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Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that ... ensure that medical record documentation and diagnosis coding for services rendered ... services rendered is complete, compliant..
Description The Clinical Data and Reporting Professional 2 generates ad hoc reports and regular datasets and reporting for clinical leadership decision making. The Clinical Data and Reporting Professional 2 also..
... interactive team with broad exposure and scope within Humana. Humana is ... Humana is seeking a positive and proactive individual to contribute to ... performing team that drives innovation..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to ... ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste,..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Portland Maine ... enjoy speaking with members, providers, and other industry colleagues? Do you ... you thrive on..
Job Information Humana Fraud and Waste Investigator - Work At ... enjoy speaking with members, providers, and other industry colleagues? Do you ... you thrive on solving problems and thinking..
Description The Data and Reporting Professional II generates ad hoc reports ... II generates ad hoc reports and regular datasets or report information ... for end-users using system tools and..
... opportunities to improve provider documentation and creates an education plan tailored ... the analysis of situations or data requires an in-depth evaluation of ... with providers to identify documentation..
... Humana RN, Senior Stars Improvement, Clinical Professional in Portland Maine Description Humana ... a RN, Senior Stars Improvement, Clinical Professional who will be responsible for ... responsible for the..
Description The Clinical Pharmacy Lead for Pharmacy trend ... interactive team with broad exposure and scope within Humana. Humana is ... Humana is seeking a positive and proactive individual to..
