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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 ..
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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 ..
Description The Nurse Auditor 2 performs clinical audit/validation processes ... complete, compliant and accurate. The Nurse Auditor 2 work assignments are varied ... Humana is looking for a Nurse Auditor..
Description The Nurse Auditor 2 performs clinical audit/validation processes ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied ... the SIU Non Lab team. Nurse Auditor..
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 performs clinical audit/validation processes ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied ... courses of action. Responsibilities The Nurse Auditor..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Medical Coding Auditor roles! This is a unique team that's primary role is to quickly ..
... The SIU and PPI Lab review team is seeking a Medical ... is seeking a Medical Coding Auditor with a special set of ... focus on coding and clinical..
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 Humana's recently created Clinical Resource Team is looking to grow the team with an Inpatient Senior Medical Coding Auditor roles! This is a unique team that's primary role is to ..
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 ..
... we serve. The Senior Clinical Auditor performs clinical audit/validation processes to ... support optimal reimbursement. The Senior Nurse Auditor work assignments involve moderately complex ... factors. Responsibilities The Senior..
Job Information Humana Medicaid Associate Director, Compliance Nursing in Atlanta Georgia Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..