EmploymentCrossing Jobs

Associate Director - Network Engineering ( remote / work at home eligible ) - USA-ME-Portland

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...

Finance Professional 2 - IT - USA-ME-Portland

Fri, 14 Jul 2023 00:00:00 CDT

Description Responsibilities The Finance Professional 2 collects, compiles, verifies, and analyzes financial information and economic indicators so that senior management has accurate and timely inf...

Staff Utilization Management Pharmacist - Work at Home - Contract Position - USA-ME-Portland

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-ME-Portland

Mon, 26 Jun 2023 00:00:00 CDT

Medical Director - Florida Medicaid - USA-ME-Portland

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Portland Maine Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignme...

Provider Contracting Executive - National Transplant Network - USA-ME-Portland

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Provider Contracting Executive - National Transplant Network in Portland Maine Description The Provider Contracting Executive initiates, negotiates, and executes physician, hosp...

M&A Integration Technology Lead - USA-ME-Portland

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 ...

Compliance Lead - Remote - USA-ME-Portland

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Compliance Lead - Remote in Portland Maine Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse sc...

Claims Research and Resolution Professional 2 - USA-ME-Portland

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-ME-Portland

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-ME-Portland

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-ME-Portland

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-ME-Portland

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-ME-Portland

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 Compliance Professional - Medicaid - USA-ME-Portland

Sat, 13 May 2023 00:00:00 CDT

Job Information Humana Senior Compliance Professional - Medicaid in Portland Maine Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Complian...

Provider Engagement Principal - USA-ME-Portland

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-ME-Portland

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-ME-Portland

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-ME-Portland

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 ...

Entry-Level Attorney needed for Hampden office - USA-ME-Hampden

Fri, 03 May 2024 00:00:00 CDT

A law firm is seeking an Entry-Level Attorney to join their team in Hampden, ME. Here's the detailed job description:

Job Overview:

The Entry-Level Attorney will be responsible fo...