EmploymentCrossing Jobs

Associate Director, Value-Based Programs - Louisville, KY or Work at Home Nationwide - USA-NJ-Jersey City

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-NJ-Jersey City

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...

Patient Care Technician - PCT - USA-NJ-Neptune

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000DRQAvailable Openings 2PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all ...

Acute Dialysis Registered Nurse - RN - USA-NJ-Atlantic City

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 210008VPAvailable Openings 2 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses....

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-NJ-Jersey City

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-NJ-Jersey City

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 Informaticist - USA-NJ-Jersey City

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...

Senior Data Manager - USA-NJ-Jersey City

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 ...

Business Support Coordinator 1 - Medical Records - USA-NJ-Jersey City

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 ...

Patient Care Technician - PCT - USA-NJ-Montclair

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 210004TMAvailable Openings 3Position Specific Information Located in Montclair, NJ Patient care experience strongly preferredPURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values ...

Enterprise Clinical Operating Model (ECOM) Intern - USA-NJ-Jersey City

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...

HCPR Inbound Contacts Representative 1- Remote - USA-NJ-Jersey City

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-NJ-Jersey City

Mon, 26 Jun 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-NJ-Jersey City

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Jersey City New Jersey Description The Manager, Utilization Management Nursing utilizes clinical nursing skills ...

MEP Mechanical Engineering Department Manager - USA-NJ-Haddonfield

Fri, 23 Jun 2023 00:00:00 CDT

My client is top notch MEP Consulting Engineering firm. They are actively seeking an MEP Consulting Engineering firm Department Head on the Mechanical side. HVAC design, engineering and project mana...

Associate Director, Accreditation - USA-NJ-Jersey City

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...

Medical Malpractice Associate Attorney - USA-NJ-Mount Laurel

Tue, 02 Apr 2024 00:00:00 CDT

Mount Laurel office of a ******* Top Ranked Law Firm seeks a medical malpractice associate attorney with 3-5 years of experience in litigation. The candidate will work under the general supervi...

Inbound Contact Representative 2 - CarePlus - USA-NJ-Jersey City

Wed, 21 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...

Care Management Support Assistant-SNP- WAH Nationwide - USA-NJ-Jersey City

Mon, 26 Jun 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...

Estate Planning/Elder Law Attorney - USA-NJ-Cherry Hill

Fri, 05 Apr 2024 00:00:00 CDT

A law firm located in Cherry Hill, NJ, is seeking an Estate Planning/Elder Law Attorney with 2-3 years of experience. The ideal candidate will play a pivotal role in the firm, overseeing various re...