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... (ACD) defined in the TRICARE Operations Manual Chapter 18, section 4. ... section 4. Responsibilities The UM Manager will lead a team of ... guiding clinical decisions. The UM..
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... and to prevent and detect fraud, waste, and abuse. The Associate ... grow, the National Medicaid Clinical Operations team is expanding our shared ... services to support 24/7 clinical..
Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..
Job Information Humana Manager, Data Analytics (Program Integrity) in ... Louisville Kentucky Description Responsibilities The Manager, Data Analytics (Program Integrity) will ... for the supervision of the Fraud and Abuse..
Job Information Humana Manager of Fraud and Abuse Data Analytics in ... Louisville Kentucky Description Responsibilities The Manager of Fraud and Abuse Data Analytics will ... for the supervision of..
... the team responsible for identifying fraud and abuse in TRICARE billings ... Defense Health Agency to substantiate fraud cases. Responsibilities This in office ... for the management of the..
Job Information Humana Associate Director, Fraud and Waste in Louisville Kentucky ... for the management of the Fraud and Abuse staff in discovery, ... discovery, development, and coordination of fraud..
Job Information Humana Associate Director, Provider Payment Integrity | Prepay Operations in Louisville Kentucky Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify ..
Job Information Humana Manager, Data Analytics in Louisville Kentucky ... Louisville Kentucky Description Responsibilities The Manager, Data Analytics (Program Integrity) will ... for the supervision of the Fraud and Abuse..
Description This role has responsibility for the oversight and monitoring of the Autism Care Demonstration (ACD) team performance to ensure compliance with contract and complex ACD policy requirements as defined by ..
Description The Manager, Compliance Nursing reviews utilization management ... and to prevent and detect fraud, waste, and abuse. The Manager, Compliance Nursing works within specific ... schedules and goals. Responsibilities..
HR Manager HR Manger Responsibilities: Seeking an ... Manger Responsibilities: Seeking an HR Manager that measures and provides feedback ... outcome Partners with the EHS Manager to ensure an aggressive..
