EmploymentCrossing Jobs

Medical Director - Part Time - USA-ME-Portland

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...

Staff Utilization Management Pharmacist (Contract Position) - USA-ME-Portland

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...

Medical Director - Work at Home - USA-ME-Portland

Wed, 30 Aug 2023 00:00:00 CDT

Medical Director - Florida Medicaid - USA-ME-Portland

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Portland Maine Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignme...

Quality Improvement Program Lead (National Medicaid Quality) - USA-ME-Portland

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Portland Maine Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will be resp...

Senior Clinical Fraud and Waste Investigator - RN and Coding Credential required - REMOTE (Anywhere in US) - USA-ME-Portland

Fri, 07 Apr 2023 00:00:00 CDT

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Profe...

Senior UX Research Professional - USA-ME-Portland

Wed, 04 Jan 2023 00:00:00 CST

Description The Senior UX Research Professional performs data analysis supporting learning plans via management and usage of consumer behavioral, demographic, and attitudinal data. The Senior UX Rese...

Outpatient Registered Nurse- RN GARDINER - USA-ME-Gardiner

Thu, 02 Mar 2023 00:00:00 CST

RN—ClinicalAbout this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-knit, collaborative team responsible for delivering unique care plans an...

Float Outpatient Dialysis Nurse- PORTLAND - USA-ME-Portland

Sat, 01 Apr 2023 00:00:00 CDT

Senior Corporate Strategy Analyst - USA-ME-Portland

Thu, 20 Apr 2023 00:00:00 CDT

Job Information Humana Senior Corporate Strategy Analyst in Portland Maine Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leade...

Senior Informaticist - Provider Data Analytics (Remote) - USA-ME-Portland

Thu, 20 Apr 2023 00:00:00 CDT

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obta...

Medical Director - Behavioral Health - Tricare - USA-ME-Portland

Thu, 20 Apr 2023 00:00:00 CDT

RN, Senior Stars Improvement, Clinical Professional - USA-ME-Portland

Thu, 20 Apr 2023 00:00:00 CDT

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Portland Maine Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Professi...

Oncology Staff Utilization Management Pharmacist - USA-ME-Portland

Thu, 04 May 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...

Behavioral Health Medical Director - Tricare - USA-ME-Portland

Thu, 04 May 2023 00:00:00 CDT

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately comple...

Physician Strategy Sr. Professional - USA-ME-Portland

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana is seeking a Physician Strategy Sr. Professional to join our growing team. The Physician Strategy professional will be responsible for setting and implementing strategy for interna...

Senior Incentive Design Professional - USA-ME-Portland

Tue, 23 May 2023 00:00:00 CDT

Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to compl...

Corporate Strategy Consultant - USA-ME-Portland

Tue, 30 May 2023 00:00:00 CDT

Job Information Humana Corporate Strategy Consultant in Portland Maine Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders t...

Clinical Physician Assistant - Mental Health - Rumford CBOC - USA-ME-Rumford

Mon, 05 Jun 2023 00:00:00 CDT

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

Outpatient Registered Nurse - RN AUBURN ME - USA-ME-Auburn

Mon, 12 Jun 2023 00:00:00 CDT

PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP). This position is accountable and responsible for the...