EmploymentCrossing Jobs

Utilization Management Nurse 2 - North Central Region (Work at Home) - USA-IL-Chicago

Fri, 15 Sep 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...

PKI Administrator 2 ( remote virtual work at home ) - USA-IL-Chicago

Sun, 10 Sep 2023 00:00:00 CDT

Description The CyberSecurity Operations Center Engineer 2 will become part of a Technology Support And Engineering Team that supports, maintains and establishes technical direction for the Certifica...

Claims Research and Resolution Specialist 2 -- Work at Home/Remote USA - USA-IL-Chicago

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...

Grievances and Appeals Representative 4 - Work at Home/Remote EST and CST - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities This position can be in office or work at home in EST or CST and will provide coverage for eastern time zone hours. Weekend work required. Schedules will be from Thursd...

RN - Pre Auth/Utilization Management Nurse 2 - GA/SC region - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Grievance & Appeals Representative 3 - USA-IL-Chicago

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...

Lead Cloud Solutions Engineer - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Description This role will have direct reports to manage our Legacy softphone/CT Connect, MySoftphone admin tool, new Genesys softphone and integration with Salesforce CRM, and Salesforce Communities...

Lead Telecomm/Voice Engineer - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Description The Lead Telecomm/Voice Engineer is responsible for designing and implementing all or part of the organization's complex telecommunications infrastructure in line with pre-identified busi...

Senior Data Manager - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Description ESS Business Intelligence is an Enterprise Shared Services team focused on data, reporting and data science supporting Humana's Service Operations. The team is focused on converting data ...

HCPR Inbound Contacts Representative 1- Remote - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Description The Inbound Contacts Representative 1 represents the company by addressing incoming telephone, digital, or written inquiries. The Inbound Contacts Representative 1 performs basic administ...

Utilization Management RN (DME / HH Outpatient) - WAH - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Grievances and Appeals Representative 4 - Work at Home/Remote CST/EST - USA-IL-Chicago

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...

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

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-IL-Chicago

Fri, 04 Aug 2023 00:00:00 CDT

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Chicago Illinois Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to sup...

Senior Integration Specialist - Cloud - USA-IL-Chicago

Tue, 29 Aug 2023 00:00:00 CDT

Job Information Humana Senior Integration Specialist - Cloud in Chicago Illinois Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminatin...

Director of Sales and Marketing - DoubleTree Magnificent Mile - USA-IL-Chicago

Sun, 18 Jun 2023 00:00:00 CDT

As the Director of Sales & Marketing with DoubleTree Magnificent Mile , you will be responsible for overseeing commercial strategies for your hotel. Your goal is to improve the performance of the asse...

Inbound Contact Representative 2 - CarePlus - USA-IL-Chicago

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...

Care Management Support Assistant-SNP- WAH Nationwide - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Description The Care Management Support Assistant 2 contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements...

SENIOR REGIONAL COUNSEL - USA-IL-Chicago

Tue, 30 Apr 2024 00:00:00 CDT

We continually strive for a workforce that reflects the growing diversity within the State of Illinois. A variety of employee backgrounds, perspectives, ideas and experiences are crucial to our abi...

COOK COUNTY REGIONAL COUNSEL - USA-IL-Chicago

Tue, 30 Apr 2024 00:00:00 CDT