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Description The Risk Adjustment Representative 2 conducts quality assurance audits ... government agencies. The Risk Adjustment Representative 2 performs varied activities and ... varied activities and moderately complex administrative/operational/customer support..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Job Information Humana Pharmacy Claims Representative in Washington District Of Columbia ... Columbia Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and ... for payment. The Pharmacy Claims Representative..
... pre-certifications, DME, and Home Health care equipment. The UM Administration Coordinator ... varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ... best and most appropriate treatment,..
