Audit Manager Healthcare Jobs in Pittsburgh

... (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 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..

Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Pittsburgh Pennsylvania Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

... 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..

Job Information Humana Lead, IT Compliance - Technology Exams, Audits and Inquiries in Pittsburgh Pennsylvania Description The Lead, Technology Exams, Audits and Inquiries is responsible for management of formal and informal ..

Description The Director, IT Compliance audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..

Job Information Humana Principal, Consumer IAM Product Management in Pittsburgh Pennsylvania Description The Principal, Consumer IAM Product Management is responsible to lead strategic product management, including the planning, design and implementation ..

... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, ... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2, ... include: Collaborate with the Quality..

Job Information Humana Manager, Compliance - Agent Investigation Unit ... in Pittsburgh Pennsylvania Description The Manager, Compliance ensures compliance with governmental ... compliance with governmental requirements. The Manager, Compliance works..

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Pittsburgh Pennsylvania Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Pittsburgh Pennsylvania Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..

Description Humana's Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with all areas of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, regulatory agencies, and industry ..

... 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..

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 Director, Technology Risk Management in Pittsburgh Pennsylvania Description The Director, Technology Risk Management is responsible for developing and managing effective technology risk management processes and for performing technology ..

... 40) market leader in integrated healthcare whose dream is to help ... the role of Director, Internal Audit. In this role, you will ... role, you will lead internal..

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Pittsburgh Pennsylvania Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

Job Information Humana Bilingual Quality Auditor in Pittsburgh Pennsylvania Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..

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 ..

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 ..

Job Information Humana Director, Behavioral Health Strategy in Pittsburgh Pennsylvania Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..

Job Information Humana Senior Cloud Security Engineer (virtual remote) in Pittsburgh Pennsylvania Description Responsibilities Our Department of Defense Contract requires U.S. citizenship for this position The Remote Senior Cloud Security Engineer ..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Pittsburgh Pennsylvania Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..