EmploymentCrossing Jobs

Provider/Claims Analytics Business Intelligence Engineer 2 - Louisville, KY or Work at Home - USA-NV-Las Vegas

Wed, 30 Aug 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-NV-Las Vegas

Sun, 10 Sep 2023 00:00:00 CDT

Job Information Humana Senior Business Intelligence Engineer - Work at Home in Las Vegas Nevada Description The Senior Business Intelligence Engineer solves complex business problems and issues using ...

Medical Director - Part Time - USA-NV-Las Vegas

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-NV-Las Vegas

Wed, 30 Aug 2023 00:00:00 CDT

Medical Director - Florida Medicaid - USA-NV-Las Vegas

Thu, 23 Mar 2023 00:00:00 CDT

Job Information Humana Medical Director - Florida Medicaid in Las Vegas Nevada Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assign...

Senior Clinical Fraud and Waste Investigator - RN and Coding Credential required - REMOTE (Anywhere in US) - USA-NV-Las Vegas

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-NV-Las Vegas

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-NV-Las Vegas

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-NV-Las Vegas

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 ...

Medical Director - Behavioral Health - Tricare - USA-NV-Las Vegas

Thu, 20 Apr 2023 00:00:00 CDT

Senior Informaticist - Provider Data Analytics (Remote) - USA-NV-Las Vegas

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...

RN, Senior Stars Improvement, Clinical Professional - USA-NV-Las Vegas

Thu, 04 May 2023 00:00:00 CDT

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Las Vegas Nevada Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Profes...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid - USA-NV-Las Vegas

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...

Manager Risk Adjustment Coding Education - USA-NV-Las Vegas

Thu, 11 May 2023 00:00:00 CDT

Description Manages a team of coding educators and reports to Risk Adjustment Director. Responsible for implementing operational and clinical best practices in the risk adjustment methodology, unders...

Cloud Software Engineer - USA-NV-Las Vegas

Sun, 21 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-NV-Las Vegas

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...

Correspondence Representative 2 - USA-NV-Las Vegas

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...

Data Lake Senior Software Engineer - USA-NV-Las Vegas

Sun, 18 Jun 2023 00:00:00 CDT

Senior Consumer Experience Professional Work at Home/Remote USA - USA-NV-Las Vegas

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 ...

Litigation Associate Attorney - USA-NV-Las Vegas

Mon, 01 Apr 2024 00:00:00 CDT

Job Title: Litigation Associate Attorney
Location: Las Vegas, NV

Job Overview:
A law firm in Las Vegas, NV is seeking a Litigation Associate Attorney to join their team. The ideal...