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Dental Services Director Duties: Oversee the dental program. Works on access, oral health prevention activities, and other initiatives to address oral health disparities, including but not limited to workforce shortages. Representative ..
General Counsel DUTIES: Leadership and Supervision of Legal Unit, which includes oversight of the Deputy General Counsel, Assistant General Counsels, and Paralegal(s). Oversight of new initiatives and the daily operations of ..
Legal Counsel The candidate will be responsible for assisting the leadership Team with legal expertise supporting the strategic goals of the company. These areas include the clinical/operational areas, corporate transactions (including ..
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 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 ..
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 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,..
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..
Job Information Humana Senior Fraud and Waste Investigator - Lab ... Boston Massachusetts Description The Senior Fraud and Waste Investigator conducts investigations ... Work assigned to the Senior Fraud and..
... Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in ... in Boston Massachusetts Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The..
... 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 ... in Boston Massachusetts Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The..
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 Senior Care Manager, Behavioral Health (BCBA) in Boston Massachusetts Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..
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. ..
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..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Boston Massachusetts Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Boston Massachusetts Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..
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 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 ..
Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team working remote/from home anywhere in the U.S. Responsibilities As a Board Certified ..
... MA, is seeking an experienced Healthcare Regulatory, Reimbursement, And/Or Fraud And Abuse Associate Attorney to ... will have extensive experience in healthcare law, specifically focusing on regulatory ... regulatory..