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Clinical Sourcing Specialist The candidate will act as liaison between project management and Global Vendor Management to ensure contracts and POs are created and updated as appropriate. Analyze vendor payment detail ..
PHARMACIST - REVENUE INTEGRITY PROGRAM','PHA006S2','!*! Position: Pharmacist / Revenue Integrity ProgramLocation: Lenovo Building / MorrisvilleHours: Full Time, 32 hrs/wk; DaysPosition Summary: The Revenue Integrity pharmacist will join the Pharmacy Revenue Integrity ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Raleigh North Carolina Description The Fraud and Waste Professional 2 conducts investigations of allegations ..
Job Information Humana Senior Integration Specialist - Cloud in Charlotte North Carolina Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between ..
Position: Medical Office Specialist Pay Range: $14-16 per hour Location: Jacksonville, FL We are actively seeking a Front Desk employee. Will work with multiple physicians per day and need to be ..
... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Wilmington North Carolina Description The Fraud and Waste Professional 2 conducts investigations of allegations ..
Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..
Addison Group has a client located in the Southwest Metro area who has an immediate opening for a Billing Specialist . This is an excellent opportunity for someone to join a ..
Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..
... Qualifications Minimum 5 years of healthcare fraud investigations and/or auditing experience ... of Florida and Wisconsin Medicaid healthcare payment methodologies Strong organizational, interpersonal, and ... the required qualifications. Understanding..
... looking for an experienced Senior Healthcare Investigator to join its industry ... Qualifications Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 3 years of..
Accounting Assistant Addison Group has a client located in the Minneapolis who is actively looking for an experienced Accounting Assistant that has a solid background in Accounts Receivable. This is an ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Charlotte North Carolina Description The Fraud and Waste Professional 2 conducts investigations of allegations ..
Description The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Bakersville North Carolina Description The Fraud and Waste Professional 2 conducts investigations of allegations ..
... immediate openings for Accounts Payable Specialists with 1-3 years or more ... to add and Accounts Payable Specialists with full-cycle AP, heavy 3-way ... full-cycle AP, heavy 3-way match,..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Asheville North Carolina Description The Fraud and Waste Professional 2 conducts investigations of allegations ..
Description The UM Compliance Letters Specialist/Coordinator 2 contributes to administration of utilization management in the Compliance department. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Greensboro North Carolina Description The Fraud and Waste Professional 2 conducts investigations of allegations ..
Job Information Humana Pharmacy Claims Specialist, Remote in Charlotte North Carolina Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 ..
MDS Coordinator / RN - Full-time - CHARLOTTE NC / NORTH CAROLINA Contact: kim.granata@broadriverrehab.com We currently are looking for a Full time MDS Coordinator (RN) to work at our skilled nursing ..