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Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
... team with a couple Senior Nurse Auditor roles! This is a unique ... should strongly consider the Senior Nurse Auditor opportunity with Humana. So do ... should strongly consider..
Description The Behavioral Health Clinical Advisor (Care Manager, Telephonic Behavior Health 2) will audit CPT (Current Procedural Terminology) codes to ensure correct billing under TOM (TRICARE Operations Manual) policies in accordance ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and ... overpayments when they happen. The..
... an Inpatient Senior Medical Coding Auditor roles! This is a unique ... consider the Senior Medical Coding Auditor opportunity with Humana. Responsibilities What ... AHIMA (RHIA, RHIT, or CCS)..
... the team with a Senior Nurse Auditor roles! This is a unique ... should strongly consider the Senior Nurse Auditor opportunity with Humana. Performs clinical ... - Required Qualifications..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and ... courses of action. Responsibilities The..
... with a Senior Medical Coding Auditor roles! This is a unique ... consider the Senior Medical Coding Auditor opportunity with Humana. Responsibilities What ... a Superstar! - Preferred Qualifications..
Description The Quality Assurance, Clinical Professional 2 consults and collaborates with clinicians to ensure high accountability of compliance and quality. The Quality Assurance, Clinical Professional 2 work assignments are varied and ..
Description Responsibilities The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and ... Where you Come In The..
Description The Director of Health Services for National Medicaid Clinical Operations utilizes clinical skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Director, Health ..
Description Responsibilities The Utilization Management Nurse 2 will be responsible for performing clinical audits on medical record documentation for quality and clinical compliance with contract requirements as outlined in the Autism ..
Description The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Professional 2 work assignments ..
Job Information Humana Senior Fraud & Waste Investigator - Remote in Birmingham Alabama Description Are you looking to be a part of a Fortune 100 company with competitive salary, opportunity for ..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Birmingham Alabama Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
Description Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud ..
Description Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of a ..
