EmploymentCrossing Jobs

Medical Director - Central Region - USA-ME-Portland

Thu, 18 Aug 2022 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 situ...

Director, Pharmacy Clinical Trend and Pipeline - USA-ME-Portland

Thu, 18 Aug 2022 00:00:00 CDT

Job Information Humana Director, Pharmacy Clinical Trend and Pipeline in Portland Maine Description Humana is seeking an experienced management professional to lead an interactive multidisciplinary te...

Manager, Pharmacy and Medical Trend - USA-ME-Portland

Wed, 17 Aug 2022 00:00:00 CDT

Job Information Humana Manager, Pharmacy and Medical Trend in Portland Maine Description This leader will oversee a team charged with monitoring, reporting and projecting Humana's drug trends, both ph...

PHYSICAL THERAPIST - PT - USA-ME-Augusta

Thu, 24 Feb 2022 00:00:00 CST

PHYSICAL THERAPIST - PT Job Locations US-ME-AUGUSTA | US-ME-AUGUSTA | US-ME-LEWISTON | US-ME-FARMINGTON ID 2022-58543 Position Type PRN Line of Business Rehab Without Walls NeuroSolutions Our Company ...

PHYSICAL THERAPIST - PT - USA-ME-Biddeford

Thu, 24 Feb 2022 00:00:00 CST

PHYSICAL THERAPIST - PT Job Locations US-ME-PORTLAND | US-ME-PORTLAND | US-ME-BIDDEFORD ID 2022-58504 Position Type PRN Line of Business Rehab Without Walls NeuroSolutions Our Company Rehab Without Wa...

LICENSED CLINICAL SOCIAL WORKER - LCSW - USA-ME-Lewiston

Thu, 24 Feb 2022 00:00:00 CST

LICENSED CLINICAL SOCIAL WORKER - LCSW Job Locations US-ME-BIDDEFORD | US-ME-PORTLAND | US-ME-LEWISTON ID 2022-58500 Position Type PRN Line of Business Rehab Without Walls NeuroSolutions Our Company R...

PHYSICAL THERAPIST - PT - USA-ME-Lewiston

Thu, 24 Feb 2022 00:00:00 CST

LICENSED CLINICAL SOCIAL WORKER - LCSW - USA-ME-Biddeford

Thu, 24 Feb 2022 00:00:00 CST

FP&A Lead, Medicaid Market - USA-ME-Portland

Wed, 06 Apr 2022 00:00:00 CDT

Job Information Humana FP&A Lead, Medicaid Market in Portland Maine Description The Financial Planning & Analysis Lead is acritical leadership role with full market financial oversight over the South ...

Director, Clinical Pharmacy - USA-ME-Portland

Wed, 06 Apr 2022 00:00:00 CDT

Description Humana is seeking an experienced management professional to lead an interactive team with broad exposure and scope within Humana. This position will work and collaborate with leaders acro...

Medical Director - Mid Atlantic Region - USA-ME-Portland

Sun, 10 Apr 2022 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 o...

Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) - USA-ME-Portland

Sat, 09 Jul 2022 00:00:00 CDT

Job Information Humana Pre- Authorization Nursing Supervisor-- REMOTE/WORK AT HOME (Anywhere in the US) in Portland Maine Description The Supervisor, Pre-Authorization Nursing will be managing the tea...

UM Administration Coordinator 2 - Behavioral Health UM - Remote, US - USA-ME-Portland

Sat, 27 Aug 2022 00:00:00 CDT

Description The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administ...

Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME - USA-ME-Portland

Mon, 29 Aug 2022 00:00:00 CDT

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Portland Maine Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry ...

Enrollment Specialist (iCare) - Remote, US - USA-ME-Portland

Mon, 05 Sep 2022 00:00:00 CDT

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and...

Medical Director - North East Region - Work From Home - USA-ME-Portland

Wed, 02 Nov 2022 00:00:00 CDT

Description Job Description Summary The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues w...

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-ME-Portland

Mon, 05 Dec 2022 00:00:00 CST

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Portland Maine Description Humana is looking for an experienced Healthcare Investigator to join its industry ...

Pre-Authorization Nursing Supervisor - USA-ME-Portland

Sat, 13 May 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...

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 ...

Associate Director, Pharmacy Trend - USA-ME-Portland

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...