EmploymentCrossing Jobs

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

Mon, 04 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...

Senior Business Intelligence Engineer - Provider Analytics - USA-KY-Louisville

Thu, 06 Jul 2023 00:00:00 CDT

Description The Provider Analytics organization's vision is to improve member healthcare through innovative analytics and actionable insights, which empower members, and providers to drive higher qua...

Process Improvement Professional 2/Audit/Data Analysis/Metrics Reporting - HGB - Work at Home -Louisville, KY - USA-KY-Louisville

Sun, 20 Aug 2023 00:00:00 CDT

Description The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process impro...

Commercial Medical Director - Work At Home - USA-KY-Louisville

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-KY-Louisville

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-KY-Louisville

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-KY-Louisville

Mon, 07 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 ...

Associate Director, Program Integrity - USA-KY-Louisville

Thu, 04 May 2023 00:00:00 CDT

Description Are you looking to join a team where you can be a part of our important mission of supporting the TRICARE healthcare program for our nation's military? Humana Government Business is a top...

Compliance Lead - Medicaid Business Readiness - USA-KY-Louisville

Fri, 23 Jun 2023 00:00:00 CDT

Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging from moderate to substantial. Respons...

Assistant Professor - Term - Exercise Science - R101470 - USA-KY-Louisville

Fri, 23 Jun 2023 00:00:00 CDT

Department:

*******

Location: Belknap Campus

Time Type:

Full time

Worker Type:

Regular Term (Fixed Term)

Job Req ID:...

Senior Data Scientist - Stars - USA-KY-Louisville

Sat, 13 May 2023 00:00:00 CDT
Job Information Humana Senior Data Scientist - Stars in Louisville Kentucky Description The Stars program is the Centers for Medicare & Medicaid Services (CMS) five‐star quality rating system for meas...

Lead User Interface Designer - USA-KY-Louisville

Fri, 19 May 2023 00:00:00 CDT
Description The Lead User Interface Designer leads the team that designs web page layout and online content, user interface graphics, icons, color schemes, content and infrastructure for new product ...

Correspondence Representative 2 - USA-KY-Louisville

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...

Echocardiographer / Hospital - USA-KY-Louisville

Sat, 10 Jun 2023 00:00:00 CDT
13 wks- days- 7a-5:30p- rotating wknds & call-RDCS- 2D Echo We can help you achieve your career goals by connecting you to our diverse healthcare clients close to home or in desirable locations ...

Senior Finance Data Analytics Professional - USA-KY-Louisville

Sun, 18 Jun 2023 00:00:00 CDT
Job Information Humana Senior Finance Data Analytics Professional in Louisville Kentucky Description The Senior Finance Data Analytics Professional will support the Florida Medicaid and LT care market...

Registered Nurse (RN) / Corrections - USA-KY-La Grange

Sat, 10 Jun 2023 00:00:00 CDT
Accountable Healthcare is seeking experienced local or travel LPNs or RNs for Correctional Nursing positions in Kentucky!! 12 hour NIGHT shift available! Give us a ******* ! Acute care exp require...

Appeals Nurse - USA-KY-Louisville

Tue, 13 Jun 2023 00:00:00 CDT
Description The Appeals Nurse 2 resolves clinical complaints and appeals. The Appeals Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the ap...

Medical Director - Kentucky Medicaid - USA-KY-Louisville

Tue, 13 Jun 2023 00:00:00 CDT
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 VP, IT Procurement & Supplier Management - USA-KY-Louisville

Tue, 13 Jun 2023 00:00:00 CDT
Description Responsibilities The Associate Vice President (AVP), IT Procurement - Enterprise Procurement & Supplier Management reports to the Chief Procurement Officer, the Associate Vice President ...

Business Support Coordinator 1 - Medical Records - USA-KY-Louisville

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 ...