EmploymentCrossing Jobs

Provider/Claims Analytics Business Intelligence Engineer 2 - Louisville, KY or Work at Home - USA-MA-Boston

Sun, 10 Sep 2023 00:00:00 CDT

Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals leveraging the latest tools and methods to solve complex business problem...

Senior Business Intelligence Engineer - Work at Home - USA-MA-Boston

Sun, 10 Sep 2023 00:00:00 CDT

Job Information Humana Senior Business Intelligence Engineer - Work at Home in Boston Massachusetts Description The Senior Business Intelligence Engineer solves complex business problems and issues us...

Associate Director, Value-Based Programs - Louisville, KY or Work at Home Nationwide - USA-MA-Boston

Sun, 10 Sep 2023 00:00:00 CDT

Description The Associate Director, Value-Based Programs supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. Th...

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

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...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-MA-Boston

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...

Commercial Medical Director - Work At Home - USA-MA-Boston

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...

AVP Business Technology Solution Implementation - USA-MA-Boston

Mon, 26 Jun 2023 00:00:00 CDT

Description The AVP, Business Technology Solutions Implementation will oversees various system programs of a highly complex nature to deliver new technological solutions to meet business needs within...

Optometrist, Boston Locations - USA-MA-Boston

Mon, 26 Jun 2023 00:00:00 CDT

******* is looking for a high-energy, innovative, and caring Full-Time Optometrist to join one of their Independent OD practices. The ideal candidate has a passion for delivering remarkable eye ca...

Senior Consumer Experience Professional Work at Home/Remote USA - USA-MA-Boston

Mon, 26 Jun 2023 00:00:00 CDT

Description The Senior Consumer Experience Professional ensures optimized interaction between a company and providers. The Senior Consumer Experience Professional work assignments involve moderately ...

Medical Director - Part Time - USA-MA-Boston

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...

Staff Utilization Management Pharmacist (Contract Position) - USA-MA-Boston

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...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-MA-Boston

Mon, 26 Jun 2023 00:00:00 CDT

Medical Director - Work at Home - USA-MA-Boston

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-MA-Boston

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Boston Massachusetts Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to...

Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) - USA-MA-Boston

Tue, 12 Sep 2023 00:00:00 CDT

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

Integration Engineer (Boomi) - Remote - USA-MA-Boston

Thu, 24 Aug 2023 00:00:00 CDT

\u003cp\u003eWelcome to Allscripts! Our Mission is to be the most trusted provider of innovative solutions that empower all stakeholders across the healthcare continuum to deliver world-class outcomes...

Senior Pre-Authorization Nurse - USA-MA-Boston

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, National Medicaid Care Management Strategy and Practice - USA-MA-Boston

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...

Director, Strategy Advancement - Home Solution - USA-MA-Boston

Mon, 26 Jun 2023 00:00:00 CDT

Description The Director, Strategy Advancement will influence strategy for the Home Solution organization, as well as throughout the enterprise, as we look to bring more care into the home, specifica...

Health Care Litigation Attorney - USA-MA-Boston

Tue, 28 May 2024 00:00:00 CDT

Job Overview: A law firm is seeking a Health Care Litigation Attorney to engage with clients across the healthcare continuum, addressing a spectrum of legal issues including governance, compliance,...