EmploymentCrossing Jobs

Senior Business Intelligence Engineer - Work at Home - USA-GA-Atlanta

Mon, 04 Sep 2023 00:00:00 CDT

Job Information Humana Senior Business Intelligence Engineer - Work at Home in Atlanta Georgia Description The Senior Business Intelligence Engineer solves complex business problems and issues using d...

Associate Director, Value-Based Programs - Louisville, KY or Work at Home Nationwide - USA-GA-Atlanta

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...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-GA-Atlanta

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...

Integrated Clinic Pharmacist - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Description This position integrates the pharmacist as a member of the care team within the physician practice. The pharmacist is responsible to manage patients' drug therapy to ensure optimal, cost ...

AVP Business Technology Solution Implementation - USA-GA-Atlanta

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...

Director, Strategy Advancement - Home Solution - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Description The Director, Strategy Advancement will influence strategy for the Home Solution organization, as well as throughout the enterprise, as we look to bring more care into the home, specifica...

Medical Director - Part Time - USA-GA-Atlanta

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...

Physician - CenterWell - Atlanta, GA - Old National - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Job Information Humana Physician - CenterWell - Atlanta, GA - Old National in Atlanta Georgia Description CenterWell Senior Primary Care, a subsidiary of ******* , is the new brand for a primary ca...

Manager, Technical Program Management - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Because you belong at Twilio The Who, What, Where and Why Twilio is seeking an exceptional and passionate Manager or Senior Manager of Technical Program Managers (TPMs) within Twilio's Program Managem...

Staff Utilization Management Pharmacist (Contract Position) - USA-GA-Atlanta

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-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

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

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-GA-Atlanta

Wed, 30 Aug 2023 00:00:00 CDT

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-GA-Atlanta

Fri, 04 Aug 2023 00:00:00 CDT

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

Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) - USA-GA-Atlanta

Tue, 11 Jul 2023 00:00:00 CDT

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

Senior Pre-Authorization Nurse - USA-GA-Atlanta

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...

Senior Consumer Experience Professional Work at Home/Remote USA - USA-GA-Atlanta

Mon, 26 Jun 2023 00:00:00 CDT

Description The Senior Consumer Experience Professional ensures optimized interaction between a company and providers. The Senior Consumer Experience Professional work assignments involve moderately ...

Director, National Medicaid Care Management Strategy and Practice - USA-GA-Atlanta

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 Malpractice Defense Attorney - USA-GA-Atlanta

Thu, 22 Feb 2024 00:00:00 CST

A law firm in Atlanta, GA, is seeking a skilled Medical Malpractice Defense Attorney with 2-4 years of civil litigation experience, preferably in defense. The candidate must have Bar admission and ...

Medical Malpractice Defense Attorney - USA-GA-Atlanta

Thu, 22 Feb 2024 00:00:00 CST

A law firm in Atlanta, GA, is seeking a Medical Malpractice Defense Attorney with 1-2 years of civil litigation experience. The candidate must have Bar admission and will be responsible for defendi...