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Description The Director, Market Leadership manages the development, operations, and results of a health plan. The Director, Market Leadership requires an in-depth understanding of how organization capabilities interrelate across the function ..
Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
... Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Ohio Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Description The Senior Software Engineer codes software applications based on business requirements. The Senior Software Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data ..
Job Information Humana Manager, Fraud and Waste-Remote US in Columbus Ohio Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Columbus Ohio ... Ohio Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Columbus Ohio ... Ohio Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
... to identify trends and review claims analysis for potential FWA, accuracy, ... Specialty, etc.) Strong understanding of pharmacy/healthcare claims, & knowledge of healthcare payment methodologies At least 2 .....
Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding Auditor work assignments are varied and ... for an experienced medical coding auditor to..
Director, Ethics and Compliance The candidate will lead the Global Compliance Center of Excellence team to develop and document key processes, implement technology solutions, and promote best compliance practices to improve ..
... degree Minimum 2 years of healthcare fraud investigations and/or claims auditing experience Knowledge of healthcare payment methodologies Strong clinical experience ... their home. We are a healthcare company committed..
Senior Claims Specialist-Excess Complex (Hybrid) The candidate ... with a particular focus on healthcare regulatory requirements. Plan, execute, and ... have 7+ years of relevant healthcare compliance, healthcare consulting, and/or..
