EmploymentCrossing Jobs

Senior Compliance Professional - Louisville, KY or Work at Home (Central and Eastern Time Zone) - USA-OH-Cincinnati

Fri, 15 Sep 2023 00:00:00 CDT

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues wher...

Lead Solutions Architect (Work at Home / Virtual Optional) - USA-OH-Cincinnati

Mon, 04 Sep 2023 00:00:00 CDT

Description Are you interested in using your technology experience to make an impact at a fortune 100 company? Are you confident that you can quickly learn business processes and provide an industry ...

Associate Director - Network Engineering ( remote / work at home eligible ) - USA-OH-Cincinnati

Wed, 30 Aug 2023 00:00:00 CDT

Description The Associate Director, Network Engineering designs, analyzes, plans and modifies network components supporting customer communication implementation activities. The Associate Director, N...

Lead Technology Leadership Professional Cloud Adoption ( remote / work at home eligible ) - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The leader will lead the Cloud Adoption Service to deliver on programs managing internal organization capabilities and process interrelate across departments, people leadership skills, an...

Sr. Clinical Strategy Consultant - Work at Home - USA-OH-Cincinnati

Sun, 13 Aug 2023 00:00:00 CDT

Description The Senior Clinical Business Professional assists in the development and stabilization strategy of all Care Management program activities in all existing, new and expansion markets. This ...

Commercial Medical Director - Work At Home - USA-OH-Cincinnati

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 - Part Time - USA-OH-Cincinnati

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-OH-Cincinnati

Wed, 30 Aug 2023 00:00:00 CDT

Senior Learning Facilitation Professional-Remote in US - USA-OH-Cincinnati

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Cincinnati Ohio Description The Senior Learning Facilitation Professional will focus on integration and implementation ...

Senior Integration Specialist - Cloud - USA-OH-Cincinnati

Thu, 14 Sep 2023 00:00:00 CDT

Job Information Humana Senior Integration Specialist - Cloud in Cincinnati Ohio Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating...

Senior Pre-Authorization Nurse - USA-OH-Cincinnati

Mon, 11 Sep 2023 00:00:00 CDT

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to t...

Director of Nursing / Charge RN PACU ASC - Azura - USA-OH-Norwood

Fri, 23 Jun 2023 00:00:00 CDT

POSITION FEATURES:We work only day-shift.No Call. No evening shift. No night shift. No holidaysDayton Interventional Radiology3075 Governor's Pl Blvd Suite 120Dayton, OH 45409Prefer: ACLS. Also experi...

Associate Director, Accreditation - USA-OH-Cincinnati

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accred...

Home Therapy Program Manager (Fairfield) - USA-OH-Fairfield

Mon, 05 Jun 2023 00:00:00 CDT

PURPOSE AND SCOPE:Manages patient care in home therapies programs while maintaining cost-effective clinical operations. Provides direction and guidance to the interdisciplinary team providing care to ...

Quality Improvement Manager - USA-OH-Cincinnati

Sun, 18 Jun 2023 00:00:00 CDT

Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky Medicaid line of business. This includes quality compliance and quality improvement activities su...

VP, Threat Management and Response - USA-OH-Cincinnati

Sat, 10 Jun 2023 00:00:00 CDT

Description Provides executive leadership to Humana. Responsibilities Vice President, Threat Management & Response Job Description: Humana is a Fortune 50 market leader in integrated healthcare w...

Process Improvement Lead - HCPR & PBM - USA-OH-Cincinnati

Sat, 10 Jun 2023 00:00:00 CDT

Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. T...

Inbound Contact Representative 2 - CarePlus - USA-OH-Cincinnati

Tue, 13 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-OH-Cincinnati

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 ...

Healthcare Data Privacy Associate Attorney - USA-OH-Cincinnati

Mon, 06 May 2024 00:00:00 CDT

The law firm is seeking a Healthcare Data Privacy Associate Attorney to join its global Data Privacy, Cybersecurity, and Digital Assets Practice Group. The candidate will play a crucial role in adv...