EmploymentCrossing Jobs

Senior Market Data Professional - Remote - USA-VA-Winchester

Thu, 18 Nov 2021 00:00:00 CST

Job Information Humana Senior Market Data Professional - Remote in Winchester Virginia Description The Senior Market Data Professional provides support to assigned health plan and/or specialty compani...

Contract Executive - USA-VA-Winchester

Wed, 01 Dec 2021 00:00:00 CST

Description The Provider Contracting Executive initiates, negotiates, and executes physician, hospital, and/or other provider contracts and agreements for an organization that provides health insuran...

Senior Value-Based Programs Reporting/Data Professional - Louisville, KY or Remote - USA-VA-Winchester

Sat, 04 Dec 2021 00:00:00 CST

Job Information Humana Senior Value-Based Programs Reporting/Data Professional - Louisville, KY or Remote in Winchester Virginia Description The Senior Value-Based Programs Reporting/Data Professional...

Value-Based Strategies - CMS Programs Strategy Lead - Remote - USA-VA-Winchester

Mon, 07 Mar 2022 00:00:00 CST

Job Information Humana Value-Based Strategies - CMS Programs Strategy Lead - Remote in Winchester Virginia Description Value-Based Strategies - CMS Programs Strategy Lead will support Humana through s...

Compliance Lead - Remote - USA-VA-Winchester

Fri, 07 Apr 2023 00:00:00 CDT

Job Information Humana Compliance Lead - Remote in Winchester Virginia Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diver...

Analytical Development Manager - USA-VA-Petersburg

Thu, 03 Mar 2022 00:00:00 CST

About Civica

Over the past two decades, shortages of generic, injectable medications critical to the lifesaving work of hospitals in the United States have become commonpl...

Senior Compliance Professional- REMOTE (Anywhere in the US) - USA-VA-Winchester

Sat, 19 Mar 2022 00:00:00 CDT

Job Information Humana Senior Compliance Professional- REMOTE (Anywhere in the US) in Winchester Virginia Description The Senior Compliance Professional ensures compliance with contractual, statutory,...

Senior Provider Contracting Professional - Remote (EST Hours) - USA-VA-Winchester

Mon, 25 Apr 2022 00:00:00 CDT

Job Information Humana Senior Provider Contracting Professional - Remote (EST Hours) in Winchester Virginia Description The Senior Provider Contracting Professional initiates, negotiates, and executes...

Provider Contracting Executive - Remote - USA-VA-Winchester

Wed, 15 Jun 2022 00:00:00 CDT

Enterprise Data Governance Lead - USA-VA-Winchester

Mon, 04 Jul 2022 00:00:00 CDT

Description Come join the Data Governance office as Lead, Enterprise Data Governance! In this role you can help grow and implement the company's data use and external data strategies. Through applyin...

Fraud and Waste Investigator - USA-VA-Winchester

Thu, 28 Jul 2022 00:00:00 CDT

Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequentl...

Senior Compliance Professional - Medicaid State Reporting - USA-VA-Winchester

Fri, 16 Sep 2022 00:00:00 CDT

Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve mo...

Senior Software Engineer - USA-VA-Winchester

Mon, 03 Oct 2022 00:00:00 CDT

Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where t...

Senior Product Manager, Specialty Pharmacy Growth - USA-VA-Winchester

Wed, 05 Oct 2022 00:00:00 CDT

Description The Senior Product Manager role is a part of the Pharmacy Product & Growth organization and will be responsible for leading initiatives that help drive value for CenterWell Specialty Phar...

Senior Product Manager - USA-VA-Winchester

Mon, 24 Oct 2022 00:00:00 CDT

Senior Cloud Security Engineer (virtual remote) - USA-VA-Winchester

Fri, 11 Nov 2022 00:00:00 CST

Job Information Humana Senior Cloud Security Engineer (virtual remote) in Winchester Virginia Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this positio...

Network Optimization Lead - USA-VA-Winchester

Fri, 18 Nov 2022 00:00:00 CST

Description The Network Optimization Lead oversees various efforts involving highly complex data analysis and consultation projects/contracts. The Network Optimization Lead works on problems of diver...

Claims Research and Resolution Professional 2 - USA-VA-Winchester

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 Process Improvement Professional - USA-VA-Winchester

Fri, 23 Jun 2023 00:00:00 CDT

Description The Provider Process Team is a process organization residing within the Consumer and Provider Service Organization. Provider Process's mission is to develop, operationalize, and train bus...

Senior IT Compliance Professional - USA-VA-Winchester

Tue, 30 May 2023 00:00:00 CDT

Description The Senior IT Compliance Professional audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and...