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Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
Description Responsibilities The Lead Technology Leadership Professional works with design engineering and test team to drive products from design completion to volume production release. Performs various engineering tests to verify and ..
Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud and Waste Professional 2 work assignments are varied and frequently require interpretation and ..
Job Information Humana Licensed Behavioral Health Professional - Quality Audit in Troy Michigan Description Humana Healthy Horizons in Ohio is seeking a Licensed Behavioral Health Quality Audit Professional. This position ensures ..
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 ..
Description The Nurse Auditor 2 performs clinical audit/validation processes ... support optimal reimbursement. The Nurse Auditor 2 work assignments are varied ... is looking for a Nurse Auditor 2 Professional..
Job Information Humana Clinical Auditor Registered Nurse Care Management or Utilization Management in Troy Michigan Description Humana Healthy Horizons in Ohio is seeking a Utilization and Case Management Clinical Auditors. This ..
... Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Michigan Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Job Information Humana Director, Technology Risk Management in Troy Michigan Description The Director, Technology Risk Management is responsible for developing and managing effective technology risk management processes and for performing technology ..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Troy Michigan ... Michigan Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Job Information Humana Senior Compliance Professional-Remote/Virtual in US in Troy Michigan Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to ..
Job Information Humana Information Technology Risk Oversight Lead in Troy Michigan Description The Lead, Information Technology Risk Oversight, identifies, analyzes, monitors and minimizes areas of risk that pertain to information technology. ..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Troy Michigan ... Michigan Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Description Humana's Associate Vice President (AVP), Technology and Cybersecurity Risk works closely with all areas of Enterprise Information Protection (EIP), Internal Audit, Enterprise Risk Management, business units, regulatory agencies, and industry ..
Description The Fraud Investigation Technician 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud Investigation Technician 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. ..
Description The Payment Integrity Professional 2 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 ..
Job Information Humana Director, IT Program Risk Management in Troy Michigan Description The Director, Program Risk Management is responsible for identifying and driving remediation of risks across Humana's IT portfolio. This ..
Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
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 ..
Job Information Humana Senior Compliance Registered Nurse in Troy Michigan Description Humana Healthy Horizons in Ohio is seeking a Senior Compliance Nurse. This position ensures mandatory reporting for Case Management and ..
Description The Medical Coding Auditor reviews medical records to verify coding (ICD-10 CM/PCS). The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
... Information Humana Data Governance & Privacy Risk Management Lead-Remote, US in ... Description The Data Governance & Privacy Risk Management Lead is responsible ... managing the Data Governance and..
