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... our Special Investigations Unit - Clinical Review team working remote/from home ... of potential fraud and provide clinical guidance to the Special Investigators ... experience in completing efficient health-related..
Description Do you enjoy helping those in need? Do you love researching, analyzing medical documents to determine if something was missed? Have you ever considered yourself a detective for medical claims ..
... Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Lancaster ... for an experienced Senior Healthcare Investigator to join its industry leading ... other platform o Performing Investigative..
... implementation, management and oversight of research studies including the education of ... studies including the education of research staff, healthcare team member, participants ... Registers, compiles, submits and oversees..
Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request ..
... Information Humana Fraud and Waste Investigator - Work At Home (Anywhere ... looking for an experienced Healthcare Investigator to join its industry leading ... Responsibilities The Fraud and Waste..
Description Humana Healthcare Research (HHR) needs your research study design and analytical skills ... implementation of various types of research studies and the strategic interpretation ... are interested in using..
Description The Managing Clinical Pharmacist within the Pharmacy Claim ... and medical literature, while providing clinical and audit support for internal ... mitigate cost trend. The Managing Clinical Pharmacist -..
