EmploymentCrossing Jobs

Lead Quality Technology Leader - Healthcare Services & Group (Remote) - USA-KY-Louisville

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 ...

Director, National Medicaid Care Management Strategy and Practice - USA-KY-Louisville

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...

Medical Director - Part Time - USA-KY-Louisville

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...

Medical Director - Work at Home - USA-KY-Louisville

Wed, 30 Aug 2023 00:00:00 CDT

Medical Records Retrieval Specialist - Remote KY (Lexington/Richmond) - USA-KY-Louisville

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Medical Records Retrieval Specialist - Remote KY (Lexington/Richmond) in Louisville Kentucky Description The Medical Records Retrieval Specialist (Risk Adjustment Representative...

Grievances and Appeals Medical Director - Nationwide - USA-KY-Louisville

Mon, 17 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

RN Care Manager - Remote, nationwide - USA-KY-Louisville

Sat, 22 Apr 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies an...

Director of Mental Health Counseling - USA-IN-Sellersburg

Wed, 19 Apr 2023 00:00:00 CDT

Work type: Full Time Administrative Location: Sellersburg, IN Categories: Administrative/Professional, Student Affairs/Student Services General Description of Position: This position seeks to support ...

Medical Director - Behavioral Health - Tricare - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-KY-Louisville

Thu, 20 Apr 2023 00:00:00 CDT

Medical Trend - Clinical Pharmacist lead - USA-KY-Louisville

Wed, 03 May 2023 00:00:00 CDT

Description The medical utilization management lead will oversee projecting and tracking of medical trend bender strategies, assist with medical strategy value assessments, and support pipeline medic...

Instructor - R101238 - USA-KY-Louisville

Sun, 23 Apr 2023 00:00:00 CDT

Department:

*******

Location: Health Sciences Center

Time Type:

Full time

Worker Type:

Regular Term (Fixed Term)

Job...

Clinical Assistant Professor of Higher Education - R101533 - USA-KY-Louisville

Fri, 23 Jun 2023 00:00:00 CDT
Department:

*******

Location: Belknap Campus

Time Type:

Full time

Worker Type:

Regular Term (Fixed Term)

Job Req ID:...

Senior Software Engineer .Net Backend - USA-KY-Louisville

Wed, 10 May 2023 00:00:00 CDT
Description As a Senior Software Engineer within Centerwell Clinical IT engineering team, you will develop applications which have a distinct positive impact upon members services utilization and cas...

Pre-Authorization Nursing Supervisor - USA-KY-Louisville

Thu, 01 Jun 2023 00:00:00 CDT
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward reques...

Athletics Performance Analytics Coordinator (Sport Science Coordinator) - R101608 - USA-KY-Louisville

Thu, 18 May 2023 00:00:00 CDT
Department:

*******

Location: Belknap Campus

Time Type:

Full time

Worker Type:

Regular

Job Req ID: R101608

Charge Nurse - USA-KY-Louisville

Sat, 27 May 2023 00:00:00 CDT
PURPOSE AND SCOPE: Supports FMCNA's mission,vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including followingall regulatory and FMS policy requirements....

CenterWell Physician - USA-KY-Louisville

Tue, 30 May 2023 00:00:00 CDT
Job Information Humana CenterWell Physician in Louisville Kentucky Description Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary car...

Medical Director - Kentucky Medicaid - USA-KY-Louisville

Tue, 13 Jun 2023 00:00:00 CDT
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...

Associate Director, Pharmacy Trend - USA-KY-Louisville

Sun, 18 Jun 2023 00:00:00 CDT
Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understand...