EmploymentCrossing Jobs

Commercial Medical Director - Work At Home - USA-CT-Bridgeport

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...

Claims Process & Policy Professional 2 - USA-CT-Bridgeport

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated repor...

Senior Compliance & Regulatory Professional - USA-CT-Bridgeport

Thu, 23 Mar 2023 00:00:00 CDT

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues wher...

Medical Director - Florida Medicaid - USA-CT-Bridgeport

Thu, 23 Mar 2023 00:00:00 CDT

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

Compliance Lead - Remote - USA-CT-Bridgeport

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Compliance Lead - Remote in Bridgeport Connecticut Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of di...

Customer Service Branch Associate-Delivery Driver - USA-CT-West Haven

Sat, 18 Feb 2023 00:00:00 CST

Customer Service Branch Associate-Delivery Driver - ( 23000375 ) Description JOB TITLE: Customer Service Branch Associate/Delivery Driver Why Sherwin-Williams Here, we believe there’s not one...

Grievances and Appeals Medical Director - Nationwide - USA-CT-Bridgeport

Sat, 22 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

Manager, Compliance - Agent Investigation Unit - USA-CT-Bridgeport

Sat, 22 Apr 2023 00:00:00 CDT

Job Information Humana Manager, Compliance - Agent Investigation Unit in Bridgeport Connecticut Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Comp...

Broker Relationship Executive - USA-CT-Bridgeport

Thu, 20 Apr 2023 00:00:00 CDT

Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability...

Medical Director - Behavioral Health - Tricare - USA-CT-Bridgeport

Thu, 20 Apr 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...

Medical Director - Claims Management - USA-CT-Bridgeport

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-CT-Bridgeport

Thu, 20 Apr 2023 00:00:00 CDT

Pharmacy Contracting Professional - USA-CT-Bridgeport

Thu, 20 Apr 2023 00:00:00 CDT

Description CenterWell Pharmacy is seeking a pharmacy contracting professional to solicit and maintain network agreements for all pharmacy lines of business. The pharmacy contracting professional 2 w...

Medical Director - South Central - USA-CT-Bridgeport

Thu, 20 Apr 2023 00:00:00 CDT

Behavioral Health Medical Director - Tricare - USA-CT-Bridgeport

Thu, 04 May 2023 00:00:00 CDT

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately comple...

Customer Service Representative - USA-CT-Bridgeport

Sun, 21 May 2023 00:00:00 CDT

Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional experiences to our member...

Clinical Educator - USA-CT-Plantsville

Sat, 10 Jun 2023 00:00:00 CDT

PURPOSE AND SCOPE:Supports the training and education of employees based in company facilities and programs within an assigned geographical area. Delivers standardized, competency based, training and ...

Associate Director, Infrastructure Engineering - USA-CT-Bridgeport

Sun, 18 Jun 2023 00:00:00 CDT

Description The Associate Director, Infrastructure Engineering scope of responsibility includes ensuring the technical foundation for Virtualization, Operating Systems, Security, and support of cloud...

Business Support Coordinator 1 - Medical Records - USA-CT-Bridgeport

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 ...

Labor and Education Attorney - USA-CT-New Haven

Thu, 09 May 2024 00:00:00 CDT

A law firm in New Haven is seeking a Labor and Education Attorney to join its traditional labor and employment law and education law practice group. The candidate will represent businesses, municip...