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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..
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..
... (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 &..
Job Information Humana Manager of Fraud and Abuse Data Analytics in Charlotte ... North Carolina Description Responsibilities The Manager of Fraud and Abuse Data Analytics will be ... for the..
Job Information Humana Manager, Fraud and Waste-Remote US in Raleigh North Carolina Description ... Raleigh North Carolina Description The Manager, Fraud and Waste conducts investigations of allegations of ... investigations..
Job Information Humana Manager, Fraud and Waste-Remote US in Bakersville North Carolina Description ... Bakersville North Carolina Description The Manager, Fraud and Waste conducts investigations of allegations of ... investigations..
Job Information Humana Fraud and Waste Investigator - Work At Home ... At Home (Anywhere in the US) in Charlotte North Carolina Description ... enjoy speaking with members, providers, and..
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, Fraud and Waste-Remote US in Wilmington North Carolina Description ... Wilmington North Carolina Description The Manager, Fraud and Waste conducts investigations of allegations of ... investigations..
Job Information Humana Manager, Fraud and Waste-Remote US in Greensboro North Carolina Description ... Greensboro North Carolina 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..
... Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Charlotte North Carolina 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 Asheville North Carolina Description ... Asheville North Carolina 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..
Job Information Humana Manager, Fraud and Waste-Remote US in Charlotte North Carolina Description ... Charlotte North Carolina Description The Manager, Fraud and Waste conducts investigations of allegations of ... investigations..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Charlotte North ... enjoy speaking with members, providers, and other industry colleagues? Do you ... you thrive on..