EmploymentCrossing Jobs

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

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...

Sr. Clinical Strategy Consultant - Work at Home - USA-NC-Charlotte

Sat, 08 Apr 2023 00:00:00 CDT

Description The Senior Clinical Business Professional assists in the development and stabilization strategy of all Care Management program activities in all existing, new and expansion markets. This ...

AVP Enterprise Architecture Practices - USA-NC-Charlotte

Mon, 26 Jun 2023 00:00:00 CDT

Description The Associate VP, Enterprise Architecture translates business needs into technical systems solutions and architectural roadmaps. The Associate VP, Enterprise Architecture requires a in-de...

Administrative Coordinator - USA-NC-Charlotte

Fri, 23 Dec 2022 00:00:00 CST

Job Information Humana Administrative Coordinator in Charlotte North Carolina Description The Administrative Coordinator (Business Support Coordinator) follows established procedures and guidelines to...

Code Edit Support Team Medical Coding Coordinator 3 - USA-NC-Charlotte

Fri, 23 Dec 2022 00:00:00 CST

Description The Medical Coding Coordinator 3 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to...

Loan Administration Quality Assurance Specialist - USA-SC-Fort Mill

Sat, 21 Jan 2023 00:00:00 CST

Loan Administration Quality Assurance Specialist Position Summary Provide direction and coordination of all activities for the Loan Administration functions specific to review, research, and audit of ...

Principal, Marketing Analytics - USA-NC-Charlotte

Wed, 08 Feb 2023 00:00:00 CST

The Position: You absolutely love data (unstructured and structured), testing hypotheses, and arriving at data-driven recommendations that have an immediate impact on the business. You are passionate ...

Director, MyLT Strategic Analytics - USA-NC-Charlotte

Wed, 08 Feb 2023 00:00:00 CST

Principal Analytics Consultant - Data Analytics and Quality Control - USA-NC-Charlotte

Sun, 02 Apr 2023 00:00:00 CDT

About this role: ******* is seeking a Principal Analytics Consultant in the Customer Remediation Center of Excellence supporting the Data Analytics and Quality Control Team. Learn more about the ...

Associate Vice President, Mergers and Acquisitions - USA-NC-Charlotte

Mon, 17 Apr 2023 00:00:00 CDT

Description As a company whose primary focus is on the well-being of its members, Humana is dedicated to shifting perceptions of the health insurance industry. We believe our role goes beyond that of...

Medical Coding Coordinator - USA-NC-Charlotte

Sat, 22 Apr 2023 00:00:00 CDT

Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 r...

Sr Manager Sales Operations - USA-NC-Charlotte

Mon, 01 May 2023 00:00:00 CDT

Job DescriptionPURPOSE AND SCOPE:The Sr Sales Operations Manager is responsible for assisting appropriate leadership team in execution of projects/tasks in the areas of sales and sales operations. Th...

Coordinator UM Administration - USA-NC-Charlotte

Sat, 29 Apr 2023 00:00:00 CDT

Description The UM Administration Coordinator 2 contributes to administration of utilization management. Responsibilities The UM Administration Coordinator 2 provides non-clinical support for the p...

Senior Pre-Authorization Nurse - USA-NC-Charlotte

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...

Field Marketing Manager - USA-NC-Charlotte

Sat, 06 May 2023 00:00:00 CDT

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Senior Product Manager - Clinical Strategy and Analytics - USA-NC-Charlotte

Fri, 19 May 2023 00:00:00 CDT

Job Information Humana Senior Product Manager - Clinical Strategy and Analytics in Charlotte North Carolina Description We are looking for a dynamic Senior Product Manager to develop clinical solution...

Engineer III PC - USA-NC-Charlotte

Tue, 30 May 2023 00:00:00 CDT

Engineer III Protection & Control Direct Hire Hybrid Prefers Onsite Charlotte, NC C2C is Not Available Position Overview: Provide substation protection and control design, engineering, technical sup...

Institutional Effectiveness Coordinator - USA-NC-Dallas

Mon, 05 Jun 2023 00:00:00 CDT

Institutional Effectiveness Coordinator Institutional Effectiveness Coordinator Employer ******* 201 Highway U.S. 321 Dallas, NC 28034 ******* Job Location 201 Highway 321 South Dallas, North ...

Business Support Coordinator 1 - Medical Records - USA-NC-Charlotte

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 ...

Senior Commercial Real Estate Attorney - USA-NC-Charlotte

Wed, 01 May 2024 00:00:00 CDT

A law firm is seeking a Senior Commercial Real Estate Attorney with a portable book of business of at least $200,000. The ideal candidate should possess exceptional communication and a...