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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..
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... (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 Newport Rhode Island 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 Newport Rhode Island Description ... Newport Rhode Island Description The Manager, Fraud and Waste conducts investigations of allegations of ... investigations..
... 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 Fraud and Waste Investigator - Work At Home ... At Home (Anywhere in the US) in Newport Rhode Island Description ... enjoy speaking with members, providers, and..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Newport Rhode ... enjoy speaking with members, providers, and other industry colleagues? Do you ... you thrive on..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Newport ... Rhode Island Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be ... for the..
... 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..
