EmploymentCrossing Jobs

Care Delivery Tele Sales Agent- Work at Home Nationwide (bilingual English/Spanish preferred) - USA-LA-Metairie

Sat, 29 Apr 2023 00:00:00 CDT

Description The Care Delivery Tele Sales Agent conducts selling activities related to inbound and outbound calls within a care delivery setting. The Care Delivery Tele Sales Agent work assignments ar...

Inside Sales SWAT Executive - USA-LA-Metairie

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...

Quality Engineering Technician 3 - USA-LA-Metairie

Mon, 26 Jun 2023 00:00:00 CDT

Description The Quality Engineering Technician 3 carries out procedures to ensure that all information systems products and services meet organization standards and end-user requirements. The Quality...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-LA-Metairie

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 & Appeals Representative 3 - USA-LA-Metairie

Mon, 26 Jun 2023 00:00:00 CDT

Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appea...

Grievances and Appeals Representative 4 - Work at Home/Remote CST/EST - USA-LA-Metairie

Wed, 30 Aug 2023 00:00:00 CDT

Description Responsibilities The Grievances & Appeals Representative 4 assists members, via phone or face to face, further/support quality related goals. Reviews the level 1 appeals cases and ensure...

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

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-LA-Metairie

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-LA-Metairie

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Metairie Louisiana Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to s...

Home Health Utilization Management - USA-LA-Metairie

Sat, 22 Apr 2023 00:00:00 CDT

Bilingual Medicaid Inbound Call Center Rep - USA-LA-Metairie

Fri, 28 Apr 2023 00:00:00 CDT

Description Humana is continuing to grow nationwide! We have 28 new Bilingual Medicaid Inbound Contact Representative openings that will have the pleasure of taking inbound calls from our Florida Med...

Telephonic Behavioral Health Care Manager - USA-LA-Metairie

Thu, 04 May 2023 00:00:00 CDT

Job Information Humana Telephonic Behavioral Health Care Manager in Metairie Louisiana Description The Behavioral Health Care Manager, in a telephonic environment, assesses and evaluates members' need...

Process Improvement Lead - Provider Payment Integrity - USA-LA-Metairie

Sat, 29 Apr 2023 00:00:00 CDT

Description . Responsibilities The Process Improvement Lead researches best business practices within and outside the organization to establish benchmark data. This individual collects and analyzes...

Subrogation Professional II - USA-LA-Metairie

Thu, 04 May 2023 00:00:00 CDT

Description The Subrogation Professional II identifies, investigates, and collects recoveries from third parties who are legally responsible for paying all or part of medical expenditures for an orga...

RN, Utilization Management - Behavioral Health - USA-LA-Metairie

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-LA-Metairie

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...

Licensed Virtual Inside Sales Agent (Bilingual) - USA-LA-Metairie

Wed, 10 May 2023 00:00:00 CDT

Job Information Humana Licensed Virtual Inside Sales Agent (Bilingual) in Metairie Louisiana Description Humana's Inside Sales Agents are our member's partners in their healthcare journey. As a custom...

Utilization Management Nurse (LPN) - USA-LA-Metairie

Sat, 10 Jun 2023 00:00:00 CDT

Description The Utilization Management Nurse 1 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determin...

Inbound Contact Representative 2 - CarePlus - USA-LA-Metairie

Sun, 18 Jun 2023 00:00:00 CDT

Description Humana is continuing to grow! The CarePlus Health Plan is offering new Inbound Contacts Representative 2 positions that will have the pleasure of taking inbound calls from our members and...

Litigation Attorney - USA-LA-Gretna

Fri, 26 Apr 2024 00:00:00 CDT

A law firm in Gretna, LA, is seeking a highly skilled Litigation Attorney with specialized knowledge in personal injury law. The successful candidate will manage assigned cases actively, communicat...