THE LARGEST COLLECTION OF HEALTHCARE JOBS ON EARTH
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Job Information Humana Medicaid Associate Director, Compliance Nursing in Albany New York Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and ..
... The Associate Director for ACD Audit , at the director of ... Orders, for ACD Program Integrity Audit; driving to operational excellence, repeatable ... system needs, data needs, provider..
... (CCM) organization is seeking a Manager, Fraud & Waste to join ... join the Provider Payment Integrity-Clinical Audit team working remote anywhere in ... As the Fraud & Waste..
Job Information Humana Manager, Fraud and Waste-Remote US in ... Albany New York Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..
Title: SADC QA Analyst Location: Albany, NY Will be hybrid with remote and in-office work. Candidates should be local to the area or willing to relocate. Duration: through 12/31/2022 As a ..
... is looking for an experienced Healthcare Investigator to join its industry ... billing practices. Prepares investigative and audit reports. Begins to influence department's ... areas Bachelor's degree or significant..
... Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical ... in compiling and presenting your audit findings? If you answered YES ... production based environment of clinical..
Job Information Humana Director, Behavioral Health Strategy in Albany New York Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care ..
... looking for an experienced Senior Healthcare Investigator to join its industry ... practices. Prepares complex investigative and audit reports. Begins to influence department's ... Qualifications Bachelor's degree or significant..
Job Information Humana Communications & Sales Conduct Risk Management Lead-US-Remote in Albany New York Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program ..
Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Albany New York Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
Job Information Humana Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Albany New York Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Albany New York Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..
Job Information Humana Enterprise Risk Management Lead-US-Remote in Albany New York Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program (TPRM), a 2nd ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding ..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..
Description The Risk Management Professional 2 a critical member within Humana's Third Party Risk Management Program (TPRM), a 2nd Line of Defense function, will be responsible for maturing our program by ..
... our clients through today's ever-changing healthcare landscape. Your day-to-day role as ... counseling, social work, care management, healthcare compliance, public health, healthcare program management, psychology, human services ... years..
Job Information Humana Bilingual Quality Auditor in Albany New York Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. ..
Title: QA Analyst Duration: 12 months Location: Albany Remote for now, due to COVID As a Quality Assurance (QA) Analyst, you will collaborate with team members to support our clients through ..
Description The Vendor Quality Medical Director will manage clinical vendor quality outcomes for Humana Clinical Operations Team. Responsibilities A full time Medical Director to manage clinical vendor quality outcomes for Humana ..
... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2-Remote, ... Compliance & Risk Management Quality Audit (QA) Risk Management Professional 2, ... include: Collaborate with the Quality..
Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Albany New York Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural ..
