EmploymentCrossing Jobs

Associate Director - Network Engineering ( remote / work at home eligible ) - USA-ID-Meridian

Wed, 30 Aug 2023 00:00:00 CDT

Description The Associate Director, Network Engineering designs, analyzes, plans and modifies network components supporting customer communication implementation activities. The Associate Director, N...

Claims Process & Policy Professional 2 - USA-ID-Meridian

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...

Staff Utilization Management Pharmacist (Contract Position) - USA-ID-Meridian

Mon, 26 Jun 2023 00:00:00 CDT

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. Th...

Senior Project Manager - Work at Home - USA-ID-Meridian

Thu, 22 Jun 2023 00:00:00 CDT

Description The Senior Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Senior Project Manager work assignments involve m...

Provider Engagement Executive - Remote for Boise ID area - USA-ID-Boise

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Provider Engagement Executive - Remote for Boise ID area in Boise Idaho Description The Provider Engagement Executive develops and grows positive, long-term relationships with p...

Medical Director - Florida Medicaid - USA-ID-Meridian

Thu, 23 Mar 2023 00:00:00 CDT

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

Compliance Lead - Remote - USA-ID-Boise

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Compliance Lead - Remote in Boise Idaho Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope...

Provider Contracting Executive - National Transplant Network - USA-ID-Meridian

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Provider Contracting Executive - National Transplant Network in Meridian Idaho Description The Provider Contracting Executive initiates, negotiates, and executes physician, hosp...

Compliance Lead - Remote - USA-ID-Meridian

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Compliance Lead - Remote in Meridian Idaho Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse sc...

M&A Integration Technology Lead - USA-ID-Meridian

Tue, 11 Jul 2023 00:00:00 CDT

Description The M&A IT integration leader will provide strategic guidance with regards to IT integration efforts to Humana's corporate development team and integration management office (IMO) on all ...

Senior Risk Adjustment Operation Professional - USA-ID-Meridian

Sun, 01 Jan 2023 00:00:00 CST

Description The Senior Risk Adjustment or Market Development Professional provides support relative to Medicaid risk adjustment product implementation, operations, contract compliance, and federal co...

Associate Vice President, Quality Improvement for Healthy Horizons - USA-ID-Meridian

Sun, 25 Dec 2022 00:00:00 CST

Job Information Humana Associate Vice President, Quality Improvement for Healthy Horizons in Meridian Idaho Description As a company whose primary focus is on the well-being of its members, Humana is ...

Medical Director-KY Medicaid - USA-ID-Meridian

Sun, 25 Dec 2022 00:00:00 CST

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Directo...

Associate Director, Software Engineering - USA-ID-Boise

Mon, 17 Apr 2023 00:00:00 CDT

Description Are you a change agent that wants to work in a scaled agile organization? Do you have an agile mindset and are interested in modern technology and delivery methods to drive speed to custo...

Medical Director - Behavioral Health - Tricare - USA-ID-Meridian

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...

Behavioral Health Medical Director - Tricare - USA-ID-Meridian

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...

Innovation Design Advisor - USA-ID-Meridian

Mon, 11 Sep 2023 00:00:00 CDT

Description Would you like the opportunity to bring human care to healthcare? To design business models and solutions that solve some of the most complex challenges facing our federal healthcare syst...

Correspondence Representative 2 - USA-ID-Meridian

Tue, 30 May 2023 00:00:00 CDT

Description The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insuran...

Business Support Coordinator 1 - Medical Records - USA-ID-Meridian

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-ID-Boise

Tue, 23 Apr 2024 00:00:00 CDT

Job Overview: A law firm in Boise, ID, seeks a Health Care Associate Attorney with 4-8 years of top-tier law firm experience or in-house experience in healthcare regulatory and transactional matter...