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Description This Senior Fraud and Waste Investigator will serve as Humana's Program Integrity Officer, who will oversee the monitoring and enforcement of the fraud, waste, and abuse (FWA) compliance program..
Job Information Humana Manager, Quality Compliance in Jackson Louisiana Description Humana Healthy Horizons in Louisiana is seeking a Manager, Quality Improvement who will implement and monitor quality improvement program components,..
Description The Field Care Manager Nurse 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources..
PURPOSE AND SCOPE:Supports FMCNA’s mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements. Functions as part of..
Accounting clerk reports to the finance manager and is responsible for performing a variety of routine accounting duties in compliance with Management & Training Corporation (MC) and Mississippi Department of..
Job Information Humana Manager, Quality Compliance in Clinton Louisiana Description Humana Healthy Horizons in Louisiana is seeking a Manager, Quality Improvement who will implement and monitor quality improvement program components,..
Description The Social Determinants of Health (SDOH) Coordinator understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is..
Description Humana Healthy Horizons in Louisiana is seeking Behavioral Health Liaisons to join our growing team. The Behavioral Health (BH) Liaisons will be responsible for ensuring connection, coordination, outreach, education,..
Job Information Humana Manager, Quality Compliance in Angola Louisiana Description Humana Healthy Horizons in Louisiana is seeking a Manager, Quality Improvement who will implement and monitor quality improvement program components,..
Description Humana Healthy Horizons in Louisiana is seeking a Crisis Service Liaison to join our growing team. The Crisis Service Liaison will have the primary responsibility of educating providers and..
Description The Field Care Manager, Behavioral Health 2 assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with..
Description Humana Health Horizons in Louisiana is seeking Medicaid Quality Audit Professionals - Behavior Health (BH) to ensure contracted Specialized Behavioral Health Providers adheres to NCQA documentation standards, BH Clinical..
Associate Attorney The candidate will be performing legal research, drafting of legal memoranda, motions and pleadings, attending court conferences, taking and defending depositions, handling discovery-related activities and investigations, and drafting..
