EmploymentCrossing Jobs

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

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 Solutions Architect (Work at Home / Virtual Optional) - USA-PA-Pittsburgh

Mon, 04 Sep 2023 00:00:00 CDT

Description Are you interested in using your technology experience to make an impact at a fortune 100 company? Are you confident that you can quickly learn business processes and provide an industry ...

Associate Director - Network Engineering ( remote / work at home eligible ) - USA-PA-Pittsburgh

Sun, 10 Sep 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...

Lead Technology Leadership Professional Cloud Adoption ( remote / work at home eligible ) - USA-PA-Pittsburgh

Sun, 10 Sep 2023 00:00:00 CDT

Description The leader will lead the Cloud Adoption Service to deliver on programs managing internal organization capabilities and process interrelate across departments, people leadership skills, an...

Commercial Medical Director - Work At Home - USA-PA-Pittsburgh

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...

Business Support Coordinator 1 - Medical Records - USA-PA-Pittsburgh

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 ...

Medical Director - Part Time - USA-PA-Pittsburgh

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situa...

Medical Director - Work at Home - USA-PA-Pittsburgh

Wed, 30 Aug 2023 00:00:00 CDT

Accountant 1 - USA-PA-Pittsburgh

Mon, 19 Jun 2023 00:00:00 CDT

Job Information Humana Accountant 1 in Pittsburgh Pennsylvania Description The Accountant 1 performs general accounting activities, including the preparation, maintenance and reconciliation of ledger ...

Senior Learning Facilitation Professional-Remote in US - USA-PA-Pittsburgh

Sat, 12 Aug 2023 00:00:00 CDT

Job Information Humana Senior Learning Facilitation Professional-Remote in US in Pittsburgh Pennsylvania Description The Senior Learning Facilitation Professional will focus on integration and impleme...

Senior Integration Specialist - Cloud - USA-PA-Pittsburgh

Thu, 06 Jul 2023 00:00:00 CDT

Job Information Humana Senior Integration Specialist - Cloud in Pittsburgh Pennsylvania Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eli...

Senior Pre-Authorization Nurse - USA-PA-Pittsburgh

Mon, 11 Sep 2023 00:00:00 CDT

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to t...

Associate Director, Accreditation - USA-PA-Pittsburgh

Fri, 23 Jun 2023 00:00:00 CDT

Description Humana is seeking an experienced and dynamic Associate Director of Accreditation to manage a team of subject matter experts on NCQA Health Plan Accreditation and NCQA Health Equity Accred...

Senior Mechanical Engineer - USA-PA-Pittsburgh

Mon, 05 Jun 2023 00:00:00 CDT

Administration & Customer Service (5) Architecture & Design (2) Biotechnology & Laboratory (4) Consulting (0) Data Science (7) Education & Training (1) Engineering (10) Healthcare (6) Human Resources ...

Facility Administrator - USA-PA-New Kensington

Wed, 07 Jun 2023 00:00:00 CDT

Reference #: R0284800\ 1 Kensington Square,New Kensington,Pennsylvania,15068,United States of America DaVita is a dynamic, growing and entrepreneurial company. We are seeking an ambitious, operationa...

Healthcare Operations Manager - USA-PA-New Kensington

Wed, 07 Jun 2023 00:00:00 CDT

Reference #: R0284825\ 1 Kensington Square,New Kensington,Pennsylvania,15068,United States of America DaVita is a dynamic, growing and entrepreneurial company. We are seeking an ambitious, operationa...

Process Improvement Lead - HCPR & PBM - USA-PA-Pittsburgh

Mon, 19 Jun 2023 00:00:00 CDT

Description The Process Improvement Lead analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. T...

VP, Threat Management and Response - USA-PA-Pittsburgh

Sun, 18 Jun 2023 00:00:00 CDT

Description Provides executive leadership to Humana. Responsibilities Vice President, Threat Management & Response Job Description: Humana is a Fortune 50 market leader in integrated healthcare w...

Inbound Contact Representative 2 - CarePlus - USA-PA-Pittsburgh

Wed, 21 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...

Medicare Compliance Associate Attorney - USA-PA-Pittsburgh

Wed, 13 Mar 2024 00:00:00 CDT

Job Title: Medicare Compliance Associate Attorney

Job Overview: A law firm in Pittsburgh, PA, is seeking a Medicare Compliance Associate Attorney to provide comprehensive consultation on Medi...