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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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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 &..
... 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..
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 Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Pittsburgh Pennsylvania ... 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 Pittsburgh ... Pittsburgh Pennsylvania 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 Pittsburgh Pennsylvania Description Humana ... enjoy speaking with members, providers, and..
Job Information Humana Manager, Fraud and Waste-Remote US in Pittsburgh Pennsylvania Description The ... in Pittsburgh Pennsylvania Description The Manager, Fraud and Waste conducts investigations of allegations of ... investigations..
... Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Pittsburgh Pennsylvania Description Humana ... - Clinical Review team working remote/from home anywhere in the U.S. ... will assist in..
... 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..
