EmploymentCrossing Jobs

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

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...

Biomedical Technician I - USA-CT-Fairfield

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000G6MAvailable Openings 1PURPOSE AND SCOPE: Entry level position focuses on the development of Knowledge, Skills, and Abilities (KSA) in a supervised environment with the intent of developi...

Medical Director - Part Time - USA-CT-Bridgeport

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...

Patient Care Technician - PCT - USA-CT-Bristol

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000GS1Available Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all ...

Staff Utilization Management Pharmacist (Contract Position) - USA-CT-Bridgeport

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...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-CT-Bridgeport

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-CT-Bridgeport

Thu, 14 Sep 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...

Medical Director - Work at Home - USA-CT-Bridgeport

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-CT-Bridgeport

Sun, 13 Aug 2023 00:00:00 CDT

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

Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) - USA-CT-Bridgeport

Tue, 11 Jul 2023 00:00:00 CDT

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

Senior Learning Facilitation Professional-Remote in US - USA-CT-Bridgeport

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Bridgeport Connecticut Description The Senior Learning Facilitation Professional will focus on integration and implemen...

Sr. Cognitive / Machine Learning Professional - TLP (Remote) - USA-CT-Bridgeport

Fri, 04 Aug 2023 00:00:00 CDT

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

M&A Integration Technology Lead - USA-CT-Bridgeport

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 ...

Senior Integration Specialist - Cloud - USA-CT-Bridgeport

Thu, 06 Jul 2023 00:00:00 CDT

Job Information Humana Senior Integration Specialist - Cloud in Bridgeport Connecticut Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by elim...

Innovation Design Advisor - USA-CT-Bridgeport

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-CT-Bridgeport

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...

Business Support Coordinator 1 - Medical Records - USA-CT-Bridgeport

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 ...

Director, National Medicaid Care Management Strategy and Practice - USA-CT-Bridgeport

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...

Health Care Associate Attorney - USA-CT-New Haven

Wed, 27 Mar 2024 00:00:00 CDT

A law firm in New Haven, CT, is actively seeking a Health Care Associate Attorney with 2-5 years of experience in Medical Malpractice. The successful candidate will contribute to the firm's exp...

Personal Injury Associate Attorney - USA-CT-Bridgeport

Thu, 25 Apr 2024 00:00:00 CDT

A law firm is seeking a Personal Injury Associate Attorney for their Bridgeport, CT office. Here's a detailed job description:

Job Overview:

The Personal Injury Associate Attorney...