EmploymentCrossing Jobs

Medical Director - Part Time - USA-GA-Atlanta

Mon, 26 Jun 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 - Work at Home - USA-GA-Atlanta

Wed, 30 Aug 2023 00:00:00 CDT

Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home - USA-GA-Atlanta

Thu, 18 Aug 2022 00:00:00 CDT

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Atlanta Georgia Description The Senior Process Improvement Professional analyzes, and m...

Medical Director - Central Region - USA-GA-Atlanta

Thu, 18 Aug 2022 00:00:00 CDT

Medical Director - Florida Medicaid - USA-GA-Atlanta

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Atlanta Georgia Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignm...

Payroll Analyst - CEE - USA-GA-Tallapoosa

Tue, 01 Mar 2022 00:00:00 CST

**Careers that Change Lives** Are you passionate about a career in Payroll? Does a stable and supportive working environment appeal to you? Do you want to work in multinational and multicultural compa...

Supervisor, Grievances & Appeals - USA-GA-Atlanta

Tue, 08 Mar 2022 00:00:00 CST

Description The Supervisor, Grievances & Appeals manages client medical denials by conducting a comprehensive analytic review of clinical documentation to determine if an appeal is warranted. The Sup...

Medical Director - Medicare Pharmacy Appeals - USA-GA-Atlanta

Thu, 24 Mar 2022 00:00:00 CDT

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Atlanta Georgia Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical di...

Medical Director- Texas Region - USA-GA-Atlanta

Fri, 22 Apr 2022 00:00:00 CDT

Vendor Management Lead - Humana Pharmacy OTC Operations - USA-GA-Atlanta

Sat, 30 Apr 2022 00:00:00 CDT

Description The Vendor Management Lead will work as the key liaison, relationship owner and operational point person between Medline and Humana. The OTC Vendor Management Lead will serve as the prima...

Medical Director - Southeast Region - Work from Home - USA-GA-Atlanta

Wed, 14 Sep 2022 00:00:00 CDT

Nurse Auditor 2 PPI Lab Remote MST, CST, EST - USA-GA-Atlanta

Fri, 30 Sep 2022 00:00:00 CDT

Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. ...

Medical Director - Southeast Region - MUST WORK EVERY OTHER WEEKEND - USA-GA-Atlanta

Sat, 08 Oct 2022 00:00:00 CDT

Medical Director - Mid West Region - USA-GA-Atlanta

Mon, 24 Oct 2022 00:00:00 CDT

Medical Director - South East Region - USA-GA-Atlanta

Wed, 02 Nov 2022 00:00:00 CDT

Clinical Support Team Senior Consultation/Partnership - USA-GA-Atlanta

Wed, 23 Nov 2022 00:00:00 CST

Description The Senior Market Consultation/Partnership Professional promotes and improves the quality and measurement of care delivery programs with a market(s). The Senior Market Consultation/Partne...

Director, Clinical Audit - USA-GA-Atlanta

Wed, 30 Nov 2022 00:00:00 CST

Description The National Medicaid clinical team is seeking a Director of Clinical Audit. This person will develop and lead teams that are responsible for managing clinical audit, working with markets...

Medical Director-KY Medicaid - USA-GA-Atlanta

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...

Billing Supervisor - USA-GA-Augusta

Tue, 30 May 2023 00:00:00 CDT

Perform as a practice expert at the department on all issues relating to billing and intake processes Supervise the billing/intake department operations. Perform duties such as charge entry, payment p...

Workers' Compensation Associate Attorney - USA-GA-Atlanta

Tue, 28 May 2024 00:00:00 CDT

A law firm in Atlanta, GA, is seeking a Workers' Compensation Associate Attorney with 2+ years of experience in workers’ compensation. The ideal candidate will possess superior analytical...