EmploymentCrossing Jobs

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

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...

RN Utilization Management Nurse 2 - Work at Home - USA-VA-Glen Allen

Tue, 25 Jul 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...

RN -Utilization Management Nurse (Medicare) - Work at home (Eastern Time zone hours)- Southeast Region (GA/SC) - USA-VA-Glen Allen

Tue, 15 Aug 2023 00:00:00 CDT

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

Claims Research and Resolution Specialist 2 -- Work at Home/Remote USA - USA-VA-Glen Allen

Sun, 13 Aug 2023 00:00:00 CDT

Description The Claims Research & Resolution Specialist 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves a...

Inbound Contact Representative -- Work-At-Home (Eastern Time Zone) - USA-VA-Glen Allen

Tue, 12 Sep 2023 00:00:00 CDT

Description Humana is continuing to grow! We have several new Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our members and provide excellent servic...

AVP Business Technology Solution Implementation - USA-VA-Glen Allen

Mon, 26 Jun 2023 00:00:00 CDT

Description The AVP, Business Technology Solutions Implementation will oversees various system programs of a highly complex nature to deliver new technological solutions to meet business needs within...

HR Manager II - Glen Allen - USA-VA-Glen Allen

Mon, 26 Jun 2023 00:00:00 CDT

Job Information Tyson Foods HR Manager II - Glen Allen in Glen Allen Virginia Successful applicants for this position must be fully vaccinated against COVID-19 as a condition of employment. Vaccine ve...

Associate VP, Technology Solutions - Provider Systems - USA-VA-Glen Allen

Mon, 26 Jun 2023 00:00:00 CDT

Description We're looking for someone who is well rounded in the end-to-end journey of Medical Insurance to lead our Provider Systems team supporting Provider Operations across the enterprise. You wi...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-VA-Glen Allen

Mon, 26 Jun 2023 00:00:00 CDT

AVP Enterprise Architecture Practices - USA-VA-Glen Allen

Mon, 26 Jun 2023 00:00:00 CDT

Description The Associate VP, Enterprise Architecture translates business needs into technical systems solutions and architectural roadmaps. The Associate VP, Enterprise Architecture requires a in-de...

Nurse Auditor 2/RN (Coding and Home Health Field exp a MUST) Work At Home - USA-VA-Glen Allen

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-VA-Glen Allen

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-VA-Glen Allen

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Glen Allen Virginia Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to ...

M&A Integration Technology Lead - USA-VA-Glen Allen

Tue, 29 Aug 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 ...

Manager, Care Management Social Services-WAH Nationwide - USA-VA-Glen Allen

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Care Management Social Services-WAH Nationwide in Glen Allen Virginia Description Job Description Summary The Manager, Care Management leads teams of social work and so...

Senior Pre-Authorization Nurse - USA-VA-Glen Allen

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...

Agency Broker Executive - Life Insurance - USA-VA-Glen Allen

Fri, 25 Aug 2023 00:00:00 CDT

Description The Agency Broker Executive - Life Insurance places outbound calls based on leads, and completes the sales of products and/or services. The Agency Broker Executive work assignments are va...

Director, National Medicaid Care Management Strategy and Practice - USA-VA-Glen Allen

Mon, 26 Jun 2023 00:00:00 CDT

Description As Humana's Medicaid membership continues to grow, the National Medicaid Clinical Operations team is expanding our shared services organization to enhance the clinical delivery process. T...

Mid-to Senior-level Financial Services Compliance And Regulatory Associate Attorney - USA-VA-Glen Allen

Tue, 14 May 2024 00:00:00 CDT

Job Overview: A law firm in Glen Allen, VA, is seeking a Mid-to Senior-level Financial Services Compliance And Regulatory Associate Attorney with at least 4 years of relevant experience. The ideal ...

Litigation Managing Attorney - USA-VA-Richmond

Thu, 25 Apr 2024 00:00:00 CDT

A law firm in Richmond, VA, is seeking a skilled Litigation Managing Attorney with 5+ years of experience in personal injury litigation and significant trial experience. The candidate will be respo...