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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,..
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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..
Job Information Humana Manager, Fraud and Waste-Remote US in Bentonville Arkansas Description The ... in Bentonville Arkansas Description The Manager, Fraud and Waste conducts investigations of allegations of ... investigations..
Job Information Humana Nurse Auditor 2-Remote/Virtual in US in Bentonville Arkansas Description The ... ensure that medical record documentation and diagnosis coding for services rendered ... services rendered is complete,..
... Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Rogers Arkansas 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 Rogers Arkansas Description The ... in Rogers Arkansas Description The Manager, Fraud and Waste conducts investigations of allegations of ... investigations..
... (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 &..
... 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..
Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in Rogers Arkansas ... enjoy speaking with members, providers, and other industry colleagues? Do you ... you thrive on..
... 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 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..
Job Information Humana Fraud and Waste Investigator - Work At Home ... At Home (Anywhere in the US) in Rogers Arkansas Description Humana ... 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..
