EmploymentCrossing Jobs

Senior Compliance Professional - Louisville, KY or Work at Home (Central and Eastern Time Zone) - USA-ME-Portland

Fri, 15 Sep 2023 00:00:00 CDT

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues wher...

Lead MuleSoft C4E Platform/DevOps Architect - Remote / Virtual - USA-ME-Portland

Mon, 26 Jun 2023 00:00:00 CDT

Description This role is responsible for managing the MuleSoft platform, its resiliency, security, reliability, availability and performance. The Lead Infrastructure Architect designs and develops I...

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

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...

Senior Risk Management Professional - Third Party Risk Management-Remote, US - USA-ME-Portland

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Portland Maine Description The Senior Risk Management Professional a critical member within Human...

DRG Validation Coding Auditor - USA-ME-Portland

Sat, 22 Apr 2023 00:00:00 CDT

Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to pa...

Manager, Compliance - Agent Investigation Unit - USA-ME-Portland

Sat, 22 Apr 2023 00:00:00 CDT

Job Information Humana Manager, Compliance - Agent Investigation Unit in Portland Maine Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance w...

Inpatient Medical Coding Auditor - USA-ME-Portland

Thu, 20 Apr 2023 00:00:00 CDT

Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patie...

Lead, Technology and Cybersecurity Risk- Technology Exams, Audits and Client Inquiries) - USA-ME-Portland

Thu, 20 Apr 2023 00:00:00 CDT

Description The Lead, Technology and Cybersecurity Exams, Audits, and Client Inquiries is responsible for management of formal and informal technology reviews across IT. This involves a rigorous proc...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid - USA-ME-Portland

Sun, 23 Apr 2023 00:00:00 CDT

Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve modera...

Dental Fraud and Waste Investigator - USA-ME-Portland

Sun, 23 Apr 2023 00:00:00 CDT

Description The Dental Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive practices. The Dental Fraud and Waste Investigator work assignments are varied and...

Enterprise Risk Management Lead-US-Remote - USA-ME-Portland

Thu, 11 May 2023 00:00:00 CDT

Job Information Humana Enterprise Risk Management Lead-US-Remote in Portland Maine Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program ...

AVP, Technology and CyberSecurity Risk - USA-ME-Portland

Wed, 10 May 2023 00:00:00 CDT

Description Humana's Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with all areas of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Managem...

Nurse Auditor Review - USA-ME-Portland

Thu, 11 May 2023 00:00:00 CDT

Lead, Technology and Cybersecurity Risk - Business Managed Technology - USA-ME-Portland

Thu, 11 May 2023 00:00:00 CDT

Description The Lead, Technology and Cybersecurity Risk defines the standard for Humana's cybersecurity and technology-related risk management approach and identifies and reports on related risk. Thi...

Senior Compliance Professional - Medicaid - USA-ME-Portland

Sat, 13 May 2023 00:00:00 CDT

Job Information Humana Senior Compliance Professional - Medicaid in Portland Maine Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Complian...

Storage Administrator- Storage and Backup - USA-ME-Portland

Sat, 13 May 2023 00:00:00 CDT

Job Information Humana Storage Administrator- Storage and Backup in Portland Maine Description At Humana we are committed to helping people live healthy and happy through personalized care. Following ...

Director of DevSecOps Automation and Engineering(virtual remote) - USA-ME-Portland

Sun, 21 May 2023 00:00:00 CDT

Description Role is open to US Remote This role will include managing a team of DevSecOps engineers, architects, testers, developers, and specialists who build and support our application security o...

Bilingual Quality Auditor - USA-ME-Portland

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Portland Maine Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Servi...

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 ...

Project Accountant at Bangor University - USA-ME-Bangor

Wed, 14 Jun 2023 00:00:00 CDT

Project Accountant Bangor University Location: Bangor Salary: £28,929 to £35,308 p.a. (Grade 6) Hours: Full Time Contract Type: Fixed-Term/Contract Placed On: 13th June 2023 Closes: 30th June 2023 Job...