EmploymentCrossing Jobs

Associate Director - Network Engineering ( remote / work at home eligible ) - USA-MO-Springfield

Wed, 30 Aug 2023 00:00:00 CDT

Description The Associate Director, Network Engineering designs, analyzes, plans and modifies network components supporting customer communication implementation activities. The Associate Director, N...

Senior Compliance & Regulatory Professional - USA-MO-Springfield

Thu, 23 Mar 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 QUALITY TECHNOLOGY LEADER - IT Security (Work at Home/Fully Remote) - USA-MO-Springfield

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana LEAD QUALITY TECHNOLOGY LEADER - IT Security (Work at Home/Fully Remote) in Springfield Missouri Description If you run toward knowledge and problem-solving, join us! The Qualit...

Compliance Lead - Remote - USA-MO-Springfield

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Compliance Lead - Remote in Springfield Missouri Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of dive...

Lead, IT Risk and Compliance - Business Managed Technology - USA-MO-Springfield

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Lead, IT Risk and Compliance - Business Managed Technology in Springfield Missouri Description The Lead, IT Risk and Compliance - Business Managed Technology is primarily focuse...

Senior Business Intelligence Engineer (Wellness) Remote Nationwide - USA-MO-Springfield

Fri, 14 Oct 2022 00:00:00 CDT

Job Information Humana Senior Business Intelligence Engineer (Wellness) Remote Nationwide in Springfield Missouri Description The Senior Business Intelligence Engineer - Wellness solves complex busine...

Risk Management Professional 2 - USA-MO-Springfield

Mon, 24 Oct 2022 00:00:00 CDT

Description The Risk Management Professional 2 is responsible for analyzing enrollment and billing data to minimize compliance risk. The Risk Management Professional 2 work assignments are varied and...

Senior Infrastructure/Network Security Engineer - USA-MO-Springfield

Thu, 03 Nov 2022 00:00:00 CDT

Description Would you like to be a member of the information security team serving the J.D. Power #1 ranked U.S. mail order pharmacy for the last 4 years in a row? A mail order pharmacy slated to dou...

Clinical Support Team Senior Consultation/Partnership - USA-MO-Springfield

Wed, 23 Nov 2022 00:00:00 CST

Description The Senior Market Consultation/Partnership Professional promotes and improves the quality and measurement of care delivery programs with a market(s). The Senior Market Consultation/Partne...

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-MO-Springfield

Mon, 05 Dec 2022 00:00:00 CST

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

Lead Actuary - USA-MO-Springfield

Sun, 11 Dec 2022 00:00:00 CST

Description The Actuary, Pricing is responsible for setting pricing assumptions, submitting bids, filing and gaining approval of premium rates and rate certifications with regulatory agencies. Suppor...

Insurance Product Manager 2 - Medicaid - USA-MO-Springfield

Sun, 25 Dec 2022 00:00:00 CST

Description Responsibilities The Insurance Product Manager 2 will: Research each State's Medicaid rules, as it pertains to base benefits, expanded benefits, competitive analysis, etc. for intellig...

Claims Research and Resolution Professional 2 - USA-MO-Springfield

Sun, 01 Jan 2023 00:00:00 CST

Description The Claims Educator is responsible for ensuring prompt and accurate provider claims processing of original claims, resubmissions, and overall adjudication of claims. The Claims Educator m...

Senior Market Research Professional - USA-MO-Springfield

Sat, 29 Apr 2023 00:00:00 CDT

Job Information Humana Senior Market Research Professional in Springfield Missouri Description Humana's Corporate Marketing Organization is looking for a Senior Market Research Professional to join th...

AD, Provider Data Governance - USA-MO-Springfield

Fri, 25 Aug 2023 00:00:00 CDT

Description Humana's Provider Data and Medicaid Governance team is committed to effective and efficient business solutions for quality assurance and risk mitigation in implementing Humana's Provider ...

Lead, Technology and Cybersecurity Risk - Business Managed Technology - USA-MO-Springfield

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...

Correspondence Representative 2 - USA-MO-Springfield

Tue, 30 May 2023 00:00:00 CDT

Description The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insuran...

Business Support Coordinator 1 - Medical Records - USA-MO-Springfield

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for ...

Energy Regulatory/Corporate Associate Attorney - USA-MO-Springfield

Sun, 14 Apr 2024 00:00:00 CDT

A law firm in Springfield, MO, is seeking an Energy Regulatory/Corporate Associate Attorney with 4-5 years of experience in energy transactional and regulatory litigation and compliance. The ideal ...

Corporate Associate Attorney - USA-MO-Springfield

Sun, 14 Apr 2024 00:00:00 CDT

Job Overview:

A law firm in Springfield, MO, is seeking an experienced Corporate Associate Attorney with a minimum of 6 years of expertise in mergers and acquisitions and private equity. Th...