EmploymentCrossing Jobs

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

Sat, 18 Dec 2021 00:00:00 CST

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

Senior Risk Management Professional-Remote, US - USA-IL-Chicago

Fri, 11 Feb 2022 00:00:00 CST

Job Information Humana Senior Risk Management Professional-Remote, US in Chicago Illinois Description The Senior Risk Management Professional will support risk management efforts in the Data Governanc...

Insight Analyst Investigator - USA-IL-Chicago

Fri, 25 Feb 2022 00:00:00 CST

Overview of the position The Insight Analyst Investigator will be reviewing healthcare claims for possible fraud, waste, and abuse. Actively works to identify and prevent payment of inappropriate or e...

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

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-IL-Chicago

Sat, 26 Feb 2022 00:00:00 CST

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

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

Sat, 26 Feb 2022 00:00:00 CST

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

Project Leader/Principal, Health Care (MedTech Operations) - USA-IL-Chicago Heights

Sun, 13 Mar 2022 00:00:00 CST

Project Leader/Principal, Health Care (MedTech Operations) Who We Are Boston Consulting Group partners with leaders in business and society to tackle their most important challenges and capture their ...

Project Manager - Commercial Construction - Hickory Hills, IL - USA-IL-Chicago Heights

Fri, 18 Mar 2022 00:00:00 CDT

Project Manager - Commercial Construction - Hickory Hills, IL MPI does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity or expression, national origin, ...

Senior Fraud and Waste Investigator - Lab Team-Remote in US - USA-IL-Chicago

Sat, 30 Apr 2022 00:00:00 CDT

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

Compliance Nursing Supervisor - USA-IL-Chicago

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...

Fraud and Waste Investigator - USA-IL-Peoria

Mon, 11 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 Fraud and Waste Investigator-- REMOTE/WORK AT HOME - USA-IL-Chicago

Mon, 05 Sep 2022 00:00:00 CDT

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

Manager, Internal Audit Excellence and Transformation - USA-IL-Northbrook

Fri, 02 Sep 2022 00:00:00 CDT

Do you want to be part of an inclusive team that works to develop innovative therapies for patients? Every day, we are driven to develop and deliver innovative and effective new medicines to patients ...

Nurse Auditor 2 PPI Lab Remote MST, CST, EST - USA-IL-Chicago

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-IL-Chicago

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-IL-Chicago

Mon, 05 Dec 2022 00:00:00 CST

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

Employee Benefits Attorney - USA-IL-Chicago

Tue, 14 May 2024 00:00:00 CDT

Chicago office of a ******* Top Ranked Law Firm seeks an employee benefits attorney with 5+ years of experience counseling clients on all aspects of healthcare regulation and compliance. The candi...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid - USA-IL-Chicago

Sun, 23 Apr 2023 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...

Senior Cloud ETL Programmer - Remote Role - Military Veterans - USA-IL-Springfield

Sun, 28 May 2023 00:00:00 CDT

\u003cb\u003eResponsibilities for this Position\u003c/b\u003e\u003cbr\u003e \u003cb\u003eLocation: \u003c/b\u003e USA IL Home Office (ILHOME)\u003cbr\u003e\u003cb\u003eFull Part/Time: \u003c/b\u003e ...

Senior Health Care Regulatory Associate Attorney - USA-IL-Chicago

Thu, 23 May 2024 00:00:00 CDT

A law firm in Chicago, IL, is seeking a Senior Health Care Regulatory Associate Attorney with 3+ years of experience in health care regulatory matters. The ideal candidate will have a demonstrated ...