EmploymentCrossing Jobs

Associate Director of Quality, Performance, & Digital Experience - USA-KY-Louisville

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...

Clinical Manager - USA-KY-Winchester

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000G6HAvailable Openings 1PURPOSE AND SCOPE: Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all r...

Commercial Medical Director - Work At Home - USA-KY-Louisville

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...

AVP Business Technology Solution Implementation - USA-KY-Louisville

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...

Medical Director - Florida Medicaid - USA-KY-Louisville

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Louisville Kentucky Description The Medical Director relies on medical background and reviews health claims. The Medical Director work ass...

Regional Medical Director - CenterWell - Louisville - USA-KY-Louisville

Fri, 07 Apr 2023 00:00:00 CDT

Description CenterWell Senior Primary Care, a subsidiary of ******* , is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisiana...

Associate Director Data Quality / Integrity - USA-KY-Louisville

Tue, 20 Dec 2022 00:00:00 CST

Description In this key role on the Quality Systems Integration (QSI) team, the QSI Associate Director Quality / Integrity will leverage their Humana, clinical data, market, and healthcare expertise ...

Behavioral Health Medical Director - USA-KY-Louisville

Fri, 23 Dec 2022 00:00:00 CST

Description The Behavioral Health Medical Director makes determinations regarding prior authorization and retrospective reviews for inpatient and outpatient services to ensure that members receive cl...

Medical Director-KY Medicaid - USA-KY-Louisville

Sun, 25 Dec 2022 00:00:00 CST

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Directo...

Sr. Director, Business Affairs - R100886 - USA-KY-Louisville

Wed, 08 Mar 2023 00:00:00 CST

Department:

*******

Location: Health Sciences Center

Time Type:

Full time

Worker Type:

Regular

Job Req ID: R1008...

Medical Director - Claims Management - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

Director Clinical Informatics, Physician - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

Description Humana's Applied Clinical Informatics team needs your clinical, business and analytics acumen to solve for the healthcare challenges of today. The Applied Clinical Informatics team uses a...

Director, Care Delivery and EMR/EHR Technology - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

Job Information Humana Director, Care Delivery and EMR/EHR Technology in Louisville Kentucky Description The Director, Technology Solutions devises an effective strategy for executing and delivering o...

Medical Director - South Central - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

Director, Care Delivery and EMR/EHR Technology - USA-KY-Lexington

Thu, 20 Apr 2023 00:00:00 CDT

Job Information Humana Director, Care Delivery and EMR/EHR Technology in Lexington Kentucky Description The Director, Technology Solutions devises an effective strategy for executing and delivering on...

Associate VP, Behavioral Strategy - USA-KY-Louisville

Thu, 20 Apr 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...

Senior Pre-Authorization Nurse - USA-KY-Louisville

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...

Associate Director, Provider Data Interoperability - USA-KY-Lexington

Fri, 25 Aug 2023 00:00:00 CDT

Job Information Humana Associate Director, Provider Data Interoperability in Lexington Kentucky Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient ...

Associate Director, Provider Data Interoperability - USA-KY-Louisville

Fri, 25 Aug 2023 00:00:00 CDT

Job Information Humana Associate Director, Provider Data Interoperability in Louisville Kentucky Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient...

Medical Director - Kentucky Medicaid - USA-KY-Louisville

Tue, 13 Jun 2023 00:00:00 CDT