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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,..
... 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..
Description The Fraud Investigation Technician 2 conducts investigations ... investigations of allegations of fraudulent and abusive practices. The Fraud Investigation Technician 2 performs varied ... Technician 2 performs varied activities..
... Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Louisville Kentucky Description Humana ... - 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 Louisville Kentucky Description The ... in Louisville Kentucky Description The Manager, Fraud and Waste conducts investigations of allegations of ... investigations..
Job Information Humana Associate Director, Fraud and Waste in Louisville Kentucky Description Responsibilities ... Director Program Integrity will create and implement process improvement plans focused ... plans focused on 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 &..
... 2 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..
... 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..
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 Manager of Fraud and Abuse Data Analytics in Louisville ... Louisville Kentucky Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be ... for the..
Job Information Humana Fraud and Waste Investigator - Work At Home ... At Home (Anywhere in the US) in Louisville Kentucky Description Humana ... enjoy speaking with members, providers, and..
... 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..