EmploymentCrossing Jobs

Care Manager, Telephonic Nurse (Bilingual English/Spanish)- Work at Home - USA-OH-Springdale

Mon, 04 Sep 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding mem...

Inside Sales SWAT Executive - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assig...

Health Equity Director - Ohio - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The Health Equity Director is responsible for setting direction and establishing strategy to advance equitable health outcomes for our members in Ohio. To achieve this, the Health Equity ...

Associate Director, Problem, Incident and Event Management - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The Associate Director, Problem, Incident and Event Management drives technical support teams to recover services during periods of service disruption or outages to key technology platfor...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-OH-Cincinnati

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Cincinnati Ohio Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to supp...

Senior Pre-Authorization Nurse - USA-OH-Cincinnati

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, Accreditation - USA-OH-Cincinnati

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accred...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid (MUST LIVE IN OHIO: WORK AT HOME/SOME TRAVEL) - USA-OH-Norwood

Sat, 27 May 2023 00:00:00 CDT

Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance ...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid (MUST LIVE IN OHIO: WORK AT HOME/SOME TRAVEL) - USA-OH-Cincinnati

Fri, 19 May 2023 00:00:00 CDT

Bilingual Manager, Learning Facilitation - USA-OH-Cincinnati

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...

Telephonic Psychiatric RN Care Manager - USA-OH-Cincinnati

Wed, 24 May 2023 00:00:00 CDT

Description The Behavioral Health Care Manager, Telephonic Nurse, in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state...

State Registered Nurse Aide (SRNA) - Earn up to $40/hr - Now Hiring - USA-KY-Covington

Sun, 28 May 2023 00:00:00 CDT

About this job Find your commute ******* is currently looking for CNAs that are licensed in OH and willing to travel to Cincinnati, OH and surrounding areas in OH. Ready to take control of your sc...

RN, Clinical Educator - USA-OH-Cincinnati

Tue, 30 May 2023 00:00:00 CDT

Description Humana Healthy Horizons in Ohio is seeking a RN, Clinical Educator (Nursing Educator 2) who will plan, direct, coordinate, evaluate, develop, and/or deliver trainings and education progra...

Bilingual Quality Auditor - USA-OH-Cincinnati

Sat, 03 Jun 2023 00:00:00 CDT

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

Utilization Management Behavioral Health Professional - USA-KY-Covington

Fri, 02 Jun 2023 00:00:00 CDT

Description Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional to join our team. The Utilization Management (UM) Behavioral Health (BH) Professiona...

Registered Nurse- Care Manager FLOAT Team - USA-KY-Bellevue

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n Applicants pending the completion of educational or certification/licensure requirements ...

Senior Sales Enablement Product Marketer - USA-OH-Cincinnati

Sun, 18 Jun 2023 00:00:00 CDT

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

Quality Improvement Manager - USA-OH-Cincinnati

Sun, 18 Jun 2023 00:00:00 CDT

Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky Medicaid line of business. This includes quality compliance and quality improvement activities su...

Senior Innovation Portfolio Strategy Professional - USA-OH-Cincinnati

Sun, 18 Jun 2023 00:00:00 CDT

Job Information Humana Senior Innovation Portfolio Strategy Professional in Cincinnati Ohio Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and...

Business Support Coordinator 1 - Medical Records - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for ...