EmploymentCrossing Jobs

Manager, Data Science (Remote US) - USA-AZ-Phoenix

Wed, 26 May 2021 00:00:00 CDT

Job Information Humana Manager, Data Science (Remote US) in Phoenix Arizona 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-AZ-Phoenix

Tue, 01 Jun 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-AZ-Phoenix

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-AZ-Phoenix

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-AZ-Phoenix

Wed, 06 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-AZ-Phoenix

Sat, 06 Nov 2021 00:00:00 CDT

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

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

Sat, 18 Dec 2021 00:00:00 CST

Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Phoenix Arizona 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-AZ-Phoenix

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-AZ-Phoenix

Sat, 26 Feb 2022 00:00:00 CST

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

Senior Estimator - USA-AZ-Phoenix

Tue, 15 Mar 2022 00:00:00 CDT

Senior Estimator TITLE: Senior Plumbing Estimator REPORTS TO: Pre-Construction Services Manager The senior plumbing estimator is responsible for preparing estimates with the Greater Phoenix Area pre-c...

Estimator - Construction - USA-AZ-Phoenix

Tue, 15 Mar 2022 00:00:00 CDT

Estimator - Construction ******* Southwest seeks a qualified Estimator to join our organization in the Phoenix, AZ area. We are a rapidly growing general contractor with offices in Scottsdale, AZ,...

Senior Care Manager, Behavioral Health (BCBA) - USA-AZ-Phoenix

Fri, 15 Apr 2022 00:00:00 CDT

Description Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is a non-exempt position with responsibility for utilization management and clinical decision-making as outlined in t...

Senior Fraud and Waste Investigator - Lab Team-Remote in US - USA-AZ-Phoenix

Sat, 30 Apr 2022 00:00:00 CDT

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

Compliance Nursing Supervisor - USA-AZ-Phoenix

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-AZ-Phoenix

Mon, 05 Sep 2022 00:00:00 CDT

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

Nurse Auditor 2 PPI Lab Remote MST, CST, EST - USA-AZ-Phoenix

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. ...

Senior Compliance Analyst - USA-AZ-Tempe

Sun, 04 Dec 2022 00:00:00 CST

Senior Compliance Analyst The candidate will assist in maintaining Centene Corporation’s Compliance Program. Provide regulatory interpretation, perform compliance reporting, lead special projects, a...

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-AZ-Phoenix

Mon, 05 Dec 2022 00:00:00 CST

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

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid - USA-AZ-Phoenix

Mon, 24 Apr 2023 00:00:00 CDT

Senior Health Care Regulatory Associate Attorney - USA-AZ-Phoenix

Thu, 23 May 2024 00:00:00 CDT

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