EmploymentCrossing Jobs

Immediate One on One Essential Caregivers Nights & Weekends - Falmouth - Portland & Surrounding Areas - $14-$18/hr DOE - USA-ME-Portland

Fri, 15 Sep 2023 00:00:00 CDT

Join Home Care Assistance - Change the Way the World Ages! Become a Professional In-Home Caregiver with Home Care Assistance of Southern Maine! Make a difference providing one on one care where you c...

Several Immediate Positions - 12 Hour Overnight In-Home Caregivers - 8p-8a - $14-$18/hr - Portland/Falmouth & Surrounding Areas - Paid Training - USA-ME-Falmouth

Fri, 15 Sep 2023 00:00:00 CDT

Change the Way the World Ages! Become a Professional In-Home Caregiver with Home Care Assistance of Southern Maine! Make a difference providing one on one care where you can focus on ONE client and n...

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

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-ME-Portland

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...

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

Sun, 10 Sep 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-ME-Portland

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...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-ME-Portland

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-ME-Portland

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...

Grievances and Appeals Representative 4 - Work at Home/Remote CST/EST - USA-ME-Portland

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-ME-Portland

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-ME-Portland

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...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-ME-Portland

Sun, 13 Aug 2023 00:00:00 CDT

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

Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) - USA-ME-Portland

Tue, 11 Jul 2023 00:00:00 CDT

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

Associate VP, Technology Solutions, Pharmacy - USA-ME-Portland

Thu, 06 Jul 2023 00:00:00 CDT

Job Information Humana Associate VP, Technology Solutions, Pharmacy in Portland Maine Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with the busin...

Sr. Cognitive / Machine Learning Professional - TLP (Remote) - USA-ME-Portland

Fri, 04 Aug 2023 00:00:00 CDT

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

M&A Integration Technology Lead - USA-ME-Portland

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-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 ...

Innovation Design Advisor - USA-ME-Portland

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-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...

Litigation Associate Attorney - USA-ME-Portland

Mon, 18 Mar 2024 00:00:00 CDT

A law firm is seeking a Litigation Associate Attorney to join their team in Portland, ME. The Litigation Associate Attorney will be responsible for handling a variety of state and federal litigatio...