EmploymentCrossing Jobs

Commercial Medical Director - Work At Home - USA-KY-Louisville

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

Medical Director - Florida Medicaid - USA-KY-Louisville

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Louisville Kentucky Description The Medical Director relies on medical background and reviews health claims. The Medical Director work ass...

Ethics And Compliance Counsel - Emea - USA-KY-Prestonsburg

Sat, 03 Dec 2022 00:00:00 CST

Ethics and Compliance Counsel Duties: The candidate will carry out all ethics and compliance responsibilities that are delegated. Oversee and independently manages investigations of ethics matters. ...

Ethics And Compliance Counsel - Emea - USA-KY-Paducah

Sat, 03 Dec 2022 00:00:00 CST

Ethics And Compliance Counsel - Emea - USA-KY-Owensboro

Sat, 03 Dec 2022 00:00:00 CST

Ethics And Compliance Counsel - Emea - USA-KY-Louisville

Sat, 03 Dec 2022 00:00:00 CST

Ethics And Compliance Counsel - Emea - USA-KY-Louisville

Sat, 03 Dec 2022 00:00:00 CST

Accountant I (Job Id: 44934) - USA-KY-Louisville

Thu, 15 Dec 2022 00:00:00 CST

Job ID: 44934

Location: undefined

Minimum Qualifications

Bachelor's degree in Accounting, Finance or related field. Additional experience may be used on a one-to-...

Director Behavorial Sciences and Psych (Interim) - USA-KY-Prestonsburg

Wed, 14 Dec 2022 00:00:00 CST

Overview\nThe Director, Behavioral Sciences and Psychiatry Services is responsible for directing the various components of the division of Behavioral Science in an efficient manner which will meet the...

Behavioral Health Medical Director - USA-KY-Louisville

Fri, 23 Dec 2022 00:00:00 CST

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive cl...

Medical Director-KY Medicaid - USA-KY-Louisville

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...

Executive Director for Digital Transformation Center - R100683 - USA-KY-Louisville

Sat, 18 Mar 2023 00:00:00 CDT

Department:

*******

Location: Belknap Campus

Time Type:

Full time

Worker Type:

Regular

Job Req ID: R100683

Legal Administrative Assistant - USA-KY-Louisville

Fri, 14 Apr 2023 00:00:00 CDT

File and client management, formatting, proofreading and editing of documents, online filings, time entry, expense reimbursements, travel arrangements and other administrative support. We seek candida...

Associate Director of Compliance - Agent Investigation Unit - USA-KY-Louisville

Fri, 14 Apr 2023 00:00:00 CDT

Job Information Humana Associate Director of Compliance - Agent Investigation Unit in Louisville Kentucky Description The Associate Director, Compliance ensures compliance with governmental requiremen...

Grievances and Appeals Medical Director - Nationwide - USA-KY-Louisville

Mon, 17 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

Medical Director - Claims Management - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - Behavioral Health - Tricare - USA-KY-Louisville

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...

Grievances and Appeals Medical Director - Weekends Required - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - South Central - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - Kentucky Medicaid - USA-KY-Louisville

Tue, 13 Jun 2023 00:00:00 CDT