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Job Information Humana Healthcare Data Analyst in Louisville Kentucky Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. ..
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..
... 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..
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 ..
... Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in ... in Lexington Kentucky Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The..
... Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in ... in Louisville Kentucky Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. 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 ..
... Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in ... in Lexington Kentucky Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The..
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 Louisville Kentucky Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Louisville Kentucky Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..
Description This role has responsibility for the oversight and monitoring of the Autism Care Demonstration (ACD) team performance to ensure compliance with contract and complex ACD policy requirements as defined by ..
Job Information Humana Associate Director, Fraud and Waste in Louisville Kentucky ... for the management of the Fraud and Abuse staff in discovery, ... discovery, development, and coordination of fraud..
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 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 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 ... Louisville Kentucky 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 Louisville Kentucky Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The..
... mission of supporting the TRICARE healthcare program for our nation's military? ... the team responsible for identifying fraud and abuse in TRICARE billings ... Defense Health Agency to substantiate..
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 ..
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..