EmploymentCrossing Jobs

Senior Compliance Professional - Louisville, KY or Work at Home (Central and Eastern Time Zone) - USA-VA-Richmond

Fri, 15 Sep 2023 00:00:00 CDT

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues wher...

Associate Director - Network Engineering ( remote / work at home eligible ) - USA-VA-Glen Allen

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-VA-Glen Allen

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-VA-Glen Allen

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-VA-Glen Allen

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-VA-Glen Allen

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-VA-Glen Allen

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...

Business Support Coordinator 1 - Medical Records - USA-VA-Glen Allen

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 ...

Staff Utilization Management Pharmacist (Contract Position) - USA-VA-Glen Allen

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...

M&A Integration Technology Lead - USA-VA-Glen Allen

Tue, 29 Aug 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 ...

Inpatient Medical Coding Auditor - USA-VA-Richmond

Thu, 27 Apr 2023 00:00:00 CDT

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patie...

Behavioral Health Medical Director - Tricare - USA-VA-Glen Allen

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-VA-Glen Allen

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-VA-Glen Allen

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...

Compliance Professional 2 - Medicaid - USA-VA-Glen Allen

Sat, 13 May 2023 00:00:00 CDT

Job Information Humana Compliance Professional 2 - Medicaid in Glen Allen Virginia Description Responsibilities Healthcare isn't just about health anymore. It's about caring for family, friends, finan...

Customer Service Representative - USA-VA-Glen Allen

Sun, 21 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-VA-Glen Allen

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...

Director of Compliance and Risk Management - USA-VA-Richmond

Tue, 30 May 2023 00:00:00 CDT

As a Director of Compliance and Risk Management , you will architect and manage ******* s compliance programs including but not limited to organizational strategies, policies, and practices. You ...

Healthcare Transactional Counsel - USA-VA-Richmond

Mon, 18 Mar 2024 00:00:00 CDT

Job Overview: A law firm in Richmond, VA is seeking a Healthcare Transactional Counsel with a minimum of 7 years of transactional experience, a particular interest in healthcare transactional work,...

Healthcare Transactional Associate Attorney - USA-VA-Richmond

Mon, 18 Mar 2024 00:00:00 CDT

A law firm in Richmond, VA, is seeking a Healthcare Transactional Associate Attorney with 3-7 years of transactional experience, particularly in healthcare private equity. The ideal candidate will ...