EmploymentCrossing Jobs

Inside Sales SWAT Executive - USA-PA-Pittsburgh

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...

Outpatient Registered Nurse - RN - USA-PA-Harrisburg

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000EI5Available Openings 2 PURPOSE AND SCOPE: The registered professional nurse (CAP RN 1) position is an entry level designation into the Clinical Advancement Program for Registered Nurses....

Commercial Medical Director - Work At Home - USA-PA-Pittsburgh

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...

Lead Quality Technology Leader - Healthcare Services & Group (Remote) - USA-PA-Pittsburgh

Mon, 26 Jun 2023 00:00:00 CDT

Description Do you thrive on working on the cutting edge? Working with innovators in the early stages of ideas, products, or platforms? Do you want to transform an industry? Crave new challenges and ...

Travel Dialysis Registered Nurse - New Castle PA - USA-PA-New Castle

Mon, 26 Jun 2023 00:00:00 CDT

Job ID 21000GQRAvailable Openings 1Fresenius Travel Nurse Program: As part of the Fresenius Travel Nurse program, you’ll have a unique opportunity to build your career in a flexible, autonomous envir...

Director, National Medicaid Care Management Strategy and Practice - USA-PA-Pittsburgh

Mon, 26 Jun 2023 00:00:00 CDT

Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. T...

Associate Director, Problem, Incident and Event Management - USA-PA-Pittsburgh

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...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-PA-Pittsburgh

Mon, 26 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Corporate Strategist - USA-PA-Pittsburgh

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-PA-Pittsburgh

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Pittsburgh Pennsylvania Description The Manager, Utilization Management Nursing utilizes clinical nursing skills...

Associate VP, Technology Solutions, Pharmacy - USA-PA-Pittsburgh

Thu, 06 Jul 2023 00:00:00 CDT

Job Information Humana Associate VP, Technology Solutions, Pharmacy in Pittsburgh Pennsylvania Description The Associate Vice President of Technology Solutions acts as a liaison and collaborates with ...

Senior Pre-Authorization Nurse - USA-PA-Pittsburgh

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...

RN, Utilization Management - Behavioral Health - USA-PA-Pittsburgh

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Associate Director, Accreditation - USA-PA-Pittsburgh

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...

Physician Strategy Sr. Professional - USA-PA-Philadelphia

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...

Physician Strategy Sr. Professional - USA-PA-Pittsburgh

Fri, 23 Jun 2023 00:00:00 CDT

Facility Administrator (FA) - USA-PA-Philadelphia

Sun, 18 Jun 2023 00:00:00 CDT

Reference #: R0284668\ 109 Dickenson Street,Philadelphia,Pennsylvania,19147,United States of America DaVita is a dynamic, growing and entrepreneurial company. We are seeking an ambitious, operational...

Actuary, Analytics/Forecasting, Individual Dental and Vision - USA-PA-Pittsburgh

Mon, 26 Jun 2023 00:00:00 CDT

Description The Actuary, Analytics/Forecasting will develop the financial forecast for the dental and vision benefits included within Humana's growing Medicare Advantage business, as well as pricing ...

Bilingual Patient Engagement Specialist - USA-PA-Sharon Hill

Thu, 30 May 2024 00:00:00 CDT

The Patient Engagement Specialist is to make outbound calls to contracted covered entity patients who are not receiving pharmacy services by an affiliated pharmacy. Individual will explain the valu...

Optometrist - USA-PA-Meadville

Thu, 13 Jun 2024 00:00:00 CDT

Are you a dedicated Optometrist looking for a fulfilling career in a welcoming community? If so, the ******* has the perfect opportunity offering you a c...