EmploymentCrossing Jobs

Commercial Medical Director - Work At Home - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

Medical Director - Central Region - USA-MO-Springfield

Thu, 18 Aug 2022 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 situ...

Medical Director - Florida Medicaid - USA-MO-Springfield

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Springfield Missouri Description The Medical Director relies on medical background and reviews health claims. The Medical Director work as...

Medical Director - National Medicare Team - USA-MO-Springfield

Fri, 11 Feb 2022 00:00:00 CST

Job Information Humana Medical Director - National Medicare Team in Springfield Missouri Description The Medical Director relies on medical background and reviews preauthorization requests for service...

UM Medical Director - Conviva - USA-MO-Springfield

Sat, 19 Feb 2022 00:00:00 CST

Job Information Humana UM Medical Director - Conviva in Springfield Missouri Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignme...

Director, Pharmacy Workforce Management - USA-MO-Springfield

Sat, 19 Mar 2022 00:00:00 CDT

Description The Director, Workforce Management applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decisi...

Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US - USA-MO-Springfield

Sun, 10 Apr 2022 00:00:00 CDT

Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Springfield Missouri Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical ...

General and Specialty Surgery Nurse Practitioner - USA-MO-Springfield

Thu, 28 Apr 2022 00:00:00 CDT

General and Specialty Surgery Advanced Practitioner Opportunity in Sp...

Facility Maintenance Manager - USA-MO-Springfield

Thu, 28 Apr 2022 00:00:00 CDT

,AnswerValue:\u003cp dir=\ltr\\u003ePREFERRED QUALIFICATIONS\u003c/p\u003e\u003cul dir=\ltr\\u003e\u003cli\u003eDemonstrated mechanical aptitude.\u003c/li\u003e\u003cli\u003eIntermediate to advanced p...

Family Medicine Nurse Practitioner - Mercy Clinic Scenic - USA-MO-Springfield

Sat, 07 May 2022 00:00:00 CDT

Family Medicine Nurse Practitioner Opportunity in Springfield, MO!

Associate Director, Data Science (Remote) - USA-MO-Springfield

Fri, 13 May 2022 00:00:00 CDT

Description Care Management Analytics is looking for an Associate Director of Data Science to lead a team of data scientists who building machine learning models and run advanced analyses to drive bu...

Medical Director - East Region - USA-MO-Springfield

Sun, 12 Jun 2022 00:00:00 CDT

Commercial Medical Director - National Team - Work From Home - USA-MO-Springfield

Sat, 30 Jul 2022 00:00:00 CDT

Medical Director - Southeast Region - Work from Home - USA-MO-Springfield

Sat, 08 Oct 2022 00:00:00 CDT

Medical Director - Southeast Region - MUST WORK EVERY OTHER WEEKEND - USA-MO-Springfield

Sat, 08 Oct 2022 00:00:00 CDT

Medical Director - South East Region - USA-MO-Springfield

Wed, 02 Nov 2022 00:00:00 CDT

Nurse Practitioner III - Emergency Medicine - Lebanon, MO (Part-Time) - USA-MO-Springfield

Tue, 20 Dec 2022 00:00:00 CST

Emergency Medicine

Medical Director-KY Medicaid - USA-MO-Springfield

Sun, 25 Dec 2022 00:00:00 CST

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Directo...

Medical Director - Claims Management - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - South Central - USA-MO-Springfield

Thu, 20 Apr 2023 00:00:00 CDT