EmploymentCrossing Jobs

Associate Director, Value-Based Programs - Louisville, KY or Work at Home Nationwide - USA-NC-Charlotte

Sun, 10 Sep 2023 00:00:00 CDT

Description The Associate Director, Value-Based Programs supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. Th...

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...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-NC-Charlotte

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...

OmniCare Clinical Care Product Management Lead - USA-NC-Charlotte

Mon, 26 Jun 2023 00:00:00 CDT

Description The Lead Product Manager Conceives of, develops, delivers, and manages products for customer use. The Lead Product Manager works on problems of diverse scope and complexity ranging from m...

Senior Data Manager - USA-NC-Charlotte

Mon, 26 Jun 2023 00:00:00 CDT

Description ESS Business Intelligence is an Enterprise Shared Services team focused on data, reporting and data science supporting Humana's Service Operations. The team is focused on converting data ...

Grievance & Appeals Representative 3 - USA-NC-Charlotte

Mon, 26 Jun 2023 00:00:00 CDT

Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appea...

Senior Informaticist - USA-NC-Charlotte

Mon, 26 Jun 2023 00:00:00 CDT

Description An opportunity to join the Digital Health & Analytics (DH&A) team within Humana to build a world class analytics platform. Through the strategic interpretation of data, we provide our con...

HCPR Inbound Contacts Representative 1- Remote - USA-NC-Charlotte

Mon, 26 Jun 2023 00:00:00 CDT

Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs basic administ...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-NC-Charlotte

Mon, 26 Jun 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-NC-Charlotte

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Charlotte North Carolina Description The Manager, Utilization Management Nursing utilizes clinical nursing skill...

Associate Director, Accreditation - USA-NC-Charlotte

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accred...

Pharmacy Lead Technician - USA-NC-Waxhaw

Wed, 07 Jun 2023 00:00:00 CDT

Job Description Health is everything. At CVS Health we are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we're helping people on their path to ...

Senior FP&A Professional - Medicaid Mkt - USA-NC-Charlotte

Sat, 10 Jun 2023 00:00:00 CDT

Job Information Humana Senior FP&A Professional - Medicaid Mkt in Charlotte North Carolina Description The Senior Financial Planning and Analysis Professional analyzes and forecasts financial, economi...

Utilization Management Nurse (LPN) - USA-NC-Charlotte

Sun, 18 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Adult and Child Psychiatrist - Outpatient - Flexible Schedule - USA-NC-Charlotte

Tue, 13 Jun 2023 00:00:00 CDT

We offer Psychiatrists: Flexible work schedules. Full-time and part-time available. 100% outpatient work. No nights, no hospital ******* ,000 range)$25,000 sign-on bonusFull benefits package: Healt...

Data and Reporting Professional II - USA-NC-Charlotte

Sun, 18 Jun 2023 00:00:00 CDT

Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scri...

Inbound Contact Representative 2 - CarePlus - USA-NC-Charlotte

Mon, 19 Jun 2023 00:00:00 CDT

Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 positions that will have the pleasure of taking inbound calls from our members and...

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 ...

Enterprise Clinical Operating Model (ECOM) Intern - USA-NC-Charlotte

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...

Estate Planning And Elder Law Attorney - USA-NC-Charlotte

Tue, 19 Mar 2024 00:00:00 CDT

Job Overview: A law firm specializing in estate planning and elder law is seeking an experienced attorney to join their team in Charlotte, NC. The ideal candidate will have a strong background in c...