EmploymentCrossing Jobs

Commercial Medical Director - Work At Home - USA-CT-Bridgeport

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...

Associate VP, Technology Solutions, Pharmacy - USA-CT-Bridgeport

Mon, 19 Jun 2023 00:00:00 CDT

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

Inpatient Medical Coding Auditor-Remote/Virtual in US - USA-CT-Bridgeport

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Bridgeport Connecticut Description The Medical Coding Auditor extracts clinical information from a variety of medical re...

Outpatient Medical Coding Auditor-Remote/Virtual in US - USA-CT-Bridgeport

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Bridgeport Connecticut Description The Medical Coding Auditor extracts clinical information from a variety of medical r...

Medical Director - Florida Medicaid - USA-CT-Bridgeport

Thu, 23 Mar 2023 00:00:00 CDT

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

Quality Improvement Program Lead (National Medicaid Quality) - USA-CT-Bridgeport

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) in Bridgeport Connecticut Description Humana Healthy Horizons is seeking a Quality Improvement Program Lead who will...

Manager, Care Management Social Services-WAH Nationwide - USA-CT-Bridgeport

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Bridgeport Connecticut Description Job Description Summary The Manager, Care Management leads teams of social work and...

Medical Director-KY Medicaid - USA-CT-Bridgeport

Sun, 25 Dec 2022 00:00:00 CST

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...

Health Information Management Professional - USA-CT-Bridgeport

Sat, 22 Apr 2023 00:00:00 CDT

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require ...

Stars Improvement Professional - USA-CT-Bridgeport

Thu, 20 Apr 2023 00:00:00 CDT

Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direc...

Medical Coding Coordinator - USA-CT-Bridgeport

Sat, 22 Apr 2023 00:00:00 CDT

Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 r...

Grievances and Appeals Medical Director - Weekends Required - USA-CT-Bridgeport

Thu, 20 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...

Telephonic Behavioral Health Care Manager - USA-CT-Bridgeport

Thu, 04 May 2023 00:00:00 CDT

Job Information Humana Telephonic Behavioral Health Care Manager in Bridgeport Connecticut Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' ...

AVP, Stars and Risk Adjustment National Medical Director - USA-CT-Bridgeport

Mon, 01 May 2023 00:00:00 CDT

Job Information Humana AVP, Stars and Risk Adjustment National Medical Director in Bridgeport Connecticut Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a ta...

Data Engineer Marketing Platforms - USA-CT-Bridgeport

Sat, 13 May 2023 00:00:00 CDT

Description Humana is a Fortune 60 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused on the health and well-being of the people we...

Associate VP, Digital Experience - Shopping, Enrollment, Self-Service - USA-CT-Bridgeport

Thu, 18 May 2023 00:00:00 CDT

Description Humana is a $90 billion (Fortune 40) market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health a...

Bilingual Manager, Learning Facilitation - USA-CT-Bridgeport

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...

Associate VP, Digital Experience - Self-Service - USA-CT-Bridgeport

Tue, 30 May 2023 00:00:00 CDT

Bilingual Quality Auditor - USA-CT-Bridgeport

Thu, 01 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Bridgeport Connecticut Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medica...

Registered Nurse IV - Quality Manager - USA-NY-Northport

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
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United States Citizenship: