EmploymentCrossing Jobs

Medical Director - Part Time - USA-NJ-Jersey City

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-NJ-Jersey City

Wed, 30 Aug 2023 00:00:00 CDT

Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home - USA-NJ-Jersey City

Thu, 18 Aug 2022 00:00:00 CDT

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at Home in Jersey City New Jersey Description The Senior Process Improvement Professional analyzes...

Medical Director - Central Region - USA-NJ-Jersey City

Thu, 18 Aug 2022 00:00:00 CDT

Medical Director - Florida Medicaid - USA-NJ-Jersey City

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Jersey City New Jersey Description The Medical Director relies on medical background and reviews health claims. The Medical Director work ...

Group Medicare Senior Marketing Professional - USA-NJ-Jersey City

Sat, 05 Mar 2022 00:00:00 CST

Job Information Humana Group Medicare Senior Marketing Professional in Jersey City New Jersey Description The Senior Professional, Group Medicare Marketing Strategy role plans, develops, and executes ...

Supervisor, Grievances & Appeals - USA-NJ-Jersey City

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-NJ-Jersey City

Thu, 24 Mar 2022 00:00:00 CDT

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Jersey City New Jersey Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Med...

Medical Director- Texas Region - USA-NJ-Jersey City

Fri, 22 Apr 2022 00:00:00 CDT

Vendor Management Lead - Humana Pharmacy OTC Operations - USA-NJ-Jersey City

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-NJ-Jersey City

Sat, 08 Oct 2022 00:00:00 CDT

Nurse Auditor 2 PPI Lab Remote MST, CST, EST - USA-NJ-Jersey City

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-NJ-Jersey City

Sat, 08 Oct 2022 00:00:00 CDT

Medical Director - Mid West Region - USA-NJ-Jersey City

Mon, 24 Oct 2022 00:00:00 CDT

Medical Director - South East Region - USA-NJ-Jersey City

Wed, 02 Nov 2022 00:00:00 CDT

Medical Director - North East Region - Work From Home - USA-NJ-Jersey City

Wed, 02 Nov 2022 00:00:00 CDT

Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues w...

Clinical Support Team Senior Consultation/Partnership - USA-NJ-Jersey City

Thu, 24 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...

Medical Director-KY Medicaid - USA-NJ-Jersey City

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...

CLINICAL RN APPEALS COORDINATOR - USA-NJ-Camden

Tue, 10 Jan 2023 00:00:00 CST

About Us\nAt ******* , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced acc...

Workers' Compensation Associate Attorney - USA-NJ-Moorestown

Wed, 29 May 2024 00:00:00 CDT

A law firm in Moorestown, NJ, is seeking a Workers' Compensation Associate Attorney with a minimum of 2 years of experience. The candidate will handle file reviews, legal analysis, extensive re...