Healthcare Fraud Management Jobs in Michigan

... Legal, Corporate Compliance and Risk Management The candidate will manage and ... and administrative agency decisions affecting healthcare. Function as point of contact ... all activities related to risk..

Description The Senior Vendor Management Professional with Humana manages a ... in an effort to reduce fraud, waste and abuse and increase ... and workflows in our project management software..

Description Humana's Claims Cost Management (CCM) organization is seeking a ... organization is seeking a Manager, Fraud & Waste to join the ... in the US. As the Fraud &..

Job Information Humana Senior Risk Management Professional-Remote, US in Troy Michigan ... Michigan Description The Senior Risk Management Professional will support risk management efforts in the Data Governance, ... Data..

... Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure ... and to prevent and detect fraud, waste, and abuse. The Supervisor, ... solve basic problems; collaborates with..

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..

... of Compliance/HIPAA Privacy OfficernU.S. Medical Management (USMM) is an affiliate of ... continuum of care with premier healthcare providers, clinicians and patient focused ... of delivering quality & compassionate..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Provide exceptional customer service in a safe and clean environment to ensure the customer's return visit. Treat our customers ..

... Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in ... in Dearborn Michigan Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Provide exceptional customer service in a safe and clean environment to ensure the customer's return visit. Treat our customers ..

Description The Manager, Fraud and Waste, Genetic Counseling provides ... and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works ... and goals. Responsibilities The Manager, Fraud and Waste,..

... and clinical compliance, and case management. Serve as a Humana Military/Humana ... for quality standards, claims accuracy, fraud, and required clinical elements. Perform ... clinical elements. Perform telephonic case..

Job Information Humana Manager, Fraud and Waste-Remote US in Kalamazoo ... Kalamazoo Michigan Description The Manager, Fraud and Waste conducts investigations of ... and abusive practices. The Manager, Fraud and..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Provide exceptional customer service in a safe and clean environment to ensure the customer's return visit. Treat our customers ..

Description The Manager, 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 Manager, Compliance ..

Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt    POSITION SUMMARY Provide exceptional customer service to help people live healthier lives by treating our customers/employees in a fair and ethical ..

... Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in ... in Kalamazoo Michigan Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The..

... Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in ... in Troy Michigan Description The Fraud and Waste Professional 2 conducts ... fraudulent and abusive practices. The..

Job Information Humana Manager, Fraud and Waste-Remote US in Dearborn ... Dearborn Michigan Description The Manager, Fraud and Waste conducts investigations of ... and abusive practices. The Manager, Fraud and..

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 Manager, Fraud and Waste-Remote US in Troy ... Troy Michigan Description The Manager, Fraud and Waste conducts investigations of ... and abusive practices. The Manager, Fraud and..

Description The CCM Compliance Professional 2 ensures compliance with governmental and contractual requirements. The CCM Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the ..