EmploymentCrossing Jobs

We NEED Caregivers! - USA-AZ-Phoenix

Wed, 23 Aug 2023 00:00:00 CDT

Comfort Caregivers, a Non-Medical Home Care Agency is seeking Compassionate Caregivers to work immediately with our clients all over the Valley in their own home. We cover Scottsdale, Cave Creek, Pho...

Telephonic Utilization Management Nurse - Work at Home (AZ, CO, NM) - USA-AZ-Phoenix

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...

Consumer Service Operations Representative 3-Humana Neighborhood Center - in Mesa, AZ - USA-AZ-Mesa

Mon, 26 Jun 2023 00:00:00 CDT

Description The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple service functions area. The Consumer Service Operations Representative 3 performs ...

Grievance & Appeals Representative 3 - USA-AZ-Phoenix

Mon, 26 Jun 2023 00:00:00 CDT

Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appea...

Director, National Medicaid Care Management Strategy and Practice - USA-AZ-Phoenix

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-AZ-Phoenix

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...

Staff Utilization Management Pharmacist (Contract Position) - USA-AZ-Phoenix

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...

Grievance and Appeals Representative 2 for IRT- Work at Home/Remote USA - USA-AZ-Phoenix

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...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-AZ-Phoenix

Mon, 26 Jun 2023 00:00:00 CDT

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-AZ-Phoenix

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-AZ-Phoenix

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-AZ-Phoenix

Fri, 04 Aug 2023 00:00:00 CDT

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

Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) - USA-AZ-Phoenix

Fri, 14 Jul 2023 00:00:00 CDT

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

M&A Integration Technology Lead - USA-AZ-Phoenix

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-AZ-Phoenix

Fri, 08 Sep 2023 00:00:00 CDT

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

Innovation Design Advisor - USA-AZ-Phoenix

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...

Charge Nurse - USA-AZ-Tempe

Mon, 11 Sep 2023 00:00:00 CDT

PURPOSE AND SCOPE: Works with the Facility Manager, facility staff and physician to coordinate the facility operations and patient procedures to ensure provision of quality patient care on a daily bas...

Senior Informaticist - USA-AZ-Phoenix

Mon, 26 Jun 2023 00:00:00 CDT

Description An opportunity to join the Digital Health & Analytics (DH&A) team within Humana to build a world class analytics platform. Through the strategic interpretation of data, we provide our con...

Pre-Litigation Attorney - USA-AZ-Phoenix

Mon, 22 Apr 2024 00:00:00 CDT

Phoenix office of our client seeks a pre-litigation attorney with some litigation experience. The candidate will review and organize new client files, negotiate insurance claims payments to clients, a...

General Litigation Medical Malpractice Defense Associate Attorney - USA-AZ-Phoenix

Thu, 09 May 2024 00:00:00 CDT

A law firm in Phoenix is seeking a General Litigation Medical Malpractice Defense Associate Attorney with 1 year of experience. The candidate must have passed the Arizona State Bar and possess exce...