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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 ..
Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..
Description Do you enjoy helping those in need? Do you love researching, analyzing medical documents to determine if something was missed? Have you ever considered yourself a detective for medical claims ..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support for investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific guidelines ..
Description This is a fantastic opportunity to own and manage the frontline cyber operations for the 3rd largest health organization in the Nation. This candidate will have the ability to apply ..
Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Lancaster South Carolina Description The Fraud and Waste Professional 2 conducts investigations of allegations ..
Job Information Humana Fraud and Waste Investigator-Remote in US in Lancaster South Carolina Description The Fraud and Waste Professional 2 conducts investigations of allegations of fraudulent and abusive practices. The Fraud ..
Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Lancaster South Carolina Description Humana is looking for an experienced Healthcare Investigator to join its ..
Description The Dental Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive practices. The Dental Fraud and Waste Investigator work assignments are varied and frequently require interpretation and ..
Description The Senior Research Consulting Professional performs experimental and observational analyses to guide business decisions. Their work assignments frequently require independent determination of the appropriate courses of action. They should therefore ..
Description The Senior Security Professional protects the organization's employees, properties, and all items of value on premises from any preventable harm or danger. The Senior Security Professional work assignments involve moderately ..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Lancaster South Carolina Description Humana is looking for an experienced Senior Healthcare Investigator to join its industry leading Special ..
Description The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic review of clinical documentation to determine if an a grievance, appeal or further request ..
Description The Managing Clinical Pharmacist within the Pharmacy Claim Audit & Review department monitors drug development pipeline, and medical literature, while providing clinical and audit support for internal stakeholders. Utilizes broad ..
Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..
Job Information Humana Senior Cloud Engineer (Migration & Modernization) in Lancaster South Carolina Description In support of Humana's vision to create simple, personalized and reliable experience for our healthcare customers, we ..
Job Information Humana Senior Incident Response Engineer (virtual home office remote eligible) in Lancaster South Carolina Description The Senior Incident Response Engineer will be part of a dynamic, growing team, hunting ..