EmploymentCrossing Jobs

Senior Compliance Professional - Louisville, KY or Work at Home (Central and Eastern Time Zone) - USA-MD-Bethesda

Fri, 15 Sep 2023 00:00:00 CDT

Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues wher...

Senior Business Intelligence Engineer - MarketPoint - Louisville, KY or Work at Home - USA-MD-Bethesda

Mon, 04 Sep 2023 00:00:00 CDT

Description The Senior Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Busin...

Senior Business Intelligence Engineer - Work at Home - USA-MD-Bethesda

Sun, 10 Sep 2023 00:00:00 CDT

Job Information Humana Senior Business Intelligence Engineer - Work at Home in Bethesda Maryland Description The Senior Business Intelligence Engineer solves complex business problems and issues using...

Provider/Claims Analytics Business Intelligence Engineer 2 - Louisville, KY or Work at Home - USA-MD-Bethesda

Wed, 30 Aug 2023 00:00:00 CDT

Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals leveraging the latest tools and methods to solve complex business problem...

Lead Technology Leadership Professional Cloud Adoption ( remote / work at home eligible ) - USA-MD-Bethesda

Wed, 30 Aug 2023 00:00:00 CDT

Description The leader will lead the Cloud Adoption Service to deliver on programs managing internal organization capabilities and process interrelate across departments, people leadership skills, an...

Lead Data Architect - USA-MD-Bethesda

Mon, 04 Sep 2023 00:00:00 CDT

Description The Lead Data Architect works in all data environments which includes data design, database architecture, metadata and repository creation. The Lead Data Architect works on problems of di...

Associate Director, Value-Based Programs - Louisville, KY or Work at Home Nationwide - USA-MD-Bethesda

Sun, 10 Sep 2023 00:00:00 CDT

Description The Associate Director, Value-Based Programs supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. Th...

Senior Power BI Engineer (MarketPoint) - Remote or Work at Home - USA-MD-Bethesda

Tue, 08 Aug 2023 00:00:00 CDT

Description The Senior Power BI Engineer on the MarketPoint Sales Reporting team solves complex business problems and issues using data from internal and external sources to provide insight to decisi...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Grievance and Appeals Representative 2 for IRT- Work at Home/Remote USA - USA-MD-Bethesda

Wed, 30 Aug 2023 00:00:00 CDT

Description Responsibilities The Grievances & Appeals Representative 2 for IRT will be responsible for assigning cases to associates on team to send to independent entity for 2nd level review. Track...

Staff Utilization Management Pharmacist (Contract Position) - USA-MD-Bethesda

Mon, 26 Jun 2023 00:00:00 CDT

Description The Staff Utilization Management Pharmacist is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. Th...

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-MD-Bethesda

Sun, 13 Aug 2023 00:00:00 CDT

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate...

Bilingual (Spanish) Inbound Call Center Representative - Work at Home (Eastern and Central Time Zones) - USA-MD-Bethesda

Wed, 30 Aug 2023 00:00:00 CDT

Description Humana is continuing to grow especially within Medicaid! We have several new Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida M...

Manager, Utilization Management Nursing - Medicare / Medicaid - USA-MD-Bethesda

Sun, 13 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Bethesda Maryland Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to su...

Direct Support Professional - USA-MD-Gaithersburg

Thu, 02 May 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Gaithersburg, MD

Location: Gaithersburg, MD

Department: Jubilee Association of Maryland

Type: Part Time

Min...

Direct Support Professional - USA-MD-Silver Spring

Fri, 03 May 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Silver Spring, MD

Location: Silver Spring, MD

Department: Jubilee Association of Maryland

Type: Part-Time

M...

Direct Support Professional - USA-MD-Rockville

Fri, 03 May 2024 00:00:00 CDT

Direct Support Professional (Part-Time) Silver Spring, MD

Location: Silver Spring, MD

Department: Jubilee Association of Maryland

Type: Part-Time

M...

M&A Integration Technology Lead - USA-MD-Bethesda

Tue, 11 Jul 2023 00:00:00 CDT

Description The M&A IT integration leader will provide strategic guidance with regards to IT integration efforts to Humana's corporate development team and integration management office (IMO) on all ...

Senior Pre-Authorization Nurse - USA-MD-Bethesda

Mon, 11 Sep 2023 00:00:00 CDT

Description The Senior Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to t...

React JS - Lead Software Engineer - USA-MD-Bethesda

Fri, 08 Sep 2023 00:00:00 CDT

Description The Lead Software Engineer codes software applications based on business requirements. The Lead Software Engineer works on problems of diverse scope and complexity ranging from moderate t...