EmploymentCrossing Jobs

Lead Data Architect - USA-MO-Springfield

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...

Commercial Medical Director - Work At Home - USA-MO-Springfield

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...

Associate Director Business Intelligence - Remote, nationwide - USA-MO-Springfield

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...

Strategy Advancement Executive Advisor (Remote) - USA-MO-Springfield

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...

Lead Software Engineer - Data Engineering - USA-MO-Springfield

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-MO-Springfield

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-MO-Springfield

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...

Senior Communications and Marketing Professional - USA-MO-Springfield

Sat, 22 Apr 2023 00:00:00 CDT

Description Humana is seeking a Senior Communications and Marketing Professional to join our growing team. The Senior Communications and Marketing Professional will create and lead strategy for Human...

Interoperability Industry & Government Product Management Lead - USA-MO-Springfield

Sat, 22 Apr 2023 00:00:00 CDT

Description Be a part of our Interoperability space - Provide guidance to facilitate interaction with digital services and capabilities that connect people with lifelong well-being. Responsibilities...

Grievances and Appeals Medical Director - Nationwide - USA-MO-Springfield

Sat, 22 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...

DRG Validation Coding Auditor - USA-MO-Springfield

Sat, 22 Apr 2023 00:00:00 CDT

Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to pa...

Behavioral Health Medical Director - Tricare - USA-MO-Springfield

Fri, 28 Apr 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...

Agency Broker Executive - Life Insurance - USA-MO-Springfield

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...

Licensed Virtual Inside Sales Agent (Bilingual) - USA-MO-Springfield

Thu, 11 May 2023 00:00:00 CDT

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

Customer Service Representative - USA-MO-Springfield

Tue, 23 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...

Correspondence Representative 2 - USA-MO-Springfield

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...

Associate Director, Infrastructure Engineering - USA-MO-Springfield

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-MO-Springfield

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...

Business Support Coordinator 1 - Medical Records - USA-MO-Springfield

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 ...

Government Contracts Associate Attorney - USA-MO-Springfield

Sat, 30 Mar 2024 00:00:00 CDT

A law firm in Springfield is seeking a Government Contracts Associate Attorney with a focus on federal government contract matters, bid protests, claims litigation, and False Claims Act investigati...