EmploymentCrossing Jobs

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-NY-Albany

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...

UM Administration Coordinator 2 (Work at Home) - USA-NY-Albany

Tue, 12 Sep 2023 00:00:00 CDT

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administ...

Director, National Medicaid Care Management Strategy and Practice - USA-NY-Albany

Mon, 26 Jun 2023 00:00:00 CDT

Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. T...

Medical Director - Part Time - USA-NY-Albany

Mon, 26 Jun 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...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-NY-Albany

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...

Grievance and Appeals Representative 2 for IRT- Work at Home/Remote USA - USA-NY-Albany

Thu, 24 Aug 2023 00:00:00 CDT

Description Responsibilities The Grievances & Appeals Representative 2 for IRT will be responsible for assigning cases to associates on team to send to independent entity for 2nd level review. Track...

Staff Utilization Management Pharmacist (Contract Position) - USA-NY-Albany

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...

Medical Director - Work at Home - USA-NY-Albany

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-NY-Albany

Sun, 13 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Albany New York Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to supp...

Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) - USA-NY-Albany

Tue, 12 Sep 2023 00:00:00 CDT

Job Information Humana Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) in Albany New York Description Do you thrive on working on the cutting edge technology soluti...

Associate VP, Technology Solutions, Pharmacy - USA-NY-Albany

Thu, 06 Jul 2023 00:00:00 CDT

Job Information Humana Associate VP, Technology Solutions, Pharmacy in Albany New York Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with the busi...

Accountant 1 - USA-NY-Albany

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Accountant 1 in Albany New York Description The Accountant 1 performs general accounting activities, including the preparation, maintenance and reconciliation of ledger accounts...

Senior Learning Facilitation Professional-Remote in US - USA-NY-Albany

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Albany New York Description The Senior Learning Facilitation Professional will focus on integration and implementation ...

Associate Director Performance Test Engineering (Remote) - USA-NY-Albany

Tue, 29 Aug 2023 00:00:00 CDT

Job Information Humana Associate Director Performance Test Engineering (Remote) in Albany New York Description Do you crave new challenges and solving problems? Working with innovators in the early st...

Sr. Cognitive / Machine Learning Professional - TLP (Remote) - USA-NY-Albany

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Sr. Cognitive / Machine Learning Professional - TLP (Remote) in Albany New York Description The Senior Cognitive/Machine Learning Professional for Test and Learn Platform develo...

M&A Integration Technology Lead - USA-NY-Albany

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 ...

Senior Integration Specialist - Cloud - USA-NY-Albany

Fri, 08 Sep 2023 00:00:00 CDT

Job Information Humana Senior Integration Specialist - Cloud in Albany New York Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating...

Innovation Design Advisor - USA-NY-Albany

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...

Senior Pre-Authorization Nurse - USA-NY-Albany

Mon, 11 Sep 2023 00:00:00 CDT

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to t...

Litigation Associate Attorney - USA-NY-Albany

Thu, 16 May 2024 00:00:00 CDT

A law firm in Albany, NY, is seeking a Litigation Associate Attorney. The attorney will be responsible for assisting in all aspects of the litigation process, including legal research, drafting ple...