litigation Attorney - USA-LA-New Orleans

Thu, 13 Jun 2024 00:00:00 CDT

A law firm in New Orleans is seeking a Litigation Attorney with 10+ years of experience, particularly in renewables, to counsel clients on various renewables projects. The ideal candidate should ha...