EmploymentCrossing Jobs

Provider/Claims Analytics Business Intelligence Engineer 2 - Louisville, KY or Work at Home - USA-NY-Albany

Sun, 10 Sep 2023 00:00:00 CDT

Description The Provider Insights & Claims Analytics (PICA) team is a blend of technology, data, and consulting professionals leveraging the latest tools and methods to solve complex business problem...

Senior Business Intelligence Engineer - Work at Home - USA-NY-Albany

Sun, 10 Sep 2023 00:00:00 CDT

Job Information Humana Senior Business Intelligence Engineer - Work at Home in Albany New York Description The Senior Business Intelligence Engineer solves complex business problems and issues using d...

Claims Process & Policy Professional 2 - USA-NY-Albany

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...

Medical Director - Part Time - USA-NY-Albany

Mon, 26 Jun 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...

Medical Director - Work at Home - USA-NY-Albany

Wed, 30 Aug 2023 00:00:00 CDT

Medical Director - Florida Medicaid - USA-NY-Albany

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Albany New York Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignm...

Senior Clinical Fraud and Waste Investigator - RN and Coding Credential required - REMOTE (Anywhere in US) - USA-NY-Albany

Fri, 07 Apr 2023 00:00:00 CDT

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Profe...

Research Consulting Lead - USA-NY-Albany

Fri, 16 Dec 2022 00:00:00 CST

Description The Research Consulting Lead will be apart of a healthcare policy research team (HHR). They will: 1) Oversee project teams comprised of individuals tasked with research consulting and an...

Medical Director-KY Medicaid - USA-NY-Albany

Sun, 25 Dec 2022 00:00:00 CST

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Directo...

Health Information Management Professional - USA-NY-Albany

Mon, 17 Apr 2023 00:00:00 CDT

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require ...

Senior Informaticist - Provider Data Analytics (Remote) - USA-NY-Albany

Thu, 20 Apr 2023 00:00:00 CDT

Description The mission of the Physician Performance Insights team is to empower Humana members to make informed healthcare decisions. Our key goal is to ensure transparency and help our members obta...

Medical Director - Behavioral Health - Tricare - USA-NY-Albany

Thu, 20 Apr 2023 00:00:00 CDT

RN, Senior Stars Improvement, Clinical Professional - USA-NY-Albany

Thu, 20 Apr 2023 00:00:00 CDT

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Albany New York Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Profess...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid - USA-NY-Albany

Mon, 24 Apr 2023 00:00:00 CDT

Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve modera...

Software Architect (Affordable Care Act Exp., automated Eligibility determination, SQL, DB2/Oracle) - USA-NY-Menands

Sat, 13 May 2023 00:00:00 CDT

HBITS-04-12759 Daily tasks will include: Work on complex software in a fast-paced, high volume work environment Manage multiple projects at the same time Utilize effective communication and facil...

Cloud Software Engineer - USA-NY-Albany

Fri, 19 May 2023 00:00:00 CDT

Description Do you want to be part of a team that is continuously learning and evolving to build modernized and innovative solutions? Do you want to transform an industry? Do you crave new challenges...

Business Intelligence Lead, Claims Cost Management - USA-NY-Albany

Sun, 21 May 2023 00:00:00 CDT

Description The Business Intelligence Lead solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence L...

Data Lake Senior Software Engineer - USA-NY-Albany

Sun, 18 Jun 2023 00:00:00 CDT

Senior Consumer Experience Professional Work at Home/Remote USA - USA-NY-Albany

Mon, 26 Jun 2023 00:00:00 CDT

Description The Senior Consumer Experience Professional ensures optimized interaction between a company and providers. The Senior Consumer Experience Professional work assignments involve moderately ...

Healthcare Compliance Associate Attorney - USA-NY-Albany

Tue, 14 May 2024 00:00:00 CDT

A law firm located in Albany, NY, is seeking a Healthcare Compliance Associate Attorney with 2-5 years of experience in healthcare regulatory compliance matters. The successful candidate will play ...