Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-MO-Springfield

Mon, 04 Sep 2023 00:00:00 CDT

Description The Senior Stars Improvement, Clinical Professional responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior S...

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-MO-Springfield

Tue, 15 Aug 2023 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...

SeniorBridge Home Care Scheduler/Referral Coordinator-Work at home nationwide - USA-MO-Springfield

Sun, 10 Sep 2023 00:00:00 CDT

Description The Referral Coordinator 2 schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician's office. The Referral Coordi...

Nurse Practitioner - Child & Adolescent Psychiatry - Fremont - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

We’re a Little Different

Commercial Medical Director - Work At Home - USA-MO-Springfield

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-MO-Springfield

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 ...

Senior Provider Contracting Professional - WAH OK, AR, KS, MO, NE - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Description The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides heal...

Actuary, Analytics/Forecasting, Individual Dental and Vision - USA-MO-Springfield

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 ...

Associate Director, Problem, Incident and Event Management - USA-MO-Springfield

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...

Medical Director - Part Time - USA-MO-Springfield

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...

Corporate Strategist - USA-MO-Springfield

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...

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-MO-Springfield

Sun, 13 Aug 2023 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...

Medical Director - Work at Home - USA-MO-Springfield

Wed, 30 Aug 2023 00:00:00 CDT

Associate VP, Technology Solutions, Pharmacy - USA-MO-Springfield

Mon, 19 Jun 2023 00:00:00 CDT

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

Physician Strategy Sr. Professional - USA-MO-Springfield

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...

RN, Utilization Management - Behavioral Health - USA-MO-Springfield

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-MO-Springfield

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...

Data and Reporting Professional II - USA-MO-Springfield

Sun, 18 Jun 2023 00:00:00 CDT

Description The Data and Reporting Professional II generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scri...

Associate Director, Pharmacy Trend - USA-MO-Springfield

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...

Senior Copy Writer - USA-MO-Springfield

Sun, 18 Jun 2023 00:00:00 CDT

Job Information Humana Senior Copy Writer in Springfield Missouri Description Humana's The Hive is looking for a Senior Copy Writer to join the team! The Hive is Humana's in-house agency, a creative c...

EmploymentCrossing Jobs

Quality Improvement Nurse (Work at Home KS, AR, OK, MO, NE, IA) - USA-MO-Springfield

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-MO-Springfield

SeniorBridge Home Care Scheduler/Referral Coordinator-Work at home nationwide - USA-MO-Springfield

Nurse Practitioner - Child & Adolescent Psychiatry - Fremont - USA-MO-Springfield

Commercial Medical Director - Work At Home - USA-MO-Springfield

Lead Quality Technology Leader - Healthcare Services & Group (Remote) - USA-MO-Springfield

Senior Provider Contracting Professional - WAH OK, AR, KS, MO, NE - USA-MO-Springfield

Actuary, Analytics/Forecasting, Individual Dental and Vision - USA-MO-Springfield

Associate Director, Problem, Incident and Event Management - USA-MO-Springfield

Medical Director - Part Time - USA-MO-Springfield

Corporate Strategist - USA-MO-Springfield

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-MO-Springfield

Medical Director - Work at Home - USA-MO-Springfield

Associate VP, Technology Solutions, Pharmacy - USA-MO-Springfield

Physician Strategy Sr. Professional - USA-MO-Springfield

RN, Utilization Management - Behavioral Health - USA-MO-Springfield

Associate Director, Accreditation - USA-MO-Springfield

Data and Reporting Professional II - USA-MO-Springfield

Associate Director, Pharmacy Trend - USA-MO-Springfield

Senior Copy Writer - USA-MO-Springfield