EmploymentCrossing Jobs

Manager, Data Science (Remote US) - USA-NY-Albany

Wed, 26 May 2021 00:00:00 CDT

Job Information Humana Manager, Data Science (Remote US) in Albany New York Description Humana's Provider Payment Integrity organization is looking for an experience Data Science Manager to join the C...

Fraud and Waste Researcher - Remote - USA-NY-Albany

Thu, 27 May 2021 00:00:00 CDT

Description The Fraud and Waste Professional 1 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 1 work assignments are often straightforwar...

Senior Fraud and Waste Investigator - USA-NY-Albany

Sun, 30 May 2021 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...

Fraud and Waste Investigator - USA-NY-Albany

Sat, 19 Jun 2021 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...

Care Manager, Behavioral Health (BCBA) - USA-NY-Albany

Thu, 26 Aug 2021 00:00:00 CDT

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of servic...

Senior Fraud and Waste Investigator - RN with CPC Required - USA-NY-Albany

Fri, 01 Oct 2021 00:00:00 CDT

Genetic Counselor (Board Certified)-Remote/Virtual in US - USA-NY-Albany

Sat, 06 Nov 2021 00:00:00 CDT

Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Albany New York Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations ...

Senior Care Manager, Behavioral Health (BCBA) - USA-NY-Albany

Wed, 17 Nov 2021 00:00:00 CST

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Albany New York Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administra...

Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US - USA-NY-Albany

Sat, 18 Dec 2021 00:00:00 CST

Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Albany New York Description The Fraud and Waste Professional 2 conducts investigations of all...

Senior Clinical Fraud and Waste Investigator - RN and Coding Credential required - REMOTE (Anywhere in US) - USA-NY-Albany

Fri, 07 Apr 2023 00:00:00 CDT

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Profe...

Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US - USA-NY-Albany

Sat, 26 Feb 2022 00:00:00 CST

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Albany New York Description The Fraud and Waste Professional 2 conducts inv...

Senior Fraud and Waste Investigator - Lab Team-Remote in US - USA-NY-Albany

Sat, 30 Apr 2022 00:00:00 CDT

Job Information Humana Senior Fraud and Waste Investigator - Lab Team-Remote in US in Albany New York Description The Senior Fraud and Waste Investigator conducts investigations of allegations of frau...

Compliance Nursing Supervisor - USA-NY-Albany

Mon, 02 May 2022 00:00:00 CDT

Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud...

Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME - USA-NY-Albany

Sat, 27 Aug 2022 00:00:00 CDT

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Albany New York Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry...

Nurse Auditor 2 PPI Lab Remote MST, CST, EST - USA-NY-Albany

Fri, 30 Sep 2022 00:00:00 CDT

Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. ...

Manager, Data Science - USA-NY-Albany

Sat, 26 Nov 2022 00:00:00 CST

Description Humana's Provider Payment Integrity organization is looking for an experienced Data Science Manager to join the Claims Cost Management (CCM) Solutions Support team working from home anywh...

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-NY-Albany

Mon, 05 Dec 2022 00:00:00 CST

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

Data Scientist (SQL, Adv Excel, R or Phython, Machine Learning, Predictive Analytics) - USA-NY-Albany

Wed, 07 Dec 2022 00:00:00 CST

Title: Data Scientist Location: Albany, NY A HYBRID work schedule will be required Duration: thru 12/29/2023 Data Scientist or Data Analyst with expertise in predictive analytics and machine lear...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid - USA-NY-Albany

Mon, 24 Apr 2023 00:00:00 CDT

Healthcare Compliance Associate Attorney - USA-NY-Albany

Tue, 14 May 2024 00:00:00 CDT

A law firm located in Albany, NY, is seeking a Healthcare Compliance Associate Attorney with 2-5 years of experience in healthcare regulatory compliance matters. The successful candidate will play ...