EmploymentCrossing Jobs

Associate Director of Quality, Performance, & Digital Experience - USA-DE-Dover

Sun, 13 Aug 2023 00:00:00 CDT

Description The Associate Director of Quality, Performance, & Digital Experience devises an effective strategy for executing and delivering software quality initiatives with an emphasis on user exper...

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

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...

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

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...

Senior Software Engineer (C ) - USA-DE-Dover

Mon, 26 Jun 2023 00:00:00 CDT

Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where t...

AVP Business Technology Solution Implementation - USA-DE-Dover

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, National Medicaid Care Management Strategy and Practice - USA-DE-Dover

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...

Associate VP, Technology Solutions - Provider Systems - USA-DE-Dover

Mon, 26 Jun 2023 00:00:00 CDT

Description We're looking for someone who is well rounded in the end-to-end journey of Medical Insurance to lead our Provider Systems team supporting Provider Operations across the enterprise. You wi...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-DE-Dover

Mon, 26 Jun 2023 00:00:00 CDT

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

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...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-DE-Dover

Fri, 04 Aug 2023 00:00:00 CDT

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

Associate VP, Technology Solutions, Pharmacy - USA-DE-Dover

Thu, 17 Aug 2023 00:00:00 CDT

Job Information Humana Associate VP, Technology Solutions, Pharmacy in Dover Delaware Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with the busin...

M&A Integration Technology Lead - USA-DE-Dover

Tue, 29 Aug 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-DE-Dover

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...

RN, Utilization Management - Behavioral Health - USA-DE-Dover

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Senior Sales Enablement Product Marketer - USA-DE-Dover

Sun, 18 Jun 2023 00:00:00 CDT

Job Information Humana Senior Sales Enablement Product Marketer in Dover Delaware Description Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Marketer who...

Senior Application Security Architect - USA-DE-Dover

Sun, 18 Jun 2023 00:00:00 CDT

Job Information Humana Senior Application Security Architect in Dover Delaware Description Responsibilities Description The Senior Application Architect designs and develops IT applications architectu...

Senior Onboarding Command Center - USA-DE-Dover

Sun, 18 Jun 2023 00:00:00 CDT

Job Information Humana Senior Onboarding Command Center in Dover Delaware Description The Senior Desktop/End User Support Engineer maintains, repairs, and troubleshoots desktop hardware and software p...

Inbound Contact Representative 2 - CarePlus - USA-DE-Dover

Sun, 18 Jun 2023 00:00:00 CDT

Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 positions that will have the pleasure of taking inbound calls from our members and...

Senior Copy Writer - USA-DE-Dover

Sun, 18 Jun 2023 00:00:00 CDT

Job Information Humana Senior Copy Writer in Dover Delaware Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, a creative collect...

Litigation Attorney - USA-DE-Wilmington

Fri, 26 Apr 2024 00:00:00 CDT

A law firm located in Wilmington, DE is seeking a Litigation Attorney to represent clients in all phases of litigation from initiation to expert discovery in matters involving professional malpract...