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Job Information Humana Network Optimization Lead (OH Medicaid) - Remote, Ohio in Norwood Ohio Description The Network Optimization Lead, Ohio Medicaid, is responsible for driving network optimization and value, while also ..
... serve as Humana's Program Integrity Officer, who will oversee the monitoring ... fraud, waste, and abuse (FWA) compliance program to prevent and detect ... out the provisions of the..
PURPOSE AND SCOPE: Supports the Organization’s mission, vision, core values and customer service philosophy. Adheres to the Organization’s Compliance Program, including following all regulatory and policy requirements.Assists physicians in performing a ..