EmploymentCrossing Jobs

Medical Director - Part Time - USA-NY-Albany

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-NY-Albany

Wed, 30 Aug 2023 00:00:00 CDT

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

Thu, 18 Aug 2022 00:00:00 CDT

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

Medical Director - Central Region - USA-NY-Albany

Thu, 18 Aug 2022 00:00:00 CDT

Medical Director - Florida Medicaid - USA-NY-Albany

Thu, 23 Mar 2023 00:00:00 CDT

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

Payment Resolution Analyst - USA-NY-Montebello

Sat, 26 Feb 2022 00:00:00 CST

The Payment Resolution Analyst is responsible for processing all out of network insurance claims to ensure appropriate payments are received. This position negotiates payments with payers, provides go...

Supervisor, Grievances & Appeals - USA-NY-Albany

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-NY-Albany

Thu, 24 Mar 2022 00:00:00 CDT

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

Medical Director- Texas Region - USA-NY-Albany

Fri, 22 Apr 2022 00:00:00 CDT

Vendor Management Lead - Humana Pharmacy OTC Operations - USA-NY-Albany

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-NY-Albany

Wed, 14 Sep 2022 00:00:00 CDT

Nurse Auditor 2 PPI Lab Remote MST, CST, EST - USA-NY-Albany

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-NY-Albany

Sat, 08 Oct 2022 00:00:00 CDT

Medical Director - Mid West Region - USA-NY-Albany

Mon, 24 Oct 2022 00:00:00 CDT

Medical Director - South East Region - USA-NY-Albany

Wed, 02 Nov 2022 00:00:00 CDT

Medical Director - North East Region - Work From Home - USA-NY-Albany

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-NY-Albany

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...

Medical Director-KY Medicaid - USA-NY-Albany

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...

Workers' Compensation Associate Attorney - USA-NY-White Plains

Wed, 29 May 2024 00:00:00 CDT

A law firm in White Plains, NY, is seeking a Workers' Compensation Associate Attorney with exceptional writing, research, and litigation skills. The successful candidate will handle file review...

Workers' Compensation Associate Attorney - USA-NY-New York City

Wed, 29 May 2024 00:00:00 CDT

A law firm in New York City is seeking a Workers' Compensation Associate Attorney with exceptional writing, research, and litigation skills. The successful candidate will be responsible for fil...