Manager Fraud And Waste Remote Us Jobs in Las Vegas

... 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 &..

... Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Las Vegas Nevada 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 Las Vegas Nevada Description ... Las Vegas Nevada Description The Manager, Fraud and Waste conducts investigations of allegations of ... investigations..

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..

... 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..

... 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..

Job Information Humana Fraud and Waste Investigator - Work At Home ... At Home (Anywhere in the US) in Las Vegas Nevada Description ... enjoy speaking with members, providers, and..

Description Responsibilities Senior Care Manager, Behavioral Health (BCBA) This is ... with responsibility for utilization management and clinical decision-making as outlined in ... plans (TPs), initial authorization requests, and every..