EmploymentCrossing Jobs

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

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...

Associate Director, Value-Based Programs - Louisville, KY or Work at Home Nationwide - USA-UT-Sandy

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 - -Telephonic Utilization Management Nurse - Work at Home, Mountain or Pacific Time Zones - USA-UT-Sandy

Mon, 26 Jun 2023 00:00:00 CDT

RN - Provider Clinical Liaison - WAH OR, ID, MT, or UT - USA-UT-Sandy

Mon, 26 Jun 2023 00:00:00 CDT

Description RN - Provider Clinical Liaison contributes to administration of utilization management. The RN - Provider Clinical Liaison work assignments involve moderately complex to complex issues wh...

Senior Informaticist - USA-UT-Sandy

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...

Grievance & Appeals Representative 3 - USA-UT-Sandy

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...

Enterprise Clinical Operating Model (ECOM) Intern - USA-UT-Sandy

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...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-UT-Sandy

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...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-UT-Sandy

Sun, 13 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Sandy Utah Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support t...

Associate Director, Accreditation - USA-UT-Sandy

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...

IT Director Technology Solutions (CAO/HR) - USA-UT-Sandy

Tue, 30 May 2023 00:00:00 CDT

Description The Director, Technology Solutions devises an effective strategy for executing and delivering on IT business initiatives. The Director, Technology Solutions requires an in-depth understan...

Medical Assistant - USA-UT-Cottonwood Heights

Thu, 01 Jun 2023 00:00:00 CDT

Welcome to ******* :At ******* , we're on a mission to heal individuals and uplift communities. We have locations throughout Colorado, Utah, and western Kansas, giving you opportunity to grow y...

Medical Assistant II - USA-UT-Lehi

Fri, 02 Jun 2023 00:00:00 CDT

Welcome to ******* :At ******* , we're on a mission to heal individuals and uplift communities. We have locations throughout Colorado, Utah, and western Kansas, giving you opportunity to grow y...

Medical Assistant II - USA-UT-Lehi

Mon, 05 Jun 2023 00:00:00 CDT

Representing health systems and hospitals of the state through research, education, data and information resources,publisher:{@id: ******* name=search_term_string}],inLanguage:en-US},{@type:WebPage,...

Medical Assistant - USA-UT-Cottonwood Heights

Mon, 05 Jun 2023 00:00:00 CDT

Senior FP&A Professional - Medicaid Mkt - USA-UT-Sandy

Sat, 10 Jun 2023 00:00:00 CDT

Job Information Humana Senior FP&A Professional - Medicaid Mkt in Sandy Utah Description The Senior Financial Planning and Analysis Professional analyzes and forecasts financial, economic, and other d...

Data and Reporting Professional II - USA-UT-Sandy

Tue, 13 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-UT-Sandy

Sun, 18 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-UT-Sandy

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 ...

Health Care Associate Attorney - USA-UT-Salt Lake City

Wed, 24 Apr 2024 00:00:00 CDT

Job Overview: A law firm located in Salt Lake City, UT, is seeking a Health Care Associate Attorney with 4-8 years of experience in health care regulatory and transactional matters. The ideal candi...