EmploymentCrossing Jobs

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

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...

Grievance and Appeals Representative 2 for IRT- Work at Home/Remote USA - USA-VA-Glen Allen

Wed, 30 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...

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-VA-Glen Allen

Sun, 13 Aug 2023 00:00:00 CDT

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Medical Director - Work at Home - USA-VA-Glen Allen

Wed, 30 Aug 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...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-VA-Glen Allen

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Glen Allen Virginia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to ...

Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) - USA-VA-Glen Allen

Tue, 12 Sep 2023 00:00:00 CDT

Job Information Humana Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) in Glen Allen Virginia Description Do you thrive on working on the cutting edge technology so...

Engineering Manager Cloud Solutions - Remote - USA-VA-Glen Allen

Thu, 14 Sep 2023 00:00:00 CDT

Job Information Humana Engineering Manager Cloud Solutions - Remote in Glen Allen Virginia Description The Manager, Cloud Solutions Engineering Supports development and execution of cloud implementati...

Senior Learning Facilitation Professional-Remote in US - USA-VA-Richmond

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Richmond Virginia Description The Senior Learning Facilitation Professional will focus on integration and implementatio...

Senior Learning Facilitation Professional-Remote in US - USA-VA-Glen Allen

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Glen Allen Virginia Description The Senior Learning Facilitation Professional will focus on integration and implementat...

Sr. Cognitive / Machine Learning Professional - TLP (Remote) - USA-VA-Glen Allen

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Sr. Cognitive / Machine Learning Professional - TLP (Remote) in Glen Allen Virginia Description The Senior Cognitive/Machine Learning Professional for Test and Learn Platform de...

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 ...

Manager, Care Management Social Services-WAH Nationwide - USA-VA-Glen Allen

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Glen Allen Virginia Description Job Description Summary The Manager, Care Management leads teams of social work and so...

Medical Malpractice Defense Attorney - USA-VA-Richmond

Thu, 25 Apr 2024 00:00:00 CDT

Richmond office of a ******* Top Ranked Law Firm seeks a medical malpractice defense attorney with 10 years of experience. The candidate works well as part of a team and has a passion for represen...

Regulatory/Health Care Attorney - USA-VA-Richmond

Thu, 25 Apr 2024 00:00:00 CDT

Richmond office of a ******* Top Ranked Law Firm seeks a regulatory/health care attorney with 5-10 years of experience in regulatory/administrative law. The candidate works well as part of a team ...

FDA Digital Health/Medical Device Attorney - USA-VA-Richmond

Fri, 22 Mar 2024 00:00:00 CDT

Richmond office of a ******* Top Ranked Law Firm seeks an FDA digital health/medical device attorney with 1-year of experience. The candidate will play a key role in helping clients launch new pro...

Talented and Experienced Digital Healthcare Attorney - USA-VA-Richmond

Fri, 22 Mar 2024 00:00:00 CDT

Richmond office of a ******* Top Ranked Law Firm seeks a talented and experienced digital healthcare attorney with 1-year of experience. The candidate will play a key role in helping our clients l...

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...

Senior Pre-Authorization Nurse - USA-VA-Glen Allen

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...

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 ...