EmploymentCrossing Jobs

Senior Business Intelligence Engineer - Work at Home - USA-MD-Baltimore

Sun, 10 Sep 2023 00:00:00 CDT

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

Senior Business Intelligence Engineer - Work at Home - USA-MD-Bethesda

Sun, 10 Sep 2023 00:00:00 CDT

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

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

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...

Medical Director - Part Time - USA-MD-Bethesda

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-MD-Bethesda

Wed, 30 Aug 2023 00:00:00 CDT

Senior Consumer Experience Professional Work at Home/Remote USA - USA-MD-Bethesda

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 - Florida Medicaid - USA-MD-Bethesda

Thu, 23 Mar 2023 00:00:00 CDT

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

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

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-MD-Bethesda

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-MD-Bethesda

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-MD-Bethesda

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-MD-Bethesda

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-MD-Bethesda

Thu, 20 Apr 2023 00:00:00 CDT

Job Information Humana RN, Senior Stars Improvement, Clinical Professional in Bethesda Maryland Description Humana Healthy Horizons in Florida is seeking a RN, Senior Stars Improvement, Clinical Profe...

Medical Director - Behavioral Health - Tricare - USA-MD-Bethesda

Thu, 20 Apr 2023 00:00:00 CDT

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid - USA-MD-Bethesda

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...

Cloud Software Engineer - USA-MD-Bethesda

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-MD-Bethesda

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...

Correspondence Representative 2 - USA-MD-Bethesda

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, Pharmacy Trend - USA-MD-Bethesda

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...

General Liability Associate Attorney - USA-MD-Baltimore

Mon, 01 Apr 2024 00:00:00 CDT

A law firm in Baltimore, MD, is seeking a General Liability Associate Attorney with exceptional writing, research, and litigation skills to join their team. The ideal candidate will handle a variet...