EmploymentCrossing Jobs

Accounts Payable Professional - Your Home Advantage - USA-CT-Bridgeport

Mon, 05 Apr 2021 00:00:00 CDT

Description Your Home Advantage (YHA) is a Humana-owned Healthcare Management Company dedicated to improving clinical and quality outcomes by bridging the gap between the physician's office and the m...

Manager, Data Science (Remote US) - USA-CT-Bridgeport

Wed, 26 May 2021 00:00:00 CDT

Job Information Humana Manager, Data Science (Remote US) in Bridgeport Connecticut Description Humana's Provider Payment Integrity organization is looking for an experience Data Science Manager to joi...

Fraud and Waste Researcher - Remote - USA-CT-Bridgeport

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...

ACD Program Integrity Lead - USA-CT-Bridgeport

Fri, 11 Jun 2021 00:00:00 CDT

Description This role has responsibility for the oversight and monitoring of the Autism Care Demonstration (ACD) team performance to ensure compliance with contract and complex ACD policy requirement...

Care Manager, Behavioral Health (BCBA) - USA-CT-Bridgeport

Fri, 27 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-CT-Bridgeport

Fri, 01 Oct 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...

Genetic Counselor (Board Certified)-Remote/Virtual in US - USA-CT-Bridgeport

Sat, 06 Nov 2021 00:00:00 CDT

Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Bridgeport Connecticut Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investig...

Senior Care Manager, Behavioral Health (BCBA) - USA-CT-Bridgeport

Wed, 17 Nov 2021 00:00:00 CST

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Bridgeport Connecticut Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the adm...

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

Sat, 18 Dec 2021 00:00:00 CST

Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Bridgeport Connecticut Description The Fraud and Waste Professional 2 conducts investigations...

Senior Risk Management Professional-Remote, US - USA-CT-Bridgeport

Fri, 18 Feb 2022 00:00:00 CST

Job Information Humana Senior Risk Management Professional-Remote, US in Bridgeport Connecticut Description The Senior Risk Management Professional will support risk management efforts in the Data Gov...

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

Sat, 26 Feb 2022 00:00:00 CST

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Bridgeport Connecticut Description The Fraud and Waste Professional 2 condu...

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

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...

Senior Fraud and Waste Investigator - Lab Team-Remote in US - USA-CT-Bridgeport

Sat, 30 Apr 2022 00:00:00 CDT

Job Information Humana Senior Fraud and Waste Investigator - Lab Team-Remote in US in Bridgeport Connecticut Description The Senior Fraud and Waste Investigator conducts investigations of allegations ...

Compliance Nursing Supervisor - USA-CT-Bridgeport

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-CT-Bridgeport

Mon, 29 Aug 2022 00:00:00 CDT

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Bridgeport Connecticut Description Humana is looking for an experienced Senior Healthcare Investigator to join its i...

Nurse Auditor 2 PPI Lab Remote MST, CST, EST - USA-CT-Bridgeport

Mon, 24 Oct 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-CT-Bridgeport

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-CT-Bridgeport

Mon, 05 Dec 2022 00:00:00 CST

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

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid - USA-CT-Bridgeport

Sun, 23 Apr 2023 00:00:00 CDT

Healthcare Compliance Associate Attorney - USA-CT-Stamford

Tue, 14 May 2024 00:00:00 CDT

A law firm located in Stamford, CT, is seeking a Healthcare Compliance Associate Attorney with 2-5 years of experience in healthcare regulatory compliance matters. The selected candidate will work ...