EmploymentCrossing Jobs

Lead Data Architect - USA-IL-Chicago

Mon, 04 Sep 2023 00:00:00 CDT

Description The Lead Data Architect works in all data environments which includes data design, database architecture, metadata and repository creation. The Lead Data Architect works on problems of di...

Commercial Medical Director - Work At Home - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Description The Medical Director actively uses their medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of...

Claims Process & Policy Professional 2 - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated repor...

Business Support Coordinator 1 - Medical Records - USA-IL-Chicago

Mon, 26 Jun 2023 00:00:00 CDT

Description Responsibilities The Business Support Coordinator 1 performs medical record content analysis to ensure compliance with requirements of the TRICARE contract. Prepare, scan, and stage for ...

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

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-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...

Mid-to-Senior level Corporate Healthcare Associate Attorney - USA-IL-Chicago

Tue, 26 Mar 2024 00:00:00 CDT

Chicago office of a ******* Top Ranked Law Firm seeks mid-to-senior level corporate healthcare associate attorney with 3-6 years of experience in regulatory and transactional healthcare matters. T...

Manager, Compliance - Agent Investigation Unit - USA-IL-Chicago

Mon, 17 Apr 2023 00:00:00 CDT

Job Information Humana Manager, Compliance - Agent Investigation Unit in Chicago Illinois Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance...

Broker Relationship Executive - USA-IL-Chicago

Thu, 20 Apr 2023 00:00:00 CDT

Description Are you passionate about contributing to the well-being of the Medicare population? Are you looking for a role that will let your creative ideas, relationship management and sales ability...

Medical Director - Claims Management - USA-IL-Chicago

Thu, 20 Apr 2023 00:00:00 CDT

Medical Director - Behavioral Health - Tricare - USA-IL-Chicago

Thu, 20 Apr 2023 00:00:00 CDT

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situa...

Bilingual Medicaid Inbound Call Center Rep - USA-IL-Chicago

Mon, 24 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...

Grievances and Appeals Medical Director - Weekends Required - USA-IL-Chicago

Thu, 20 Apr 2023 00:00:00 CDT

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interp...

Medical Director - South Central - USA-IL-Chicago

Thu, 20 Apr 2023 00:00:00 CDT

Behavioral Health Medical Director - Tricare - USA-IL-Chicago

Thu, 04 May 2023 00:00:00 CDT

Description The Behavioral Health Medical Director responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately comple...

Licensed Virtual Inside Sales Agent (Bilingual) - USA-IL-Chicago

Wed, 10 May 2023 00:00:00 CDT

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

Customer Service Representative - USA-IL-Chicago

Sun, 21 May 2023 00:00:00 CDT

Description If you are a problem solver, resourceful, and looking to make a difference for your family as well as others we want you on our team. Help us deliver exceptional experiences to our member...

Bilingual Quality Auditor - USA-IL-Chicago

Sat, 03 Jun 2023 00:00:00 CDT

Job Information Humana Bilingual Quality Auditor in Chicago Illinois Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Ser...

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...

Health Care Litigation Associate Attorney - USA-IL-Chicago

Wed, 21 Feb 2024 00:00:00 CST

Job Overview: A law firm in Chicago, IL, is seeking a Health Care Litigation Associate Attorney with a high level of academic achievement, law firm or clerkship experience, and superb writing skill...