EmploymentCrossing Jobs

UM Administration Coordinator 2 (Work at Home OH, KY, IN) - USA-OH-Cincinnati

Wed, 23 Aug 2023 00:00:00 CDT

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administ...

Real Estate Attorney - USA-OH-Cincinnati

Thu, 09 May 2024 00:00:00 CDT

Cincinnati office of a ******* Top Ranked Law Firm seeks real estate attorney with 5+ years of experience. The candidate will serve in the representation of owners of commercial real estate in ...

Specialist Programs Senior Value-Based Programs Professional - Louisville, KY or Work at Home - USA-OH-Cincinnati

Wed, 30 Aug 2023 00:00:00 CDT

Description The Specialist Programs Senior Value-Based Programs Professional supports successful value-based provider relationships with a focus on improving the provider experience and achieving pat...

Specialist Programs Value-Based Programs Professional 2 - Louisville, KY or Work at Home Nationwide - USA-OH-Cincinnati

Sun, 10 Sep 2023 00:00:00 CDT

Description The Specialist Programs Value-Based Programs Professional 2 supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-...

Oncology Staff Utilization Management Pharmacist - Full time, Work at Home - USA-OH-Cincinnati

Tue, 08 Aug 2023 00:00:00 CDT

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

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

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...

Grievance and Appeals Representative 2 for IRT- Work at Home/Remote USA - USA-OH-Cincinnati

Wed, 30 Aug 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...

Grievances and Appeals Representative 4 - Work at Home/Remote CST/EST - USA-OH-Cincinnati

Wed, 30 Aug 2023 00:00:00 CDT

Description Responsibilities The Grievances & Appeals Representative 4 assists members, via phone or face to face, further/support quality related goals. Reviews the level 1 appeals cases and ensure...

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

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-OH-Cincinnati

Wed, 30 Aug 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...

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 ...

Sr. Cognitive / Machine Learning Professional - TLP (Remote) - USA-OH-Cincinnati

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Sr. Cognitive / Machine Learning Professional - TLP (Remote) in Cincinnati Ohio Description The Senior Cognitive/Machine Learning Professional for Test and Learn Platform develo...

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...

Estate Planning Attorney - USA-OH-Cincinnati

Fri, 03 May 2024 00:00:00 CDT

Cincinnati office of a ******* Top Ranked Law Firm seeks an estate planning attorney with 5+ years of experience. The candidate should have estate planning experience. Medicaid Planning is a plus....

Attorney needed for Cincinnati office - USA-OH-Cincinnati

Fri, 03 May 2024 00:00:00 CDT

Cincinnati office of a ******* Top Ranked Law Firm seeks an attorney with portable business clients to work in the corporate and business practice group. The candidate should preferably have exper...

Lateral Litigation Attorney - USA-OH-Cincinnati

Fri, 03 May 2024 00:00:00 CDT

Cincinnati office of a ******* Top Ranked Law Firm seeks a lateral litigation attorney with 7+ years of practice experience. The candidate should have a portable book of business. Trial experience...

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...

Employee Benefits and Executive Compensation Counsel - USA-OH-Cincinnati

Thu, 09 May 2024 00:00:00 CDT

A law firm in Cincinnati is actively seeking a qualified Employee Benefits and Executive Compensation Counsel. The ideal candidate should have significant experience providing advice to businesses ...

Mid-Senior Level Product Liability Associate Attorney - USA-OH-Cincinnati

Sun, 14 Apr 2024 00:00:00 CDT

A law firm in Cincinnati is seeking a Mid-Senior Level Product Liability Associate Attorney with a strong background in product liability defense work, particularly with medical device and pharmace...

Mid-level Financial Services Litigation Associate Attorney - USA-OH-Cincinnati

Thu, 23 May 2024 00:00:00 CDT

A law firm in Cincinnati is seeking a skilled Mid-level Financial Services Litigation Associate Attorney. The ideal candidate will possess excellent academic credentials, extensive experience in pr...