EmploymentCrossing Jobs

Specialist Programs Value-Based Programs Professional 2 - Louisville, KY or Work at Home Nationwide - USA-VA-Glen Allen

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-...

Specialist Programs Senior Value-Based Programs Professional - Louisville, KY or Work at Home - USA-VA-Glen Allen

Mon, 04 Sep 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...

Oncology Staff Utilization Management Pharmacist - Full time, Work at Home - USA-VA-Glen Allen

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-VA-Glen Allen

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-VA-Glen Allen

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-VA-Glen Allen

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-VA-Glen Allen

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-VA-Glen Allen

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 Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) - USA-VA-Glen Allen

Tue, 12 Sep 2023 00:00:00 CDT

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

Retail Cashier Part Time - USA-VA-Ruther Glen

Thu, 14 Sep 2023 00:00:00 CDT

Req ID: 249643 Address: 23845 Rogers Clark Blvd. Ruther Glen, VA, 22546 Welcome to Love's! Where People are the Heart of Our Success Customer Service Cashier - Retail At Lov...

Restaurant Team Member - USA-VA-Ruther Glen

Thu, 14 Sep 2023 00:00:00 CDT

Req ID: 257523 Address: 23845 Rogers Clark Blvd. Ruther Glen, VA, 22546 Welcome to Love's! Where People are the Heart of Our Success Hiring immediately - Restaurant Team Membe...

Speedco Lube & Tire Technician - USA-VA-Ruther Glen

Thu, 14 Sep 2023 00:00:00 CDT

Req ID: 262884 Address: 23728 Rogers Clark Blvd Ruther Glen, VA, 22546 LUBE & TIRE TECHNICIAN Here at Speedco, we are proud to be a part of the Love's team where people are the hear...

Retail Customer Service Cashier - USA-VA-Ruther Glen

Tue, 19 Sep 2023 00:00:00 CDT

Req ID: 266182 Address: 23845 Rogers Clark Blvd. Ruther Glen, VA, 22546 WELCOME TO LOVE'S! WHERE PEOPLE ARE THE HEART OF OUR SUCCESS RETAIL CUSTOMER SERVICE CASHIER At Love'...

Engineering Manager Cloud Solutions - Remote - USA-VA-Glen Allen

Thu, 14 Sep 2023 00:00:00 CDT

Job Information Humana Engineering Manager Cloud Solutions - Remote in Glen Allen Virginia Description The Manager, Cloud Solutions Engineering Supports development and execution of cloud implementati...

Senior Learning Facilitation Professional-Remote in US - USA-VA-Glen Allen

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Glen Allen Virginia Description The Senior Learning Facilitation Professional will focus on integration and implementat...

Associate Attorney - USA-VA-

Tue, 07 May 2024 00:00:00 CDT

******* , P.C. seeks an associate to join our civil litigation team. The ideal candidate will have 2+ years of experience in civil litigation law, possess strong research, writing and communicat...

M&A Integration Technology Lead - USA-VA-Glen Allen

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 ...

Manager, Care Management Social Services-WAH Nationwide - USA-VA-Glen Allen

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Glen Allen Virginia Description Job Description Summary The Manager, Care Management leads teams of social work and so...

Innovation Design Advisor - USA-VA-Glen Allen

Mon, 11 Sep 2023 00:00:00 CDT

Description Would you like the opportunity to bring human care to healthcare? To design business models and solutions that solve some of the most complex challenges facing our federal healthcare syst...

Senior Pre-Authorization Nurse - USA-VA-Glen Allen

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...