EmploymentCrossing Jobs

Inside Sales SWAT Executive - USA-PA-Pittsburgh

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-PA-Pittsburgh

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-PA-Pittsburgh

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-PA-Pittsburgh

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-PA-Pittsburgh

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-PA-Pittsburgh

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-PA-Pittsburgh

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-PA-Pittsburgh

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Pittsburgh Pennsylvania Description The Manager, Utilization Management Nursing utilizes clinical nursing skills...

RN, Utilization Management - Behavioral Health - USA-PA-Pittsburgh

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-PA-Pittsburgh

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...

Insurance Counselor I, (Pittsburgh, PA) - USA-PA-Pittsburgh

Sat, 27 May 2023 00:00:00 CDT

Reference #: R0282992\ 4312 Penn Ave,Pittsburgh,Pennsylvania,98402,United States of America This vital, patient-centered role provides education and guidance to DaVita patients about health insurance...

ABA Behavior Consultant BCaBA Bilingual Hiring Bonus - USA-PA-Bethlehem

Sun, 28 May 2023 00:00:00 CDT

Are you a BCaBA, a Licensed Behavior Specialist seeking to complete your fieldwork and finally reach the end goal of being a Board Certified Behavior Analyst? At Access Services, you can do the work y...

Bilingual Quality Auditor - USA-PA-Pittsburgh

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Pittsburgh Pennsylvania Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medic...

Bilingual Healthcare Customer Service Representative - Harrisburg - USA-PA-Harrisburg

Thu, 08 Jun 2023 00:00:00 CDT

Harrisburg, PA, USA Hourly Full Time Health/Dental/Vision, Company Matched Retirement, Employer Paid Life Insurance, Voluntary Life Insurance, Supplemental Aflac Plans Email Me Similar Jobs Email Me T...

Utilization Management Nurse (LPN) - USA-PA-Pittsburgh

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...

Bilingual Psychiatric Medical Director - Behavioral Health Group - to $270K - USA-PA-Philadelphia

Tue, 13 Jun 2023 00:00:00 CDT

Bilingual Psychiatric Medical Director - to $270k DOE - Spanish SpeakingPhiladelphia, PA\r\nWe are currently looking for a Psychiatric Medical Director to work in our community mental health program. ...

Staff Psychiatrist -Bilingual\/Spanish - USA-PA-Philadelphia

Tue, 13 Jun 2023 00:00:00 CDT

Bilingual Staff Psychiatrist, Philadelphia, PA\r\n\r\nJob Overview\r\nOne of the most trusted and established Behavioral HealthMedical Groups in Philadelphia is seeking Psychiatrists to join their cli...

Inbound Contact Representative 2 - CarePlus - USA-PA-Pittsburgh

Wed, 21 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...

Criminal Defense Attorney - USA-PA-York

Thu, 07 Mar 2024 00:00:00 CST

A law firm in York, PA is seeking a Criminal Defense Attorney with a minimum of 2 years of experience. The attorney will be responsible for meeting with clients, reviewing facts, building cases, an...

Corporate Attorney - USA-PA-Allentown

Wed, 08 May 2024 00:00:00 CDT

A law firm is seeking a Corporate Attorney in Allentown, PA.

Job Overview:

The Corporate Attorney will provide legal advice and representation to clients on corporate matters. They wi...