EmploymentCrossing Jobs

Associate Director, Value-Based Programs - Louisville, KY or Work at Home Nationwide - USA-CT-Bridgeport

Mon, 04 Sep 2023 00:00:00 CDT

Description The Associate Director, Value-Based Programs supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. Th...

Senior Business Intelligence Engineer - Work at Home - USA-CT-Bridgeport

Mon, 04 Sep 2023 00:00:00 CDT

Job Information Humana Senior Business Intelligence Engineer - Work at Home in Bridgeport Connecticut Description The Senior Business Intelligence Engineer solves complex business problems and issues ...

Lead Technology Leadership Professional Cloud Adoption ( remote / work at home eligible ) - USA-CT-Bridgeport

Sun, 10 Sep 2023 00:00:00 CDT

Description The leader will lead the Cloud Adoption Service to deliver on programs managing internal organization capabilities and process interrelate across departments, people leadership skills, an...

AVP Business Technology Solution Implementation - USA-CT-Bridgeport

Mon, 26 Jun 2023 00:00:00 CDT

Description The AVP, Business Technology Solutions Implementation will oversees various system programs of a highly complex nature to deliver new technological solutions to meet business needs within...

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...

Senior Business Systems Analysis Professional - USA-CT-Bridgeport

Mon, 26 Jun 2023 00:00:00 CDT

Description The Senior Business Systems Analysis Professional performs analysis of business, process and user needs, documentation of requirements, cost/benefit analysis and translation into proper s...

Patient Care Technician - PCT - USA-NY-Commack

Mon, 26 Jun 2023 00:00:00 CDT

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

Business Intelligence Lead for Salesforce ARC (Acquisition, Review and Care) WAH Nationwide - USA-CT-Bridgeport

Mon, 26 Jun 2023 00:00:00 CDT

Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence L...

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...

Bilingual (Spanish) Inbound Call Center Representative - Work at Home (Eastern and Central Time Zones) - USA-CT-Bridgeport

Wed, 30 Aug 2023 00:00:00 CDT

Description Humana is continuing to grow especially within Medicaid! We have several new Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida M...

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 ...

Technology Leader - Work At Home Eligible - USA-CT-Bridgeport

Mon, 26 Jun 2023 00:00:00 CDT

Description This position establishes strategy, develops business plans, and oversees and leads in the design, development and implementation of technology solutions to meet business needs. Leaders i...

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...

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 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...

Java API and React JS - Lead Software Engineer - USA-CT-Bridgeport

Tue, 05 Sep 2023 00:00:00 CDT

Description Join us and be a part of the unique opportunity to transform Humana into a consumer focused healthcare leader backed by digital platforms. We're looking for someone who craves new challen...

Actuary, Analytics/Forecasting, Individual Dental and Vision - USA-CT-Bridgeport

Mon, 26 Jun 2023 00:00:00 CDT

Description The Actuary, Analytics/Forecasting will develop the financial forecast for the dental and vision benefits included within Humana's growing Medicare Advantage business, as well as pricing ...

Health Care Associate Attorney - USA-CT-New Haven

Thu, 04 Apr 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...