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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 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 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 ..
... 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 Compliance Nurse (RN) Professional uses quality improvement ... well-being Responsibilities The Quality Compliance Nurse (RN) Professional leads quality improvement ... established guidelines/procedures The Quality Compliance Nurse (RN)..
... 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)..
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 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 Louisville Kentucky Description Are you looking to be a part of a Fortune 100 company with competitive salary, opportunity for ..
Description The Internal Audit Consulting Group (IACG) Quality Assurance Professional 2 develops, plans and evaluates internal audit programs for the organization's clinical business areas and related procedures to ensure compliance with ..
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 ..
... 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 validates and interprets medical documentation ... all relevant coding. Responsibilities The Nurse Auditor 2 validates and interprets medical documentation ... Qualifications Associate's Degree Active Registered..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Louisville Kentucky 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 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 ..
