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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 ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Portsmouth New Hampshire Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..
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 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 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 ..
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 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..
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..
... Humana Pharmacy Special Investigations Professional (Fraud, Waste & Abuse) Remote in ... Portsmouth New Hampshire Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The..
... Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in ... Portsmouth New Hampshire Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The..
Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Portsmouth New Hampshire Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review ..
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 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 ..
Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Portsmouth New Hampshire Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of 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..
Job Information Humana Senior Fraud and Waste Investigator - Lab ... New Hampshire Description The Senior Fraud and Waste Investigator conducts investigations ... Work assigned to the Senior Fraud and..
... Data Governance, Privacy, Communications and Fraud risk towers. This role is ... Data Governance, Privacy, Communications, and Fraud Risk Management Programs. This role ... Data Governance, Privacy, Communications, and..
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 Manager, Data Science (Remote US) in Portsmouth New Hampshire Description Humana's Provider Payment Integrity organization is looking for an experience Data Science Manager to join the Claims Cost ..
Description Humana's Provider Payment Integrity organization is looking for an experienced Data Science Manager to join the Claims Cost Management (CCM) Solutions Support team working from home anywhere in the US. ..
