EmploymentCrossing Jobs

Associate Director, Value-Based Programs - Louisville, KY or Work at Home Nationwide - USA-MA-Boston

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-MA-Boston

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-MA-Boston

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-MA-Boston

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-MA-Boston

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-MA-Boston

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-MA-Boston

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 ...

This position will deliver key insights and recommendations that optimize the performance of the marketing department and marketing programs/campaigns, and will assist the marketing department as a whole in the achievement of its goals. - USA-MA-Marlborough

Mon, 26 Jun 2023 00:00:00 CDT

This position will deliver key insights and recommendations that optimize the performance of the marketing department and marketing programs/campaigns, and will assist the marketing department as a wh...

HCPR Inbound Contacts Representative 1- Remote - USA-MA-Boston

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-MA-Boston

Mon, 26 Jun 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-MA-Boston

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Boston Massachusetts Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to...

Director, Digital Transformation and Implementation - USA-MA-Boston

Mon, 28 Aug 2023 00:00:00 CDT

Job Information Humana Director, Digital Transformation and Implementation in Boston Massachusetts Description The purpose of the Director, Technology Solutions Implementation is to lead the Business ...

Associate Director, Accreditation - USA-MA-Boston

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...

Registered Nurse Supervisor - RN - USA-MA-Ayer

Sat, 17 Jun 2023 00:00:00 CDT

Sign on Bonus! New Competitive Wages! Genesis is a leading provider of post-acute healthcare services from short-term to long-term care and a wide variety of living options and professional clinic...

Manager, GMA Evidence Generation Operations - USA-MA-Cambridge

Sun, 18 Jun 2023 00:00:00 CDT

Job Description About the role: At Takeda, we are a forward-looking, world-class R&D organization that unlocks innovation and delivers transformative therapies to patients. By focusing R&D efforts on ...

Data and Reporting Professional II - USA-MA-Boston

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-MA-Boston

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...

Enterprise Clinical Operating Model (ECOM) Intern - USA-MA-Boston

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...

Healthcare Regulatory, Reimbursement, And/Or Fraud And Abuse Associate Attorney - USA-MA-Boston

Mon, 11 Mar 2024 00:00:00 CDT

Job Overview: A law firm in Boston, MA, is seeking an experienced Healthcare Regulatory, Reimbursement, And/Or Fraud And Abuse Associate Attorney to join their team. The ideal candidate will have e...

Mid-Level Private Client Associate Attorney - USA-MA-Boston

Sun, 21 Apr 2024 00:00:00 CDT

A law firm is seeking a Mid-Level Private Client Associate Attorney for their Boston, MA location. The successful candidate will join a dynamic team dedicated to providing high-quality legal servic...