EmploymentCrossing Jobs

Director, Pharmacy Clinical Trend and Pipeline - USA-IL-Chicago

Thu, 18 Aug 2022 00:00:00 CDT

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

Medical Director - Central Region - USA-IL-Chicago

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...

Manager, Pharmacy and Medical Trend - USA-IL-Chicago

Wed, 17 Aug 2022 00:00:00 CDT

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

Medical Director - Florida Medicaid - USA-IL-Chicago

Thu, 23 Mar 2023 00:00:00 CDT

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

Senior Clinical Pharmacy Advisor, Clinical Program Innovation - USA-IL-Chicago

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Chicago Illinois Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with broad...

Team Manager Home Care - USA-IL-Chicago

Wed, 02 Mar 2022 00:00:00 CST

The Team Manager is the leader of the Patient Care Team and that member of the team whose function is to: supervise, evaluate and coordinate the various component members of the interdisciplinary t...

PSYCHOTHERAPIST - USA-IL-Chicago

Mon, 14 Mar 2022 00:00:00 CDT

GENERAL SUMMARY The therapist is responsible for providing psychotherapy and other treatment services that affirm clients' strengths, broaden their problem-solving abilities, and increase their self-k...

Medicare Appeals and Grievance Medical Director - USA-IL-Chicago

Mon, 21 Mar 2022 00:00:00 CDT

Job Information Humana Medicare Appeals and Grievance Medical Director in Chicago Illinois Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing a...

Medical Director - Medicare Pharmacy Appeals - USA-IL-Chicago

Thu, 24 Mar 2022 00:00:00 CDT

Job Information Humana Medical Director - Medicare Pharmacy Appeals in Chicago Illinois Description The Medical Director relies on clinical background and reviews Medicare drug requests. The Medical d...

FP&A Lead, Medicaid Market - USA-IL-Chicago

Wed, 06 Apr 2022 00:00:00 CDT

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

Regional Medical Director-CenterWell-Nashville - USA-IL-Chicago

Wed, 13 Apr 2022 00:00:00 CDT

Description CenterWell Senior Primary Care, a subsidiary of ******* , is the new brand for a primary care medical group practice with centers open or opening in Florida, Georgia, Kansas, Louisian...

Compliance Nursing Supervisor - USA-IL-Chicago

Mon, 02 May 2022 00:00:00 CDT

Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud...

Sr Provider Installation Professional - Remote Nationwide - USA-IL-Chicago

Tue, 10 May 2022 00:00:00 CDT

Description Responsibilities As part of the Service Fund Specialty Load Team, the Senior Provider Installation Professional will work directly with our national and market contracting teams to influ...

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

Sat, 09 Jul 2022 00:00:00 CDT

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

Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME - USA-IL-Chicago

Mon, 05 Sep 2022 00:00:00 CDT

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

Director, Pharmacy Clinical Formulary and Medical Drug Strategies - USA-IL-Chicago

Fri, 23 Sep 2022 00:00:00 CDT

Description The Director, Pharmacy Clinical Formulary and Medical Drug Strategies oversees and drives the pharmacy and medical drug formulary strategies across all lines of business (Medicare, Commer...

Provider Contracting Executive - USA-IL-Chicago

Sat, 01 Oct 2022 00:00:00 CDT

Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements. The Provider Contracting Executive engages in s...

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-IL-Chicago

Mon, 05 Dec 2022 00:00:00 CST

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

RN-Clinical Documentation Specialist - USA-IL-Elgin

Wed, 07 Jun 2023 00:00:00 CDT

Details Department: Clinical Documentation Integrity Schedule: 8:00am-4:30p, Monday-Friday Hospital: Ascension St. Joseph Location: Elgin, IL Benefits Paid time off (PTO)Various health insur...

Clinical Doc Specialist / Certified Risk Coder - USA-IL-Des Plaines

Fri, 09 Jun 2023 00:00:00 CDT

Details Department: ACO Care Management Schedule: 8:00am-4:30pm, Monday-Friday Hospital: Ascension Alexian Brothers Health Location: Remote. Must RESIDE IN ILLINOIS/CHICAGOLAND AREA Benefits P...