EmploymentCrossing Jobs

Associate Director - Network Engineering ( remote / work at home eligible ) - USA-MI-Troy

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-MI-Troy

Sun, 27 Aug 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-MI-Troy

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-MI-Troy

Mon, 26 Jun 2023 00:00:00 CDT

Medical Director - Florida Medicaid - USA-MI-Troy

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Troy Michigan Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignmen...

Compliance Lead - Remote - USA-MI-Troy

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Compliance Lead - Remote in Troy Michigan Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse sco...

Provider Contracting Executive - National Transplant Network - USA-MI-Troy

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Provider Contracting Executive - National Transplant Network in Troy Michigan Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospi...

M&A Integration Technology Lead - USA-MI-Troy

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 ...

Medical Director-KY Medicaid - USA-MI-Troy

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-MI-Troy

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-MI-Troy

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-MI-Troy

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...

Procurement Analytics Lead - USA-MI-Troy

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...

Behavioral Health Medical Director - Tricare - USA-MI-Troy

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-MI-Troy

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-MI-Troy

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-MI-Troy

Thu, 01 Jun 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-MI-Troy

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-MI-Troy

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 ...

Attorney needed for Troy office - USA-MI-Troy

Fri, 31 May 2024 00:00:00 CDT

Job Overview:

A law firm is seeking a dedicated Attorney to join their team in Troy, MI. The successful candidate will provide legal counsel and representation to clients, ensuring the high...