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... Job Summary *Function as an internal control specialist *Perform testing and ... audits in line with the internal audit plan *Support management through ... *Reports to the Manager of..
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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 ..
Description The MarketPoint Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional works assignments involve moderately complex to complex issues where the analysis of situations or data requires ..
Job Information Humana Claims Review Representative 2 in Canton Ohio Description The Claims Review Representative 2 , will be part of the Medical Financial Recovery Overpayment Team which consists of making ..
Job Information Humana Enterprise Transformation Lead - Office or Remote in Canton Ohio Description The Enterprise Transformation Lead provides data-based strategic direction to identify and address business issues and opportunities. Provides ..
NF Tech Operations Manager The candidate leads the day-to-day of highly technical operations ensuring that an outstanding service experience is provided to the internal and external sales partners, firms, third-party administrators, ..
... looking to add a dynamic Internal Auditor to our team. JOB DUTIES ... JOB SUMMARY *Function as an internal control specialist *Perform testing and ... audits in line with..
Compliance Manager The candidate directs department management and administrative functions required to assure the hospital Corporate Compliance Program is an effective program to prevent and detect fraud, abuse and other violations ..
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 ..
... Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in ... Ohio Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Description The Business Intelligence Engineer 2 solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Business Intelligence Engineer 2 work assignments ..
... Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Canton Ohio ... Ohio Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..
Job Information Humana Manager, Fraud and Waste-Remote US in Canton Ohio Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste ..
... Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Canton Ohio ... Ohio Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding..
Job Information Humana Storage Administrator- Storage and Backup in Canton Ohio Description At Humana we are committed to helping people live healthy and happy through personalized care. Following the same mantra, ..
Description The Senior Risk Management Professional identifies, analyzes, and works to mitigate potential sources of risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
Description The Supply Chain Professional 2 reports through Humana's Pharmacy Supply Chain and performs DSCSA (Drug Supply Chain Security Act) compliance related tasks in support of Humana's Pharmacy inventory receiving operations. ..
Description Job Description The IT Project Manager 2 will lead the IT M&A Security Remediation project management team. This role will actively manage stakeholder partnerships with a focus on mitigating risks ..
Description The Manager, Membership and Plan Services (MPS) Risk Management will be responsible to lead a team of risk professional associates to help identify risk, oversee implementation to drive operational excellence, ..
Description Introduction The 3rd Party Segment Lead will execute and lead a team of risk professionals in conducting cyber and regulatory-driven assessments and oversight of key 3rd Parties across designated business ..
Description The Medical Coding Auditor extracts clinical information from a ... patient records. The Medical Coding Auditor work assignments are varied and ... for an experienced medical coding auditor to..
Job Information Humana Compliance Lead - Remote in Canton Ohio Description The Compliance Lead ensures compliance with governmental requirements. The Compliance Lead works on problems of diverse scope and complexity ranging ..
