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... detecting and investigation of potential fraud and provide clinical guidance to ... reviewing of medical records for fraud, waste or abuse as well ... detecting and investigation of potential..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Davenport Iowa Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The Fraud and Waste Professional 2 work ... of reported, alleged or suspected fraud. Thoroughly documenting investigating..
Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The Fraud and Waste Professional 2 work ... courses of action. Responsibilities The Fraud and Waste Professional..
Description The Senior Fraud and Waste Professional conducts investigations ... and abusive practices. The Senior Fraud and Waste Professional work assignments ... variable factors. Responsibilities The Senior Fraud and Waste..
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 ..
... Seeking meaningful work? As a Fraud and Waste Manager at Humana, ... a nurse coder with prior fraud experience, proven leadership ability and ... of clinical investigations of alleged..
... Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in ... Des Moines Iowa Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The..
Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..
... Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in ... in Davenport Iowa Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The..
Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..
Job Information Humana Senior Fraud and Waste Investigator - Lab ... Davenport Iowa Description The Senior Fraud and Waste Investigator conducts investigations ... Work assigned to the Senior Fraud and..
... Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in ... in Davenport Iowa Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The..
Description The Senior Clinical Fraud and Waste Professional performs analysis ... abusive practices. The Senior Clinical Fraud and Waste Professional work assignments ... factors. Responsibilities The Senior Clinical Fraud and..
Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..
Description The Fraud and Waste Professional 1 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 1 work assignments are often straightforward and of moderate complexity. ..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Davenport Iowa Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..
Job Information Humana Fraud and Waste Investigator - Work ... is looking for an experienced Healthcare Investigator to join its industry ... have a passion for combating Fraud, Waste, and..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Davenport Iowa Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..
... Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in ... Des Moines Iowa Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT ... looking for an experienced Senior Healthcare Investigator to join its industry ... have a passion for combating Fraud, Waste,..