EmploymentCrossing Jobs

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

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-OH-Cincinnati

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-OH-Cincinnati

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-OH-Cincinnati

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...

OH Medicaid Inbound Contact Representative - Work-At-Home - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description Humana is excited to announce the opening of a brand new contact center in Dublin, Ohio! Humana was awarded a contract to support the Medicaid members in Ohio with its Healthy Horizons of...

Associate Director Business Intelligence - Remote, nationwide - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description COME GROW WITH HUMANA! BENEFITS DAY ONE - STELLAR 401K MATCH - PAID TIME OFF - TUTION ASSISTANCE PROGRAMS - STELLAR WELLNESS/REWARDS PROGRAM Responsibilities The Associate Director, Bus...

Claims Process & Policy Professional 2 - USA-OH-Cincinnati

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...

Lead Software Engineer - Data Engineering - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description The Platform Innovation and Engineering team is seeking a passionate engineer with extensive experience building and driving complex platforms and systems. You enjoy working with a strong...

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

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-OH-Cincinnati

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...

Agency Broker Executive - Life Insurance - USA-OH-Cincinnati

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...

Client Account Representative - USA-OH-Cincinnati

Sat, 27 May 2023 00:00:00 CDT

Answer inbound client calls and emails to process payments, provide copies of invoices or reports, and general account inquiries Manage high volume of emails and calls from clients, attorneys, secreta...

Delivery Driver RX Tech - Back End Full Time - USA-OH-Cincinnati

Sat, 27 May 2023 00:00:00 CDT

Job Description As a Delivery Driver and Pharmacy Technician for Omnicare Pharmacy, you will deliver prescription orders and/or products to customers on a predetermined route and schedule. Delivery dr...

Correspondence Representative 2 - USA-OH-Cincinnati

Tue, 30 May 2023 00:00:00 CDT

Description The Correspondence Representative 2 performs research, analysis, documentation, and interpretation for the provider reimbursement programs for an organization that provides health insuran...

Bilingual Quality Auditor - USA-OH-Cincinnati

Sat, 03 Jun 2023 00:00:00 CDT

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

Registered Nurse - Informaticist - USA-OH-Cincinnati

Mon, 05 Jun 2023 00:00:00 CDT

Qualifications \n
\n \n Applicants pending the completion of educational or certification/licensure requirements ...

Associate Director, Infrastructure Engineering - USA-OH-Cincinnati

Sun, 18 Jun 2023 00:00:00 CDT

Description The Associate Director, Infrastructure Engineering scope of responsibility includes ensuring the technical foundation for Virtualization, Operating Systems, Security, and support of cloud...

Inbound Contact Representative 2 - CarePlus - USA-OH-Cincinnati

Tue, 13 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...

Business Support Coordinator 1 - Medical Records - USA-OH-Cincinnati

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 ...

Strategy Advancement Executive Advisor (Remote) - USA-OH-Cincinnati

Mon, 26 Jun 2023 00:00:00 CDT

Description Humana's service support organization is looking for a Strategy Advancement Executive Advisor with previous exposure to the service delivery and transformation space and experience workin...