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... 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..
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Description Humana is needing the Sherlock Holmes of nursing for a new Senior Fraud & Waste Professional role. Do you love gathering and investigating clinical information, studying medical materials and sources ..
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 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 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 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 ..
Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, ..
... 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 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 ..
... 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..
... 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)..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Bridgeport Connecticut Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..
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..
Description The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an ..
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 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..
Job Information Humana Senior Fraud & Waste Investigator - Remote in Bridgeport Connecticut Description Are you looking to be a part of a Fortune 100 company with competitive salary, opportunity for ..
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 ..
