EmploymentCrossing Jobs

Payment Integrity Professional 2 Work at Home - USA-UT-Salt Lake City

Fri, 15 Sep 2023 00:00:00 CDT

Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud w...

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-UT-Sandy

Tue, 15 Aug 2023 00:00:00 CDT

Description The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinat...

Senior Informaticist - USA-UT-Sandy

Mon, 26 Jun 2023 00:00:00 CDT

Description An opportunity to join the Digital Health & Analytics (DH&A) team within Humana to build a world class analytics platform. Through the strategic interpretation of data, we provide our con...

Medical Director - Part Time - USA-UT-Sandy

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...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-UT-Sandy

Mon, 26 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Staff Utilization Management Pharmacist (Contract Position) - USA-UT-Sandy

Mon, 26 Jun 2023 00:00:00 CDT

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. Th...

Grievance and Appeals Representative 2 for IRT- Work at Home/Remote USA - USA-UT-Sandy

Thu, 14 Sep 2023 00:00:00 CDT

Description Responsibilities The Grievances & Appeals Representative 2 for IRT will be responsible for assigning cases to associates on team to send to independent entity for 2nd level review. Track...

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-UT-Sandy

Sun, 13 Aug 2023 00:00:00 CDT

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Medical Director - Work at Home - USA-UT-Sandy

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-UT-Sandy

Sun, 13 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Sandy Utah Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support t...

Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) - USA-UT-Sandy

Tue, 11 Jul 2023 00:00:00 CDT

Job Information Humana Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) in Sandy Utah Description Do you thrive on working on the cutting edge technology solutions? ...

Engineering Manager Cloud Solutions - Remote - USA-UT-Sandy

Mon, 04 Sep 2023 00:00:00 CDT

Job Information Humana Engineering Manager Cloud Solutions - Remote in Sandy Utah Description The Manager, Cloud Solutions Engineering Supports development and execution of cloud implementation strate...

Senior Learning Facilitation Professional-Remote in US - USA-UT-Sandy

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Sandy Utah Description The Senior Learning Facilitation Professional will focus on integration and implementation of tr...

Senior Learning Facilitation Professional-Remote in US - USA-UT-Salt Lake City

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Salt Lake City Utah Description The Senior Learning Facilitation Professional will focus on integration and implementat...

M&A Integration Technology Lead - USA-UT-Sandy

Tue, 29 Aug 2023 00:00:00 CDT

Description The M&A IT integration leader will provide strategic guidance with regards to IT integration efforts to Humana's corporate development team and integration management office (IMO) on all ...

Senior Integration Specialist - Cloud - USA-UT-Sandy

Sat, 22 Jul 2023 00:00:00 CDT

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

Business Support Coordinator 1 - Medical Records - USA-UT-Sandy

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 ...

Director, National Medicaid Care Management Strategy and Practice - USA-UT-Sandy

Mon, 26 Jun 2023 00:00:00 CDT

Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. T...

Deputy General Counsel Healthcare-Commercial and Regulatory - USA-UT-Lehi

Thu, 25 Apr 2024 00:00:00 CDT

Lehi office of our client seeks a deputy general counsel healthcare-commercial and regulatory with 15+ years of relevant legal experience, preferably in-house, advising healthcare, healthcare techn...

Health Care Associate Attorney - USA-UT-Salt Lake City

Mon, 27 May 2024 00:00:00 CDT

Job Overview: A law firm located in Salt Lake City, UT, is seeking a Health Care Associate Attorney with 4-8 years of experience in health care regulatory and transactional matters. The ideal candi...