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...

Lead Data Architect - USA-ID-Meridian

Sun, 10 Sep 2023 00:00:00 CDT

Description The Lead Data Architect works in all data environments which includes data design, database architecture, metadata and repository creation. The Lead Data Architect works on problems of di...

Associate Director, Value-Based Programs - Louisville, KY or Work at Home Nationwide - USA-ID-Meridian

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...

Professional 2, Product Marketing - USA-ID-Meridian

Mon, 26 Jun 2023 00:00:00 CDT

Description The Professional 2, Product Marketing plans, develops, and executes promotional campaigns that inform the organization's target market of the merits of purchasing its products and service...

Commercial Medical Director - Work At Home - USA-ID-Meridian

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

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...

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 ...

Grievances and Appeals Medical Director - Nationwide - USA-ID-Meridian

Sat, 22 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

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...

Dental Provider Engagement Professional - USA-ID-Meridian

Mon, 24 Apr 2023 00:00:00 CDT

Description The Provider Engagement Professional 1 develops and grows positive, long-term relationships with physicians, providers and dental healthcare systems in order to support and improve financ...

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...

Job Posting Title Provider Network Operations Coordinator 3 / Contract Maintenance - USA-ID-Meridian

Wed, 10 May 2023 00:00:00 CDT

Description The Network Operations Coordinator 3 manages provider data including but not limited to demographics and contract accuracy. Additional Information - How we Value You Benefits starting d...

Customer Service Representative - USA-ID-Meridian

Tue, 23 May 2023 00:00:00 CDT

Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional experiences to our member...

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...

Anesthesiology Physician - USA-ID-Boise

Tue, 30 May 2023 00:00:00 CDT

Job Description & RequirementsAnesthesiology PhysicianStartDate: ASAP This facility is seeking an\u00a0Anesthesiology Physician for locum tenens support as they look to fill a current need.Details & r...

Computed Tomography Technologist (CT) / Hospital - USA-ID-Meridian

Sat, 10 Jun 2023 00:00:00 CDT

13 wks- 4/10's nights- ARRT- ID license- must live more than 50 miles from facility We can help you achieve your career goals by connecting you to our diverse healthcare clients close to home or...

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...