EmploymentCrossing Jobs

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

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...

Associate Director of Quality, Performance, & Digital Experience - USA-RI-Newport

Sun, 13 Aug 2023 00:00:00 CDT

Description The Associate Director of Quality, Performance, & Digital Experience devises an effective strategy for executing and delivering software quality initiatives with an emphasis on user exper...

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

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-RI-Newport

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-RI-Newport

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...

Inside Sales SWAT Executive - USA-RI-Newport

Mon, 26 Jun 2023 00:00:00 CDT

Description Get your foot in the door with this Entry-Level Training Ground Inside Sales Executive position! Enjoy a fast paced dynamic environment that offers a variety of responsibilities and assig...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-RI-Newport

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...

Senior Software Engineer (C ) - USA-RI-Newport

Mon, 26 Jun 2023 00:00:00 CDT

Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where t...

AVP Business Technology Solution Implementation - USA-RI-Newport

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...

Associate VP, Technology Solutions - Provider Systems - USA-RI-Newport

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...

Part Time Floor Supervisor- CALVIN KLEIN - USA-CT-Mashantucket

Mon, 26 Jun 2023 00:00:00 CDT

POSITION SUMMARY
Floor Supervisors are brand ambassadors responsible for creating an emotional connection between our customers and the brand. They assist with leading the effort ...

HomeCare CNA Caregiver - Training Available (Tiverton) - USA-RI-Tiverton

Mon, 26 Jun 2023 00:00:00 CDT

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Utilization Management RN (DME / HH Outpatient) - WAH - USA-RI-Newport

Mon, 26 Jun 2023 00:00:00 CDT

AVP Enterprise Architecture Practices - USA-RI-Newport

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...

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

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-RI-Newport

Sun, 13 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Newport Rhode Island Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to...

M&A Integration Technology Lead - USA-RI-Newport

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-RI-Newport

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...

RN, Utilization Management - Behavioral Health - USA-RI-Newport

Fri, 23 Jun 2023 00:00:00 CDT

Description Full-Time Remote, Telephonic RN opportunity. The Utilization Management Behavioral Health Nurse utilizes behavioral health knowledge and skills to support the coordination, documentation...

Agency Broker Executive - Life Insurance - USA-RI-Newport

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...