EmploymentCrossing Jobs

Senior Fraud and Waste Investigator - RN with CPC Required - USA-MD-Bethesda

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-MD-Bethesda

Sat, 06 Nov 2021 00:00:00 CDT

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

Senior Care Manager, Behavioral Health (BCBA) - USA-MD-Bethesda

Wed, 17 Nov 2021 00:00:00 CST

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Bethesda Maryland Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administ...

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

Sat, 18 Dec 2021 00:00:00 CST

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

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

Sat, 18 Dec 2021 00:00:00 CST

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

Senior Risk Management Professional-Remote, US - USA-MD-Bethesda

Fri, 18 Feb 2022 00:00:00 CST

Job Information Humana Senior Risk Management Professional-Remote, US in Bethesda Maryland Description The Senior Risk Management Professional will support risk management efforts in the Data Governan...

MS Compliance Manager - USA-MD-Linthicum

Fri, 25 Feb 2022 00:00:00 CST

What You Will Do: General Summary Supports the Compliance Program and is committed to the operation of an effective compliance program. Works under general direction to perform ongoing activities rela...

Long Term Care Nurse - USA-MD-Baltimore

Fri, 25 Feb 2022 00:00:00 CST

Long Term Care Nurse Job Location 28464 Marlboro Avenue, Baltimore, MD Position Type Full-Time/Regular ******* is a not-for-profit corporation that partners with public and private sectors to cre...

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

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-MD-Baltimore

Sat, 26 Feb 2022 00:00:00 CST

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

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

Sat, 26 Feb 2022 00:00:00 CST

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

Senior Fraud and Waste Investigator - Lab Team-Remote in US - USA-MD-Bethesda

Sat, 30 Apr 2022 00:00:00 CDT

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

Compliance Nursing Supervisor - USA-MD-Bethesda

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-MD-Baltimore

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-MD-Bethesda

Mon, 05 Sep 2022 00:00:00 CDT

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

Nurse Auditor 2 PPI Lab Remote MST, CST, EST - USA-MD-Bethesda

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-MD-Bethesda

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-MD-Bethesda

Mon, 05 Dec 2022 00:00:00 CST

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

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid - USA-MD-Bethesda

Mon, 24 Apr 2023 00:00:00 CDT

Member-Level Healthcare Attorney - USA-MD-Baltimore

Fri, 22 Mar 2024 00:00:00 CDT

Job Title: Member-Level Healthcare Attorney

Job Overview: A law firm in Baltimore, MD, is seeking a Member-Level Healthcare Attorney to join their national team. The ideal candidate will have...