EmploymentCrossing Jobs

Associate Director of Quality, Performance, & Digital Experience - USA-IL-Chicago

Sun, 13 Aug 2023 00:00:00 CDT

Description The Associate Director of Quality, Performance, & Digital Experience devises an effective strategy for executing and delivering software quality initiatives with an emphasis on user exper...

Utilization Management Nurse 2 - North Central Region (Work at Home) - USA-IL-Chicago

Fri, 15 Sep 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...

Salesforce Lead Solutions Architect (Select Locations Work at Home / Virtual Optional) - USA-IL-Chicago

Thu, 06 Jul 2023 00:00:00 CDT

Description Lead Solutions Architect translates complex business needs into technical systems solutions with proven expertise in Salesforce ecosystem. Advises executives to develop functional strateg...

Utilization Management Nurse 2 - Work at Home (North Central Region) - USA-IL-Chicago

Sun, 10 Sep 2023 00:00:00 CDT

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

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...

Care Management Support Assistant 2 (Work at Home) - USA-IL-Chicago

Mon, 17 Jul 2023 00:00:00 CDT

Description The Care Management Support Assistant 2 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements...

Medical Director - Part Time - USA-IL-Chicago

Mon, 26 Jun 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...

Patient Care Technician Preceptor - PCT - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000FOZAvailable Openings 1 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Director, Group Market Operations - North - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Description The Director, Group Market Operations partners with the assigned Group Market Presidents on cost of care and profitable growth management, risk management and operations. The Market Opera...

Staff Utilization Management Pharmacist (Contract Position) - USA-IL-Chicago

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...

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

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-IL-Chicago

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-IL-Chicago

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Chicago Illinois Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to sup...

Senior Technical Product Manager - USA-IL-Chicago

Wed, 30 Aug 2023 00:00:00 CDT

Description The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issue...

Associate Director, Provider Data Interoperability - USA-IL-Chicago

Fri, 25 Aug 2023 00:00:00 CDT

Job Information Humana Associate Director, Provider Data Interoperability in Chicago Illinois Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient bu...

Immigration Attorney - USA-IL-Chicago

Mon, 18 Mar 2024 00:00:00 CDT

Chicago office of our client seeks an immigration attorney preferably with at least 1 year of experience practicing immigration law. The candidate will provide high-quality immigration legal services ...

Director, National Medicaid Care Management Strategy and Practice - USA-IL-Chicago

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...

Enterprise Clinical Operating Model (ECOM) Intern - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Description The Intern - General 2 performs duties in field of study or profession. The Intern - General 2 performs varied activities and moderately complex administrative/operational/customer suppor...

Assistant Corporation Counsel III - Appeals Division - USA-IL-Chicago

Tue, 09 Apr 2024 00:00:00 CDT

The City of Chicago's Law Department is seeking an attorney for the position of Assistant Corporation Counsel III in its Appeals Division. The Appeals Division handles all appellate matters for...