EmploymentCrossing Jobs

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

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...

Lead Quality Technology Leader - Healthcare Services & Group (Remote) - USA-KS-Overland Park

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 ...

Director, National Medicaid Care Management Strategy and Practice - USA-KS-Overland Park

Mon, 26 Jun 2023 00:00:00 CDT

Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. T...

Medical Director - Part Time - USA-KS-Overland Park

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-KS-Overland Park

Wed, 30 Aug 2023 00:00:00 CDT

Medical Director - Florida Medicaid - USA-KS-Overland Park

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Overland Park Kansas Description The Medical Director relies on medical background and reviews health claims. The Medical Director work as...

Senior Clinical Pharmacy Advisor, Clinical Program Innovation - USA-KS-Overland Park

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Senior Clinical Pharmacy Advisor, Clinical Program Innovation in Overland Park Kansas Description The Senior Pharmacy Clinical Advisor will be part of an interactive team with b...

Market Research Lead (Remote) - USA-KS-Overland Park

Fri, 07 Oct 2022 00:00:00 CDT

Description Humana's Marketing organization is seeking an experienced Market Research Lead to join the Market Research Department working remote anywhere in the U.S. This is a newly added role that w...

Medical Director - Mid West Region - USA-KS-Overland Park

Mon, 24 Oct 2022 00:00:00 CDT

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-KS-Overland Park

Mon, 05 Dec 2022 00:00:00 CST

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

Supervisor, UM Administration (Central Region) - USA-KS-Overland Park

Fri, 14 Apr 2023 00:00:00 CDT

Description The Supervisor, UM Administration contributes to administration of utilization management. The Supervisor, UM Administration works within thorough, prescribed guidelines and procedures; u...

Grievances and Appeals Medical Director - Nationwide - USA-KS-Overland Park

Fri, 14 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...

RN Care Manager - Remote, nationwide - USA-KS-Overland Park

Sat, 22 Apr 2023 00:00:00 CDT

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies an...

Medical Director - Behavioral Health - Tricare - USA-KS-Overland Park

Thu, 20 Apr 2023 00:00:00 CDT

Grievances and Appeals Medical Director - Weekends Required - USA-KS-Overland Park

Thu, 20 Apr 2023 00:00:00 CDT

Behavioral Health Medical Director - Tricare - USA-KS-Overland Park

Thu, 04 May 2023 00:00:00 CDT

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately comple...

Health Fitness Specialist - USA-KS-Overland Park

Mon, 01 May 2023 00:00:00 CDT

Job Location Overland Park, KS - 0120 - Overland Park, KS Position Type Full Time Salary Range $37,000.00 - $38,000.00 Salary/year There's a spot on our team waiting for you! Become a Team Leader at C...

Licensed Practical Nurse - Surg Spec Clinic - USA-KS-Topeka

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n Applicants pending the completion of educational or certification/licensure requirements ...

Support Staff Fitness Specialist - USA-KS-Overland Park

Sun, 18 Jun 2023 00:00:00 CDT

Job Location Overland Park, KS - 0120 - Overland Park, KS Position Type Part Time Salary Range $15.00 - $16.00 Hourly Let what you love be what you do. Imagine being a part of the CFW solution that ch...

Associate Director, Pharmacy Trend - USA-KS-Overland Park

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...