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... powerful teams dedicated to reducing waste and abuse in the health care ... in the health care industry and its impacts on Humana. These ... policies of both Humana,..
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... Nursing reviews utilization management activities and documentation to ensure adherence to ... ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The..
... (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment ... Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud &..
Description The Manager, Fraud and Waste, Genetic Counseling provides clinical support ... investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works within specific..
Job Information Humana Fraud and Waste Investigator - Work At Home ... At Home (Anywhere in the US) in Colorado Springs Colorado Description ... enjoy speaking with members, providers, and..
... ensure that medical record documentation and diagnosis coding for services rendered ... services rendered is complete, compliant and accurate to support optimal reimbursement. ... 2 work assignments are varied..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Colorado Springs ... enjoy speaking with members, providers, and other industry colleagues? Do you ... you thrive on..
... Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Colorado Springs Colorado Description ... - Clinical Review team working remote/from home anywhere in the U.S. ... will assist in..
Job Information Humana Manager, Fraud and Waste-Remote US in Colorado Springs Colorado Description ... Colorado Springs Colorado Description The Manager, Fraud and Waste conducts investigations of allegations of ... investigations..
... Director, Payment Integrity uses technology and data mining, detects anomalies in ... anomalies in data to identify and collect overpayment of claims. Contributes ... Contributes to the investigations of..