EmploymentCrossing Jobs

Senior Policy Governance Professional - Care Delivery Organization - USA-OH-Canton

Wed, 28 Apr 2021 00:00:00 CDT

Description The Senior Policy Governance Professional policy Governance is the combination of Compliance processes established and executed that are reflected in the organization's structure and how ...

Genetic Counselor (Board Certified) (Remote US) - USA-OH-Canton

Wed, 28 Apr 2021 00:00:00 CDT

Description Humana is seeking a Genetic Counselor to assist in the detecting and investigation of potential fraud and provide clinical guidance to the Special Investigators handling the cases. This i...

Enterprise Transformation Lead - USA-OH-Canton

Thu, 08 Oct 2020 00:00:00 CDT

Description The Enterprise Transformation Lead plans, performs and implements process improvement initiatives such as Lean or Six Sigma. The Enterprise Transformation Lead works on problems of divers...

Telephonic RN Care Manager Bilingual Chinese/English - USA-OH-Canton

Fri, 16 Oct 2020 00:00:00 CDT

Description MUST BE BILINGUAL: CHINESE/ENGLISH (written and spoken proficiency)MUST HAVE WA RN LICENSE The Care Manager, Telephonic Nurse 2 , in a telephonic environment, assesses and evaluates memb...

Social Worker - Telephonic Behavioral Health - USA-OH-Canton

Thu, 22 Oct 2020 00:00:00 CDT

Job Information Humana Social Worker - Telephonic Behavioral Health in Canton Ohio Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates me...

Principal, Cloud Platform Architect - USA-OH-Canton

Thu, 22 Oct 2020 00:00:00 CDT

Description We are seeking a talented Principal, Cloud Platform Architect to lead our journey of Tech Modernization as we migrate strategic workloads to the public cloud environments. The ideal candi...

Nurse Auditor- 2 - USA-OH-Canton

Sat, 31 Oct 2020 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...

WAH Telephonic - RN Front End Utilization Review - Medicare - USA-OH-Canton

Sat, 31 Oct 2020 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...

Radiologist (General Radiology)- Day Shift - USA-OH-Canton

Thu, 24 Feb 2022 00:00:00 CST

Cleveland Clinic is currently seeking a Board Eligible/Certified Radiologist to join the Imaging Institutes Department of Regional Radiology at Mercy Hospital in Canton, Ohio . Formal...

Radiologist - Interventional Radiology - USA-OH-Canton

Thu, 24 Feb 2022 00:00:00 CST

Cleveland Clinic is currently seeking Board Eligible/Certified Interventional Radiologistto join the Imaging Institutes Department of Regional Radiology at Me...

Employed OB\/GYN Physician Opportunity - Northeast Ohio - Near Akron\/Canton!! - USA-OH-Akron

Mon, 07 Mar 2022 00:00:00 CST
Employed OB\/GYN Physician Opportunity - Northeast Ohio - Near Akron\/Canton!!If you are looking for a hospital - employed Obstetrics position with excellent work\/life balance, this opportunity is a ...

Travel Nurse - RN - MS/TELE - Medical Surgical/Telemetry - $3370.68/Week - USA-OH-Akron

Mon, 14 Mar 2022 00:00:00 CDT
TRS Healthcare is seeking an experienced Medical Surgical/Telemetry Registered Nurse for an exciting Travel Nursing job in Akron, OH. Shift: 3x12 hr nights Start Date: 04/05/2022 Duration: 13 weeks Pa...

Travel Nurse - RN - ER - Emergency Room - $3370.68/Week - USA-OH-Akron

Mon, 14 Mar 2022 00:00:00 CDT
TRS Healthcare is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Akron, OH. Shift: 3x12 hr flex Start Date: 03/20/2022 Duration: 13 weeks Pay: $3370.68/We...

Senior Provider Contracting Professional - Remote (EST Hours) - USA-OH-Canton

Wed, 06 Apr 2022 00:00:00 CDT
Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Canton Ohio Description The Senior Provider Contracting Professional initiates, negotiates, and executes physici...

Senior Data Scientist (Physician Performance Insights) - Remote or Office - USA-OH-Canton

Sun, 10 Apr 2022 00:00:00 CDT
Description The Physician Performance Insights team's mission is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obtain hi...

Provider Contracting Executive - Remote - USA-OH-Canton

Wed, 15 Jun 2022 00:00:00 CDT
Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insuran...

Healthcare Financial Analyst - Remote - USA-OH-Canton

Fri, 24 Jun 2022 00:00:00 CDT
Description The Healthcare Financial Analyst collects, analyzes, and reports on various market data, connecting operational effectiveness and member experience to financial outcomes. Responsibilitie...

Manager, Medicare Risk Adjustment - Remote - USA-OH-Canton

Thu, 21 Jul 2022 00:00:00 CDT
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medi...

Senior Value-Based Programs Analyst - USA-OH-Canton

Fri, 18 Nov 2022 00:00:00 CST
Description The Senior Value-Based Programs Analyst supports successful value-based provider relationships in the Service Fund Department with a focus on improving the provider experience and achievi...