EmploymentCrossing Jobs

Senior Business Intelligence Engineer - Work at Home - USA-CT-Bridgeport

Mon, 04 Sep 2023 00:00:00 CDT

Job Information Humana Senior Business Intelligence Engineer - Work at Home in Bridgeport Connecticut Description The Senior Business Intelligence Engineer solves complex business problems and issues ...

Claims Process & Policy Professional 2 - USA-CT-Bridgeport

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...

Senior Consumer Experience Professional Work at Home/Remote USA - USA-CT-Bridgeport

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 ...

Medical Director - Part Time - USA-CT-Bridgeport

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-CT-Bridgeport

Wed, 30 Aug 2023 00:00:00 CDT

Medical Director - Florida Medicaid - USA-CT-Bridgeport

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Bridgeport Connecticut Description The Medical Director relies on medical background and reviews health claims. The Medical Director work ...

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

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...

Manager, Data Science - USA-CT-Bridgeport

Sat, 26 Nov 2022 00:00:00 CST

Description Humana's Provider Payment Integrity organization is looking for an experienced Data Science Manager to join the Claims Cost Management (CCM) Solutions Support team working from home anywh...

Fraud and Waste Investigator - Work At Home (Anywhere in the US) - USA-CT-Bridgeport

Mon, 05 Dec 2022 00:00:00 CST

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Bridgeport Connecticut Description Humana is looking for an experienced Healthcare Investigator to join its i...

Medical Director - Southeast Region - USA-CT-Bridgeport

Sun, 11 Dec 2022 00:00:00 CST

Medical Director-KY Medicaid - USA-CT-Bridgeport

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-CT-Bridgeport

Sat, 22 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-CT-Bridgeport

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-CT-Bridgeport

Thu, 20 Apr 2023 00:00:00 CDT

RN, Senior Stars Improvement, Clinical Professional - USA-CT-Bridgeport

Thu, 20 Apr 2023 00:00:00 CDT

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Bridgeport Connecticut Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical ...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid - USA-CT-Bridgeport

Sun, 23 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...

Cloud Software Engineer - USA-CT-Bridgeport

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-CT-Bridgeport

Fri, 19 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...

Associate Director, Pharmacy Trend - USA-CT-Bridgeport

Sun, 18 Jun 2023 00:00:00 CDT

Description The Associate Director, Clinical Pharmacy monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understand...

Healthcare Compliance Associate Attorney - USA-CT-Stamford

Tue, 14 May 2024 00:00:00 CDT

A law firm located in Stamford, CT, is seeking a Healthcare Compliance Associate Attorney with 2-5 years of experience in healthcare regulatory compliance matters. The selected candidate will work ...