EmploymentCrossing Jobs

Commercial Medical Director - Work At Home - USA-NV-Las Vegas

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...

Lead Software Engineer - Data Engineering - USA-NV-Las Vegas

Mon, 26 Jun 2023 00:00:00 CDT

Description The Platform Innovation and Engineering team is seeking a passionate engineer with extensive experience building and driving complex platforms and systems. You enjoy working with a strong...

Senior Communications and Marketing Professional - USA-NV-Las Vegas

Mon, 17 Apr 2023 00:00:00 CDT

Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Human...

Interoperability Industry & Government Product Management Lead - USA-NV-Las Vegas

Sat, 22 Apr 2023 00:00:00 CDT

Description Be a part of our Interoperability space - Provide guidance to facilitate interaction with digital services and capabilities that connect people with lifelong well-being. Responsibilities...

Grievances and Appeals Medical Director - Nationwide - USA-NV-Las Vegas

Sat, 22 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...

Manager, Compliance - Agent Investigation Unit - USA-NV-Las Vegas

Mon, 17 Apr 2023 00:00:00 CDT

Job Information Humana Manager, Compliance - Agent Investigation Unit in Las Vegas Nevada Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance...

Senior Compliance Professional - Disability and Life Insurance - USA-NV-Las Vegas

Mon, 17 Apr 2023 00:00:00 CDT

Job Information Humana Senior Compliance Professional - Disability and Life Insurance in Las Vegas Nevada Description The Senior Compliance Professional will analyze business requirements, provide res...

DRG Validation Coding Auditor - USA-NV-Las Vegas

Sat, 22 Apr 2023 00:00:00 CDT

Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to pa...

Medical Director - Claims Management - USA-NV-Las Vegas

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - Behavioral Health - Tricare - USA-NV-Las Vegas

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...

Medical Director - South Central - USA-NV-Las Vegas

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-NV-Las Vegas

Thu, 20 Apr 2023 00:00:00 CDT

Behavioral Health Medical Director - Tricare - USA-NV-Las Vegas

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 Risk Adjustment Coding Education - USA-NV-Las Vegas

Thu, 11 May 2023 00:00:00 CDT

Description Manages a team of coding educators and reports to Risk Adjustment Director. Responsible for implementing operational and clinical best practices in the risk adjustment methodology, unders...

Delivery Driver - Part Time - USA-NV-Las Vegas

Sun, 21 May 2023 00:00:00 CDT

Job Description The road to a Fortune 4 career starts here As a Delivery Driver for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route a...

Correspondence Representative 2 - USA-NV-Las Vegas

Tue, 30 May 2023 00:00:00 CDT

Description The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insuran...

Delivery Driver - Full Time - USA-NV-Las Vegas

Mon, 05 Jun 2023 00:00:00 CDT

Job Description The road to a Fortune 4 career starts here As a Delivery Driver for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route a...

Inbound Contact Representative 2 - CarePlus - USA-NV-Las Vegas

Sun, 18 Jun 2023 00:00:00 CDT

Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 positions that will have the pleasure of taking inbound calls from our members and...

Business Support Coordinator 1 - Medical Records - USA-NV-Las Vegas

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 ...

Associate Attorney needed for Las Vegas office - USA-NV-Las Vegas

Tue, 14 May 2024 00:00:00 CDT

Job Overview: A law firm in Las Vegas, NV, is seeking an Associate Attorney to join their team. The successful candidate will represent clients in court or before government agencies, draft legal d...