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Job Information Humana Medicaid Associate Director, Compliance Nursing in Green Bay Wisconsin Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..
... 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)..
... 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 Nurse Auditor 2 performs clinical audit/validation processes to ... support optimal reimbursement. Responsibilities The Nurse Auditor 2 validates and interprets medical documentation ... guidelines/procedures. Required Qualifications Active Registered..
Job Information Humana Director, Behavioral Health Strategy in Green Bay Wisconsin Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the ... Green Bay Wisconsin Description The Nurse Auditor 2 performs clinical audit/validation processes to ... to support optimal reimbursement...
Description The Nurse Auditor 2 performs clinical audit/validation processes to ... support optimal reimbursement. Responsibilities The Nurse Auditor 2 validates and interprets medical documentation ... Required Qualifications BSN Active Registered..
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 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 ..
Description The Nurse Auditor 2 performs clinical audit/validation processes to ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied and ... Humana is looking for a..
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 Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..
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 The Nurse Auditor 2 will work on the clinical ... clinical lab audit concepts. The Nurse Auditor 2 will perform clinical audit and ... fraud, waste, and abuse. The..
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 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 Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
... looking for a dynamic Registered Nurse to join the team working ... overpayments when they happen. The Nurse Auditor 2 validates and interprets medical documentation ... Qualifications Associate's Degree..
... 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..
... Audit (QA) Risk Management Professional 2-Remote, US in Green Bay Wisconsin ... Description The Risk Management Professional 2 identifies and analyzes potential sources ... risk. The Risk Management Professional..
