EmploymentCrossing Jobs

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

Fri, 25 Aug 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 Technology Leadership Professional Cloud Adoption ( remote / work at home eligible ) - USA-DE-Wilmington

Sun, 10 Sep 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...

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

Sun, 10 Sep 2023 00:00:00 CDT

Commercial Medical Director - Work At Home - USA-DE-Dover

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...

Account Manager - USA-DE-Dover

Mon, 26 Jun 2023 00:00:00 CDT

Description Enclara, is a wholly owned hospice and palliative care pharmacy business acquired by Humana in 2021. Enclara is the nation's largest full-service pharmacy benefits manager (PBM) specifica...

Medical Director - Part Time - USA-DE-Dover

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-DE-Dover

Wed, 30 Aug 2023 00:00:00 CDT

Accountant 1 - USA-DE-Dover

Mon, 19 Jun 2023 00:00:00 CDT

Job Information Humana Accountant 1 in Dover Delaware Description The Accountant 1 performs general accounting activities, including the preparation, maintenance and reconciliation of ledger accounts ...

Senior Pre-Authorization Nurse - USA-DE-Dover

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...

Associate Director, Accreditation - USA-DE-Dover

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...

Bilingual Quality Auditor - USA-DE-Dover

Thu, 01 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Dover Delaware Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Servi...

Remote Systems Clinical Pharmacist - USA-DE-Dover

Sat, 03 Jun 2023 00:00:00 CDT

Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical ...

EMT'S ED Tech - USA-DE-Wilmington

Thu, 01 Jun 2023 00:00:00 CDT

******* is seeking full time EMTs to join our team. These positions consist of hours between 8am-8pm. These positions will also consist of every third weekend and holiday rotation. Typically f...

CONTRACT ANALYST - BUSINESS SERVICES - USA-DE-Lewes

Thu, 01 Jun 2023 00:00:00 CDT

Summary: The Contract Management Analyst is responsible for preparing financial and risk analysis for payer contract management and contract negotiations. Designs models and performs ad hoc ...

VP, Threat Management and Response - USA-DE-Dover

Sun, 18 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-DE-Dover

Sun, 18 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...

Process Improvement Lead - HCPR & PBM - USA-DE-Wilmington

Wed, 21 Jun 2023 00:00:00 CDT

Inbound Contact Representative 2 - CarePlus - USA-DE-Dover

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-DE-Dover

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 ...

Health Care Associate Attorney - USA-DE-Wilmington

Mon, 13 May 2024 00:00:00 CDT

A law firm in Wilmington is seeking a highly skilled Health Care Associate Attorney to join its Corporate Services Group (CSG). The successful candidate will play a crucial role in handling complex...