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Regulatory Compliance Specialist IV The candidate manages an ... audit program portfolio for SOC, Healthcare (HIPAA, HITRUST), Finance (PCI), or ... Leads and manages SOC, Financial, Healthcare, SaaS@Customer and potentially..
Paralegal Responsibilities: Work closely with attorneys and professionals within the Litigation and Investigations and Compliance organizations. Draft correspondence and amendments to document. Work closely with business attorneys and business units to ..
Coding Specialist We have exciting employment opportunities ... Position Summary The HIM Coding Specialist will handle medical coding and ... and procedure codes based upon documentation in the medical record..
Job Information Humana Vulnerability Remediation Specialist (Remote) in Chicago Illinois Description The Systems Engineer 2 is responsible for design, analysis, configuration and maintenance of complex systems software solutions, based on a ..
... and accuracy of medical record documentation. Complete admission reviews and assign ... are entered in the Clinical Documentation Improvement database. Initiate and maintain ... the medical record. Collaborate with..
Job Information Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in US in Chicago Illinois Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and ..
Job Information Humana Bilingual (English/Spanish) In Person Consumer Service Specialist - Evergreen Park, IL in Evergreen Park Illinois Description The Consumer Service Operations Representative 3 is responsible for the daily activities ..
Job Information Humana Senior Integration Specialist - Cloud in Chicago Illinois ... Job Posting Title Senior Integration Specialist Job Description Summary The Senior ... ensure a holistic and comprehensive documentation..
Job Information Humana Vendor Management Specialist 3 in Chicago Illinois Description ... Illinois Description The Vendor Management Specialist 3 works as liaison between ... and organization. The Vendor Management Specialist..
Job ID 21000N3UAvailable Openings 1Position Specific Information This position is for the West Belmont clinic PURPOSE AND SCOPE: Supports FMCNA’s mission,vision, core values and customer service philosophy. Adheres to the FMCNA ..
... Thorough case management, including diligent documentation of investigation activities, on-site audits, ... two years experience handling laboratory healthcare fraud investigations end to end ... analysis and reporting Knowledge of..
... is looking for an Account Specialist IBeing a colleague on an ... solutions as part of our Healthcare Industry Account Management business group ... Risk Solutions. As an Account..
Job Information Humana Bilingual (English/Spanish) In Person Consumer Service Specialist - Chicago, IL in Chicago Illinois Description The Consumer Service Operations Representative 3 is responsible for the daily activities across multiple ..
... Certified Diabetes Care and Education Specialist-Remote-US in Chicago Illinois Description The ... Certified Diabetic Care and Education Specialist (CDCES) delivers comprehensive and seamless ... Certified Diabetes Care and Education..
... is the premier home based healthcare provider and medical services company. ... improve outcomes and reduce total healthcare costs. We are a group ... neededComplete appropriate and thorough clinical..
Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..
Job Information Humana Specialty Drug Site of Care Specialist in Chicago Illinois Description The Specialty Pharmacy Programs Clerk 2 supports clinical programs and comprehensive insights directly related to Specialty Pharmacy products ..
Job Information Humana Pharmacy Claims Specialist, Remote in Chicago Illinois Description Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues. ..
Description The UM Specialist /UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically ..
Senior Labor Relations Specialist The candidate will develop and refinement of training modules and presentations for best practices related to employee engagement and employee relations. Execute and lead internal business partners ..
Job Description The dedication of talented and caring health care professionals drives the delivery of high quality, cost effective products and services. They make it possible for members to get the ..
... complete and accurate data and documentation are available to make recertification ... through making field visits, evaluating documentation and providing team based in ... for staff re clinical issues,..
Description The Pharmacy Development Specialist will be responsible for qualifying ... Responsibilities Summary The Business Development Specialist will be responsible for managing ... Pharmacia. Meticulous, timely, and accurate documentation of..