EmploymentCrossing Jobs

Senior Compliance Professional - Louisville, KY or Work at Home (Central and Eastern Time Zone) - USA-LA-New Orleans

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...

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

Fri, 15 Sep 2023 00:00:00 CDT

Commercial Medical Director - Work At Home - USA-LA-Metairie

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

Lead Software Engineer - Data Engineering - USA-LA-Metairie

Mon, 26 Jun 2023 00:00:00 CDT

Description The Platform Innovation and Engineering team is seeking a passionate engineer with extensive experience building and driving complex platforms and systems. You enjoy working with a strong...

Senior Communications and Marketing Professional - USA-LA-Metairie

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Human...

Interoperability Industry & Government Product Management Lead - USA-LA-Metairie

Sat, 22 Apr 2023 00:00:00 CDT

Description Be a part of our Interoperability space - Provide guidance to facilitate interaction with digital services and capabilities that connect people with lifelong well-being. Responsibilities...

Grievances and Appeals Medical Director - Nationwide - USA-LA-Metairie

Sat, 22 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...

Medicaid Quality Audit Professional 2 - Behavior Health - USA-LA-New Orleans

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA doc...

Medicaid Quality Audit Professional 2 - Behavior Health - USA-LA-Metairie

Sat, 22 Apr 2023 00:00:00 CDT

DRG Validation Coding Auditor - USA-LA-Metairie

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...

Medical Director - Claims Management - USA-LA-Metairie

Thu, 20 Apr 2023 00:00:00 CDT

Behavior Health (BH) Children's System Administrator - USA-LA-New Orleans

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana Health Horizons in Louisiana is seeking a Behavioral Health (BH) Children's System Administrator (Care Management Behavioral Health Lead) who will advise on program features to rea...

Behavioral Health Medical Director - Tricare - USA-LA-Metairie

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...

Engineer District Engineer - USA-LA-New Orleans

Tue, 30 May 2023 00:00:00 CDT

(link removed) The incumbent may be domiciled in Orleans or Lafourche parish. This engineering position involves field inspection of facilities, public works, and treatment processes to ensure complia...

Senior IT Compliance Professional - USA-LA-New Orleans

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...

Correspondence Representative 2 - USA-LA-Metairie

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...

Inbound Contact Representative 2 - CarePlus - USA-LA-Metairie

Sun, 18 Jun 2023 00:00:00 CDT

Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 positions that will have the pleasure of taking inbound calls from our members and...

Business Support Coordinator 1 - Medical Records - USA-LA-Metairie

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 ...

Partnership Track Tax Associate Attorney - USA-LA-New Orleans

Thu, 16 May 2024 00:00:00 CDT

A law firm is seeking a Partnership Track Tax Associate Attorney for their New Orleans, LA office. This position involves providing expert tax advice to individual and business clients, specializin...

Litigation Attorney - USA-LA-Gretna

Fri, 26 Apr 2024 00:00:00 CDT

A law firm in Gretna, LA, is seeking a highly skilled Litigation Attorney with specialized knowledge in personal injury law. The successful candidate will manage assigned cases actively, communicat...