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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..
... (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..
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Job Information Humana Manager, Fraud and Waste-Remote US in San Juan Puerto Rico ... Juan Puerto Rico 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 Fraud and Waste Investigator - Work At Home ... At Home (Anywhere in the US) in San Juan Puerto Rico ... 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 Senior Fraud and Waste Investigator-- REMOTE/WORK AT HOME in San Juan ... enjoy speaking with members, providers, and other industry colleagues? Do you ... you thrive on..
