EmploymentCrossing Jobs

Commercial Medical Director - Work At Home - USA-MA-Boston

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

Medical Director - Part Time - USA-MA-Boston

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...

Medical Director - Work at Home - USA-MA-Boston

Wed, 30 Aug 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-MA-Boston

Thu, 20 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

Medical Director - South Central - USA-MA-Boston

Thu, 20 Apr 2023 00:00:00 CDT

Per Diem Dialysis PCT - USA-MA-Weymouth

Mon, 01 May 2023 00:00:00 CDT

PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with o...

Senior Pre-Authorization Nurse - USA-MA-Boston

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...

AVP, Stars and Risk Adjustment National Medical Director - USA-MA-Boston

Mon, 01 May 2023 00:00:00 CDT

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Boston Massachusetts Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a tale...

Senior Market Research Professional - USA-MA-Boston

Mon, 01 May 2023 00:00:00 CDT

Job Information Humana Senior Market Research Professional in Boston Massachusetts Description Humana's Corporate Marketing Organization is looking for a Senior Market Research Professional to join th...

Area Float PCT - USA-MA-Wellesley

Thu, 04 May 2023 00:00:00 CDT

POSITION FEATURES:Position will be required to float to multiple clinics.Dialysis experience required PURPOSE AND SCOPE:Functions as part of the dialysis health care team in providing safe and effecti...

Associate VP, Digital Experience - Shopping, Enrollment, Self-Service - USA-MA-Boston

Sat, 13 May 2023 00:00:00 CDT

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health a...

Bilingual Manager, Learning Facilitation - USA-MA-Boston

Thu, 18 May 2023 00:00:00 CDT

Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST s...

PAYROLL COORDINATOR/PRINCIPAL ACCOUNT CLERK (#932) - USA-MA-Somerville

Tue, 23 May 2023 00:00:00 CDT

JOB GOAL: The Principal Account Clerk / Payroll Specialist supports District strategies, goals and objectives by preparing and processing accurate and timely payroll complying with all established Dis...

Associate VP, Digital Experience - Self-Service - USA-MA-Boston

Tue, 30 May 2023 00:00:00 CDT

Bilingual Quality Auditor - USA-MA-Boston

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Boston Massachusetts Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare...

Field Based - Compliance Auditor - State of Massachusetts - 2165586 - USA-MA-Boston

Mon, 05 Jun 2023 00:00:00 CDT

Job Code 2165586 At UnitedHealthcare , were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of mil...

Patient Care Technician - PCT - USA-MA-Boston

Wed, 07 Jun 2023 00:00:00 CDT

POSITION FEATURES:Location: 888 Commonwealth Avenue, Boston, MA 02215Clinic hours: Monday-Saturday 530AM-530PM , manager is open to 3 X12s or 4 X10 hours shifts.2021 and 2022America's 'Most Loved Wor...

Inbound Contact Representative 2 - CarePlus - USA-MA-Boston

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...

Health Care Associate Attorney - USA-MA-Boston

Fri, 19 Apr 2024 00:00:00 CDT

A law firm in Boston, MA is actively seeking a Health Care Associate Attorney to join its Corporate Services Group (CSG). The ideal candidate will simultaneously manage high-level and strategic asp...

Personal Injury Protection Attorney - USA-MA-Quincy

Sun, 10 Mar 2024 00:00:00 CST

A law firm in Quincy, MA, is seeking a dedicated Personal Injury Protection Attorney to oversee and manage a wide range of tasks related to PIP cases, both in the pre-litigation and active litigati...