EmploymentCrossing Jobs

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

Mon, 04 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-LA-Metairie

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-LA-Metairie

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-LA-Metairie

Sun, 10 Sep 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...

Grievance and Appeals Representative 2 for IRT- Work at Home/Remote USA - USA-LA-Metairie

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-LA-Metairie

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...

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

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-LA-Metairie

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...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-LA-Metairie

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Metairie Louisiana Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to s...

Associate VP, Technology Solutions, Pharmacy - USA-LA-Metairie

Thu, 14 Sep 2023 00:00:00 CDT

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

Sr. Cognitive / Machine Learning Professional - TLP (Remote) - USA-LA-Metairie

Fri, 04 Aug 2023 00:00:00 CDT

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

M&A Integration Technology Lead - USA-LA-Metairie

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-LA-Metairie

Sat, 19 Aug 2023 00:00:00 CDT

Job Information Humana Lead Cloud Services Management (Remote Opportunity) in Metairie Louisiana Description The Lead, Cloud Services Management enables cloud to provide optimal performance, continuit...

Personal Injury Attorney - USA-LA-New Orleans

Wed, 20 Mar 2024 00:00:00 CDT

New Orleans office of our client seeks personal injury attorney with 2+ years of experience. The candidate will handle personal injury client cases. Will be responsible for all aspects of the personal...

Senior Integration Specialist - Cloud - USA-LA-Metairie

Sat, 12 Aug 2023 00:00:00 CDT

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

Innovation Design Advisor - USA-LA-Metairie

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...

Litigation Associate Attorney - USA-LA-Metairie

Tue, 23 Apr 2024 00:00:00 CDT

Metairie office of a ******* Top Ranked Law Firm seeks litigation associate attorney with 3-5 years of experience, preferably in Medical Malpractice. The candidate will capture their time daily an...

Associate Attorney needed for New Orleans office - USA-LA-New Orleans

Fri, 03 May 2024 00:00:00 CDT

A law firm in New Orleans is actively seeking an Associate Attorney to join its expanding insurance defense and insurance coverage groups. The successful candidate will collaborate closely with lea...

General Liability Defense Litigation Attorney - USA-LA-New Orleans

Thu, 16 May 2024 00:00:00 CDT

Job Overview: A law firm in New Orleans, LA is seeking a skilled General Liability Defense Litigation Attorney to manage a high-volume caseload of complex litigation cases and provide legal represe...

Attorney - USA-LA-New Orleans

Wed, 08 May 2024 00:00:00 CDT

Attorney

Merlin Law Group, P.A. is currently seeking an experienced Attorney to join our team in