EmploymentCrossing Jobs

Specialist Programs Value-Based Programs Professional 2 - Louisville, KY or Work at Home Nationwide - USA-MS-Ridgeland

Sun, 10 Sep 2023 00:00:00 CDT

Description The Specialist Programs Value-Based Programs Professional 2 supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-...

Specialist Programs Senior Value-Based Programs Professional - Louisville, KY or Work at Home - USA-MS-Ridgeland

Wed, 30 Aug 2023 00:00:00 CDT

Description The Specialist Programs Senior Value-Based Programs Professional supports successful value-based provider relationships with a focus on improving the provider experience and achieving pat...

Oncology Staff Utilization Management Pharmacist - Full time, Work at Home - USA-MS-Ridgeland

Tue, 08 Aug 2023 00:00:00 CDT

Description The Oncology Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authoriz...

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

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...

Senior Software Engineer - Medical Records Management (.NET) - USA-MS-Ridgeland

Wed, 02 Aug 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...

Director, Group Market Operations - North - USA-MS-Ridgeland

Mon, 26 Jun 2023 00:00:00 CDT

Description The Director, Group Market Operations partners with the assigned Group Market Presidents on cost of care and profitable growth management, risk management and operations. The Market Opera...

Staff Utilization Management Pharmacist (Contract Position) - USA-MS-Ridgeland

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-MS-Ridgeland

Thu, 24 Aug 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...

Grievances and Appeals Representative 4 - Work at Home/Remote CST/EST - USA-MS-Ridgeland

Wed, 30 Aug 2023 00:00:00 CDT

Description Responsibilities The Grievances & Appeals Representative 4 assists members, via phone or face to face, further/support quality related goals. Reviews the level 1 appeals cases and ensure...

Medical Director - Work at Home - USA-MS-Ridgeland

Wed, 30 Aug 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...

Paralegal - USA-MS-Ridgeland

Fri, 17 May 2024 00:00:00 CDT

Law Firm in Ridgeland, MS is currently seeking a full time Paralegal in the area of Workers’ Compensation. Word and Word Perfect experience is necessary.

Duties include the fo...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-MS-Ridgeland

Sun, 13 Aug 2023 00:00:00 CDT

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

Senior Enterprise Architect - Experience & Analytics (Remote, Virtual, Home office) - USA-MS-Ridgeland

Fri, 14 Jul 2023 00:00:00 CDT

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

Retail Customer Service Cashier - USA-MS-Batesville

Sun, 10 Sep 2023 00:00:00 CDT

Req ID: 268061 Address: 725 Hwy 35 N. Batesville, MS, 38606 WELCOME TO LOVE'S! WHERE PEOPLE ARE THE HEART OF OUR SUCCESS RETAIL CUSTOMER SERVICE CASHIER At Love's, our value...

Engineering Manager Cloud Solutions - Remote - USA-MS-Ridgeland

Thu, 06 Jul 2023 00:00:00 CDT

Job Information Humana Engineering Manager Cloud Solutions - Remote in Ridgeland Mississippi Description The Manager, Cloud Solutions Engineering Supports development and execution of cloud implementa...

Sr. Cognitive / Machine Learning Professional - TLP (Remote) - USA-MS-Ridgeland

Fri, 04 Aug 2023 00:00:00 CDT

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

M&A Integration Technology Lead - USA-MS-Ridgeland

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 ...

Lead Cloud Services Management (Remote Opportunity) - USA-MS-Ridgeland

Sat, 19 Aug 2023 00:00:00 CDT

Job Information Humana Lead Cloud Services Management (Remote Opportunity) in Ridgeland Mississippi Description The Lead, Cloud Services Management enables cloud to provide optimal performance, contin...

Senior Integration Specialist - Cloud - USA-MS-Ridgeland

Sat, 12 Aug 2023 00:00:00 CDT

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

Innovation Design Advisor - USA-MS-Ridgeland

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...