EmploymentCrossing Jobs

Associate Director - Network Engineering ( remote / work at home eligible ) - USA-ND-Fargo

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-ND-Fargo

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-ND-Fargo

Mon, 26 Jun 2023 00:00:00 CDT

Medical Director - Florida Medicaid - USA-ND-Fargo

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Fargo North Dakota Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assi...

Compliance Lead - Remote - USA-ND-Fargo

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Compliance Lead - Remote in Fargo North Dakota Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of divers...

M&A Integration Technology Lead - USA-ND-Fargo

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 ...

Provider Contracting Executive - National Transplant Network - USA-ND-Fargo

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Provider Contracting Executive - National Transplant Network in Fargo North Dakota Description The Provider Contracting Executive initiates, negotiates, and executes physician, ...

Associate Vice President, Quality Improvement for Healthy Horizons - USA-ND-Fargo

Sun, 25 Dec 2022 00:00:00 CST

Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Fargo North Dakota Description As a company whose primary focus is on the well-being of its members, Humana...

Insurance Product Manager 2 - Medicaid - USA-ND-Fargo

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-ND-Fargo

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-ND-Fargo

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...

Leadership Development - Senior Talent Management Professional - USA-ND-Fargo

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...

Medical Director - Behavioral Health - Tricare - USA-ND-Fargo

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-ND-Fargo

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-ND-Fargo

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-ND-Fargo

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-ND-Fargo

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-ND-Fargo

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-ND-Fargo

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 ...

Associate Attorney needed for Fargo office - USA-ND-Fargo

Fri, 31 May 2024 00:00:00 CDT

A law firm is seeking an Associate Attorney to join its team in Fargo, ND. The Associate Attorney will primarily provide support in the Firm's litigation and business practice groups. Here'...