EmploymentCrossing Jobs

Senior Business Intelligence Engineer - Work at Home - USA-PA-Philadelphia

Sun, 10 Sep 2023 00:00:00 CDT

Job Information Humana Senior Business Intelligence Engineer - Work at Home in Philadelphia Pennsylvania Description The Senior Business Intelligence Engineer solves complex business problems and issu...

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

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-PA-Pittsburgh

Sun, 10 Sep 2023 00:00:00 CDT

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

Claims Process & Policy Professional 2 - USA-PA-Pittsburgh

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-PA-Pittsburgh

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-PA-Pittsburgh

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-PA-Pittsburgh

Wed, 30 Aug 2023 00:00:00 CDT

Medical Director - Behavioral Health - Tricare - USA-PA-Pittsburgh

Thu, 20 Apr 2023 00:00:00 CDT

Senior Informaticist - Provider Data Analytics (Remote) - USA-PA-Pittsburgh

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...

Senior Fraud and Waste Investigator, Special Investigations Unit - Medicaid - USA-PA-Pittsburgh

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-PA-Pittsburgh

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-PA-Pittsburgh

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...

Network Management, Senior Manager - USA-PA-

Sat, 27 May 2023 00:00:00 CDT

Job Description In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conducts high level review and analysis, dispute resolution and/or settlement neg...

Correspondence Representative 2 - USA-PA-Pittsburgh

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...

Coordinator Complaint Appeals - USA-PA-Blue Bell

Mon, 05 Jun 2023 00:00:00 CDT

Job Description Required hours: Monday-Friday with alternating weekends with a flexible start time between 9am-1pm. Responsible for Oversight of that that investigates and resolution of appeals ...

Revenue Lead, ROPS - USA-PA-Malvern

Thu, 08 Jun 2023 00:00:00 CDT

Reference #: R0284680\ 2476 Swedesford RdSTE 150,Malvern,Pennsylvania,19355-1456,United States of America GENERAL PURPOSE OF THE JOB\ This position researches and resolves high complexity collection ...

Data Lake Senior Software Engineer - USA-PA-Pittsburgh

Sun, 18 Jun 2023 00:00:00 CDT

Workers' Compensation Associate Attorney - USA-PA-Camp Hill

Sat, 06 Apr 2024 00:00:00 CDT

A law firm in Camp Hill is seeking a Workers' Compensation Associate Attorney with 2+ years of experience, primarily in workers' compensation. The successful candidate will be responsible f...

Workers' Compensation Associate Attorney - USA-PA-Camp Hill

Sat, 06 Apr 2024 00:00:00 CDT

Job Overview:

A law firm is seeking a Workers' Compensation Associate Attorney to join their team in Camp Hill, PA. The successful candidate will be responsible for handling workers'...

Litigation Attorney - USA-PA-Philadelphia

Fri, 26 Apr 2024 00:00:00 CDT

A law firm in Philadelphia, PA is seeking a Litigation Attorney to represent clients in all phases of litigation, primarily in matters involving general liability. The ideal candidate will attend c...