EmploymentCrossing Jobs

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

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-ME-Portland

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-ME-Portland

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-ME-Portland

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...

Commercial Medical Director - Work At Home - USA-ME-Portland

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-ME-Portland

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-ME-Portland

Wed, 30 Aug 2023 00:00:00 CDT

Senior Integration Specialist - Cloud - USA-ME-Portland

Thu, 06 Jul 2023 00:00:00 CDT

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

Senior Pre-Authorization Nurse - USA-ME-Portland

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-ME-Portland

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...

Registered Nurse Supervisor - RN - USA-ME-Scarborough

Sat, 03 Jun 2023 00:00:00 CDT

BenefitsNursing Student Loan Debt Repayment and Tuition AssistanceVariable compensation plansHealth, Dental, Vision, Company-paid life insurance, 401K, Paid Time OffTuition, Travel, and Wireless Servi...

Bilingual Quality Auditor - USA-ME-Portland

Sat, 03 Jun 2023 00:00:00 CDT

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

Patient Access Representative - Presque Isle, ME - 2173916I - USA-ME-Presque Isle

Mon, 05 Jun 2023 00:00:00 CDT

Job Code 2173916I Opportunities at Northern Light Health , in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have o...

Business Office Manager - USA-ME-Orono

Sat, 10 Jun 2023 00:00:00 CDT

Genesis is a leading provider of healthcare services from short-term to long-term care and a wide variety of living options and professional clinical services. Why Genesis? We improve the lives we t...

Business Office Manager - USA-ME-Camden

Sun, 18 Jun 2023 00:00:00 CDT

Process Improvement Lead - HCPR & PBM - USA-ME-Portland

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...

VP, Threat Management and Response - USA-ME-Portland

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...

Inbound Contact Representative 2 - CarePlus - USA-ME-Portland

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-ME-Portland

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 ...

Corporate Associate Attorney - USA-ME-Portland

Wed, 01 May 2024 00:00:00 CDT

A law firm in Portland is seeking a Corporate Associate Attorney with 3-6 years of relevant experience. The ideal candidate will be responsible for drafting governance documents for entities, couns...