EmploymentCrossing Jobs

Director, Finance Technology Modernization - USA-SC-Lancaster

Sun, 10 Sep 2023 00:00:00 CDT

Description Humana is a Fortune 60 market leader in integrated healthcare with a clearly defined purpose to help people achieve lifelong well-being. As a company focused on the health and well-being ...

SeniorBridge Home Care Scheduler/Referral Coordinator-Work at home nationwide - USA-SC-Lancaster

Mon, 26 Jun 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 Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-SC-Lancaster

Mon, 19 Jun 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 Technology Implementation Professional - Product Owner, Premium Billing Systems - USA-SC-Lancaster

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Senior Technology Implementation Professional - Product Owner, Premium Billing Systems in Lancaster South Carolina Description Humana's Membership & Plan Services (MPS) organiza...

Family Law Attorney - USA-NC-Monroe

Fri, 09 Dec 2022 00:00:00 CST

Family Law Attorney The candidate will help effectively solve legal problems for clients by analyzing the situation, understanding their needs, and creating a strategic plan of action. Handle the div...

CenterWell PCO, Senior Compliance Professional - Remote - USA-SC-Lancaster

Fri, 02 Dec 2022 00:00:00 CST

Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk adjustment coding and medical record document requirements. This role acts as the s...

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-SC-Lancaster

Mon, 05 Dec 2022 00:00:00 CST

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

Account Manager - USA-SC-Lancaster

Fri, 16 Dec 2022 00:00:00 CST

Description The Account Manager is responsible for maintaining strong client relationships and identifying opportunities to increase Enclara's 'share of customer.' The Account Manager works to ensure...

Home Health Aide, Full Time - USA-NC-Monroe

Wed, 21 Dec 2022 00:00:00 CST

Job Information Humana Home Health Aide, Full Time in Monroe North Carolina Description Home Health Aide 2 provides patients with assistance in activities in daily living. The Home Health Aide 2 perfo...

Provider Optimization Professional - USA-SC-Lancaster

Sat, 22 Apr 2023 00:00:00 CDT

Job Information Humana Provider Optimization Professional in Lancaster South Carolina Description The Provider Optimization Professional is responsible for day-to-day back-end relationships and serves...

Stars Improvement Professional - USA-SC-Lancaster

Thu, 20 Apr 2023 00:00:00 CDT

Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direc...

Medical Coding Coordinator - USA-SC-Lancaster

Sat, 22 Apr 2023 00:00:00 CDT

Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 r...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid - USA-SC-Lancaster

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...

Claims Research & Resolution Professional - USA-SC-Lancaster

Thu, 04 May 2023 00:00:00 CDT

Description The Claims Research & Resolution Professional 2 works with enterprise shares team comprised of calls/claims/contracting and external provider associates researching the resolution to a pe...

Dental Fraud and Waste Investigator - USA-SC-Lancaster

Mon, 24 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...

Dental Provider Engagement Professional - USA-SC-Lancaster

Mon, 24 Apr 2023 00:00:00 CDT

Description The Provider Engagement Professional 1 develops and grows positive, long-term relationships with physicians, providers and dental healthcare systems in order to support and improve financ...

Sr. DevOps Cloud Engineer - USA-SC-Lancaster

Sat, 29 Apr 2023 00:00:00 CDT

Job Information Humana Sr. DevOps Cloud Engineer in Lancaster South Carolina Description Do you thrive on working on leading edge technology such as AKS and Kubernetes? Do you embrace the DevOps works...

Nurse Auditor Review - USA-SC-Lancaster

Thu, 18 May 2023 00:00:00 CDT

Senior Provider Engagement Professional - USA-SC-Lancaster

Tue, 23 May 2023 00:00:00 CDT

Job Information Humana Senior Provider Engagement Professional in Lancaster South Carolina Description The Senior Provider Engagement Professional is responsible for day-to-day back-end relationships ...

Estate Planning and Elder Law Attorney - USA-NC-Weddington

Fri, 26 Apr 2024 00:00:00 CDT

A law firm in Weddington, NC, is seeking an experienced Estate Planning and Elder Law Attorney to manage and advise on cases involving estates, trusts, wills, and elder law in the Union and Mecklen...