EmploymentCrossing Jobs

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

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...

Drafting / Transactional Attorney - USA-PA-Pittsburgh

Fri, 03 May 2024 00:00:00 CDT

******* has opportunities in the Greater Pittsburgh Region for transactional attorneys of various levels with strong drafting skills (ideally at least 1/3 of your practice centered around draft...

PKI Administrator 2 ( remote virtual work at home ) - USA-PA-Pittsburgh

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...

Inbound Contact Representative -- Work-At-Home (Eastern Time Zone) - USA-PA-Pittsburgh

Thu, 14 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-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...

Grievances and Appeals Representative 4 - Work at Home/Remote EST and CST - USA-PA-Pittsburgh

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-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...

Senior Data Manager - USA-PA-Pittsburgh

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 ...

Lead Cloud Solutions Engineer - USA-PA-Pittsburgh

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...

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...

HCPR Inbound Contacts Representative 1- Remote - USA-PA-Pittsburgh

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-PA-Pittsburgh

Mon, 26 Jun 2023 00:00:00 CDT

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...

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...

Senior Integration Specialist - Cloud - USA-PA-Pittsburgh

Thu, 06 Jul 2023 00:00:00 CDT

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

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...

Lead Telecomm/Voice Engineer - USA-PA-Pittsburgh

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...

Care Management Support Assistant-SNP- WAH Nationwide - USA-PA-Pittsburgh

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...

Systems Administration support for UNIX Server systems - USA-PA-Mechanicsburg

Thu, 16 Nov 2023 00:00:00 CST

Duration: 5 Years Clearance : This position requires a SECRET Clearance and IT-1 access authority prior to start of performance of the each individual. Responsibilities: Monitor and maintain the stabi...