EmploymentCrossing Jobs

Director, Software Engineering (Platform Engineering AI/Machine Learning) - USA-KY-Louisville

Fri, 15 Sep 2023 00:00:00 CDT

Description The Director, Software Engineering codes software applications based on business requirements. The Director, Software Engineering requires an in-depth understanding of how organization ca...

Commercial Medical Director - Work At Home - USA-KY-Louisville

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...

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

Senior Pre-Authorization Nurse - USA-KY-Louisville

Mon, 11 Sep 2023 00:00:00 CDT

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to t...

RN, Utilization Management - Behavioral Health - USA-KY-Louisville

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...

Director, Pharmacy Clinical Pipeline - USA-KY-Louisville

Sun, 04 Jun 2023 00:00:00 CDT

Description The Director, Pharmacy Clinical Pipeline oversees the medical and pharmacy drug pipeline tracking and forecasting, supports financial sales analysis and market event news. This position w...

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

Associate VP, Digital Experience - Self-Service - USA-KY-Louisville

Tue, 30 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...

Associate VP, Digital Experience - Self-Service - USA-KY-Lexington

Tue, 30 May 2023 00:00:00 CDT

Utilization Management Behavioral Health Professional - USA-KY-Bowling Green

Fri, 02 Jun 2023 00:00:00 CDT

Description Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional to join our team. The Utilization Management (UM) Behavioral Health (BH) Professiona...

Utilization Management Behavioral Health Professional - USA-KY-Paducah

Sat, 03 Jun 2023 00:00:00 CDT

Utilization Management Behavioral Health Professional - USA-KY-Ashland

Sat, 03 Jun 2023 00:00:00 CDT

Utilization Management Behavioral Health Professional - USA-KY-Pikeville

Fri, 02 Jun 2023 00:00:00 CDT

Utilization Management Behavioral Health Professional - USA-KY-Hopkinsville

Fri, 02 Jun 2023 00:00:00 CDT

Utilization Management Behavioral Health Professional - USA-KY-Mayfield

Fri, 02 Jun 2023 00:00:00 CDT

Utilization Management Behavioral Health Professional - USA-KY-Owensboro

Fri, 02 Jun 2023 00:00:00 CDT

Utilization Management Behavioral Health Professional - USA-KY-Maysville

Sat, 03 Jun 2023 00:00:00 CDT

Utilization Management Behavioral Health Professional - USA-KY-Covington

Fri, 02 Jun 2023 00:00:00 CDT

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...