EmploymentCrossing Jobs

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

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...

Lead Data Architect - USA-MA-Boston

Sun, 10 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...

Inbound Contact Representative -- Work-At-Home (Eastern Time Zone) - USA-MA-Boston

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...

Commercial Medical Director - Work At Home - USA-MA-Boston

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-MA-Boston

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-MA-Boston

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-MA-Boston

Mon, 19 Jun 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-MA-Boston

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...

PR & Media Relations Manager ( Investor Relations, Strategic Development & Communications) - USA-MA-Waltham

Thu, 11 May 2023 00:00:00 CDT

PURPOSE AND SCOPE:As a key member of the Fresenius Medical Care Investor Relations, Strategic Development & Communications (IRSDC) and reporting to the Head of Corporate Communications, the Manager, ...

Director, Regional Operations - Integration Team - USA-MA-Waltham

Sun, 07 May 2023 00:00:00 CDT

PURPOSE AND SCOPE:Directs, administers and controls the day to day operations and activities of dialysis facilities and programs in an assigned area ensuring compliance with established company and re...

Licensed Virtual Inside Sales Agent (Bilingual) - USA-MA-Boston

Wed, 10 May 2023 00:00:00 CDT

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

Bilingual Manager, Learning Facilitation - USA-MA-Boston

Thu, 18 May 2023 00:00:00 CDT

Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST s...

Customer Service Representative - USA-MA-Boston

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...

Now Hiring - Security Officer - USA-NH-Hudson

Sun, 28 May 2023 00:00:00 CDT

About this job Find your commute ******* ®, North America’s leading security and facility services company, provides rewarding careers that give you a sense of purpose. While working in a dynamic, ...

Bilingual Quality Auditor - USA-MA-Boston

Sat, 03 Jun 2023 00:00:00 CDT

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

Field Based - Compliance Auditor - State of Massachusetts - 2165586 - USA-MA-Boston

Mon, 05 Jun 2023 00:00:00 CDT

Job Code 2165586 At UnitedHealthcare , were simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of mil...

Principal Quality Systems Specialist - USA-MA-Billerica

Mon, 05 Jun 2023 00:00:00 CDT

**Principal Quality Systems Specialist** **Careers that Change Lives** A career at Medtronic is like no other. Were committed to and driven by our Mission to alleviate pain, restore health, and extend...

QA Manager - USA-MA-Bedford

Mon, 05 Jun 2023 00:00:00 CDT

**QA Manager** **Careers that Change Lives** A career at Medtronic is like no other. Were committed to and driven by our Mission to alleviate pain, restore health, and extend life for millions of peop...

Inbound Contact Representative 2 - CarePlus - USA-MA-Boston

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...

White Collar Associate Attorney - USA-MA-Boston

Mon, 15 Apr 2024 00:00:00 CDT

A law firm in Boston, MA, is seeking a White Collar Associate Attorney with 3+ years of experience in white-collar defense matters, internal investigations, litigation, enforcement actions, risk ma...