EmploymentCrossing Jobs

Lead Network Engineer ( Work at Home / Remote / Virtual eligible ) - USA-NH-Portsmouth

Fri, 15 Sep 2023 00:00:00 CDT

Description The Lead, Network Engineer designs, analyzes, plans and modifies network components supporting customer communication implementation activities. The Lead, Network Engineer works on proble...

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

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...

Inbound Contact Representative -- Work-At-Home (Eastern Time Zone) - USA-NH-Portsmouth

Thu, 14 Sep 2023 00:00:00 CDT

Description Humana is continuing to grow! We have several new Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our members and provide excellent servic...

Inside Sales SWAT Executive - USA-NH-Portsmouth

Mon, 26 Jun 2023 00:00:00 CDT

Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assig...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-NH-Portsmouth

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...

Part Time Sales Associate- CALVIN KLEIN - Kittery, ME - USA-ME-Kittery

Mon, 26 Jun 2023 00:00:00 CDT

POSITION SUMMARY

Sales Associates are brand ambassadors responsible for creating an emotional connection between our customers and the brand. They consistently exceed expectatio...

Senior Software Engineer (C ) - USA-NH-Portsmouth

Mon, 26 Jun 2023 00:00:00 CDT

Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where t...

Associate Director Business Intelligence - Remote, nationwide - USA-NH-Portsmouth

Mon, 26 Jun 2023 00:00:00 CDT

Description COME GROW WITH HUMANA! BENEFITS DAY ONE - STELLAR 401K MATCH - PAID TIME OFF - TUTION ASSISTANCE PROGRAMS - STELLAR WELLNESS/REWARDS PROGRAM Responsibilities The Associate Director, Bus...

AVP Business Technology Solution Implementation - USA-NH-Portsmouth

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...

Associate VP, Technology Solutions - Provider Systems - USA-NH-Portsmouth

Mon, 26 Jun 2023 00:00:00 CDT

Description We're looking for someone who is well rounded in the end-to-end journey of Medical Insurance to lead our Provider Systems team supporting Provider Operations across the enterprise. You wi...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-NH-Portsmouth

Mon, 26 Jun 2023 00:00:00 CDT

AVP Enterprise Architecture Practices - USA-NH-Portsmouth

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...

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

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...

Bilingual (Spanish) Inbound Call Center Representative - Work at Home (Eastern and Central Time Zones) - USA-NH-Portsmouth

Wed, 30 Aug 2023 00:00:00 CDT

Description Humana is continuing to grow especially within Medicaid! We have several new Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida M...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-NH-Portsmouth

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Portsmouth New Hampshire Description The Manager, Utilization Management Nursing utilizes clinical nursing skill...

M&A Integration Technology Lead - USA-NH-Portsmouth

Tue, 11 Jul 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 Pre-Authorization Nurse - USA-NH-Portsmouth

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...

Agency Broker Executive - Life Insurance - USA-NH-Portsmouth

Fri, 25 Aug 2023 00:00:00 CDT

Description The Agency Broker Executive - Life Insurance places outbound calls based on leads, and completes the sales of products and/or services. The Agency Broker Executive work assignments are va...

RN, Utilization Management - Behavioral Health - USA-NH-Portsmouth

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Director, National Medicaid Care Management Strategy and Practice - USA-NH-Portsmouth

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...