EmploymentCrossing Jobs

Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-MO-Springfield

Mon, 04 Sep 2023 00:00:00 CDT

Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior S...

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

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...

Utilization Management Nurse 2 - Work at Home (Part-Time - Tuesday/Thursday/Friday) - USA-MO-Springfield

Tue, 08 Aug 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...

UM Administration Coordinator 2 - Work at Home - USA-MO-Springfield

Tue, 15 Aug 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...

Utilization Management Nurse 2 - Central Region (Work at Home - KS, AR, MO, OK, IA, NE) - USA-MO-Springfield

Tue, 12 Sep 2023 00:00:00 CDT

Grievance and Appeals Representative 2 for IRT- Work at Home/Remote USA - USA-MO-Springfield

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-MO-Springfield

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-MO-Springfield

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-MO-Springfield

Fri, 04 Aug 2023 00:00:00 CDT

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

Sales Associate, J.Crew Factory, St. Louis Premium Outlets - USA-MO-Chesterfield

Tue, 11 Jul 2023 00:00:00 CDT

SALES ASSOCIATE At ******* , we envision a world where doing good is part of doing business. Each day, our teams are re-imagining retail for the better, from the people who create our products to...

Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) - USA-MO-Springfield

Tue, 12 Sep 2023 00:00:00 CDT

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

Accountant 1 - USA-MO-Springfield

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Accountant 1 in Springfield Missouri Description The Accountant 1 performs general accounting activities, including the preparation, maintenance and reconciliation of ledger acc...

Senior Learning Facilitation Professional-Remote in US - USA-MO-Kansas City

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Kansas City Missouri Description The Senior Learning Facilitation Professional will focus on integration and implementa...

Senior Learning Facilitation Professional-Remote in US - USA-MO-Springfield

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Springfield Missouri Description The Senior Learning Facilitation Professional will focus on integration and implementa...

Sr. Cognitive / Machine Learning Professional - TLP (Remote) - USA-MO-Springfield

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Sr. Cognitive / Machine Learning Professional - TLP (Remote) in Springfield Missouri Description The Senior Cognitive/Machine Learning Professional for Test and Learn Platform d...

M&A Integration Technology Lead - USA-MO-Springfield

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 ...

Innovation Design Advisor - USA-MO-Springfield

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...

Health Law Associate Attorney - USA-MO-Kansas City

Sun, 31 Mar 2024 00:00:00 CDT

Kansas City office of a ******* Top Ranked Law Firm seeks a health law associate attorney with 3-5 years of experience. The candidate will be defending complicated medical malpractice and long-ter...

Health Care Associate Attorney - USA-MO-Kansas City

Mon, 13 May 2024 00:00:00 CDT

A law firm in Kansas City is actively seeking a skilled Health Care Associate Attorney with expertise in handling high-level and strategic aspects of legal matters within the Corporate Services Gro...

Attorney with 0-10 years of specific experience in medical malpractice defense - USA-MO-Saint Louis

Wed, 28 Feb 2024 00:00:00 CST

A law firm is currently seeking an Attorney for its Saint Louis office with a focus on medical malpractice defense. The ideal candidate should possess a Juris Doctor degree from an ABA accredited l...