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Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior Health 2) will audit CPT (Current Procedural Terminology) codes to ensure correct billing under TOM (TRICARE Operations Manual) policies in accordance ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Anchorage Alaska Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
Description Responsibilities The Compliance Professional 2 has responsibilities for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism Care Demonstration ..
... Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical ... in compiling and presenting your audit findings? If you answered YES ... production based environment of clinical..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
Job Information Humana Lead, IT Compliance - Technology Exams, Audits and Inquiries in Anchorage Alaska Description The Lead, Technology Exams, Audits and Inquiries is responsible for management of formal and informal ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Anchorage Alaska Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Anchorage Alaska Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... practices. Prepares complex investigative and audit reports. Begins to influence department's ... Qualifications Bachelor's degree or significant..
... Job Description The IT Project Manager 2 will lead the IT ... with Information Security Risk Management, Audit Remediation, along with Vulnerability Assessments. ... organization. Working experience in closing..
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 moderately complex to complex issues where ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Anchorage Alaska Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Anchorage Alaska Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
Job Information Humana Director, IT Program Risk Management in Anchorage Alaska Description The Director, Program Risk Management is responsible for identifying and driving remediation of risks across Humana's IT portfolio. This ..
Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... join the Provider Payment Integrity-Clinical Audit team working remote anywhere in ... As the Fraud & Waste..
Job Information Humana Manager, Compliance - Agent Investigation Unit ... in Anchorage Alaska Description The Manager, Compliance ensures compliance with governmental ... compliance with governmental requirements. The Manager, Compliance works..
Job Information Humana Senior Cloud Security Engineer (virtual remote) in Anchorage Alaska Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Anchorage Alaska Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Description The Dental Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive practices. The Dental Fraud and Waste Investigator work assignments are varied and frequently require interpretation and ..
... you an experienced Senior Program Manager looking for an exciting role ... population and broader community? Humana's HealthCare Services PMO is looking for ... class solutions that make the..
