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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... join the Provider Payment Integrity-Clinical Audit team working remote anywhere in ... As the Fraud & Waste..
Job Information Humana Strategy Advancement Lead, Senior Products Actuarial in Pittsburgh Pennsylvania Description The SPA Process and Models Lead supporting the execution of core Senior Product Actuarial processes and projects provides ..
... 40) market leader in integrated healthcare whose dream is to help ... for the role of Director, Internal Audit. In this role, you will ... this role, you will..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Pittsburgh Pennsylvania Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..
... operational and compliance risks, evaluating internal and external audit results, researching new/emerging regulatory guidance, ... activities Identify and document key internal controls; develop strategies for periodic ... to ensure..
... looking for an experienced Senior Healthcare Investigator to join its industry ... practices. Prepares complex investigative and audit reports. Begins to influence department's ... o Able to collaborate with..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Pittsburgh Pennsylvania Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, ... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2, ... include: Collaborate with the Quality..
Job Information Humana Manager, Compliance - Agent Investigation Unit ... in Pittsburgh Pennsylvania Description The Manager, Compliance ensures compliance with governmental ... compliance with governmental requirements. The Manager, Compliance works..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
... mitigate risk associated with external audit reviews. Responsible for driving accuracy ... and/or Auditing experience in the Healthcare Industry Experience in a production ... a production goal-oriented environment within..
... of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, ... to ensure engagements with key internal, regulatory and industry groups to ... and industry groups to..
Description The Director, IT Compliance audits the most complex new and existing information systems applications to ensure that appropriate controls exist, that processing is efficient and accurate, and that information systems ..
... most senior levels of IT, audit and cyber security program leadership, ... enabler. Responsibilities: The Principal Product Manager will manage all aspects of ... as well as with broader..
... appropriate responses to regulatory exams, internal and external audits, requests for ... in responding to regulatory and/or audit exams, a strong understanding of ... skills, both oral and written..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Pittsburgh Pennsylvania Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..
... Job Description The IT Project Manager 2 will lead the IT ... a strong ability to manage internal and external resources, remotely and ... with Information Security Risk Management,..
Job Information Humana Manager, Fraud and Waste-Remote US in ... in Pittsburgh Pennsylvania Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
... is looking for an experienced Healthcare Investigator to join its industry ... billing practices. Prepares investigative and audit reports. Begins to influence department's ... o Able to collaborate with..
... & Training (8) Engineering (29) Healthcare (6) Human Resources (12) Information ... NEW! NEW! Digital Growth Marketing Manager ChemImage Pittsburg, Pennsylvania NEW! NEW! ... ChemImage Pittsburg, Pennsylvania NEW! NEW!..
