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Actuarial Analyst II,III - Any Anthem Office ... filled as either an Actuarial Analyst II or an Actuarial Analyst III depending on experience and ... at the managers discretion. Actuarial..
... compliance, risk management, or internal audit experience and/or significant experience within ... a particular focus on CMS audit readiness) Oversee the identification, analysis, ... third line of defense (Internal..
Description The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Professional 2 work assignments ..
Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..
... in all phases of the audit process including evaluating control design ... 5 or more years of healthcare revenue cycle management experience may ... with Auditing and monitoring of..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly jump ..
Risk and Safety Specialist Duties: The candidate provides specialized technical, informational and process management support to the Risk Management, Patient Safety, Employee Safety and/or Regulatory/Accreditation programs across Stormont Vail Health. Exercises ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..
Description The Medical Coding Auditor Supervisor handles a combination of tasks, including extracting clinical information from a variety of medical records and assigning appropriate procedural terminology and medical codes (e.g., ICD-10-CM, ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Overland Park Kansas Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..
... is looking for an experienced Healthcare Investigator to join its industry ... billing practices. Prepares investigative and audit reports. Begins to influence department's ... areas Bachelor's degree or significant..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..
Description Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of a ..
... health. Dedicated to simplifying the healthcare experience and helping people navigate ... and helping people navigate their healthcare journey, Author is leveraging digital ... a new path for the..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Overland Park Kansas Description We are looking for a talented risk and compliance expert to help build a ..
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 ..
... Humana Pharmacy Solutions traditional Desktop Audit team oversees and manages multiple ... teams is utilized by Desktop Audit team members to continuously improve ... members to continuously improve the..
Job Information Humana Quality Assurance Audit Professional 2 in Overland Park ... Description Humana's Marketing Operations Quality Audit team is looking for a ... looking for a Quality Assurance Audit..
... implement and maintain clinical lab audit concepts. The Nurse Auditor 2 ... Auditor 2 will perform clinical audit and validation processes to ensure ... implement and maintain clinical lab..
... 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..
