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... Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... and to prevent and detect fraud, waste, and abuse. The Associate ... and quality performance and staffing..
Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..
Department: FRYS Pharmacy Position Type: Employee Position Reports To: Store Management/Pharmacy Coordinator Position Supervises: N/A Pay Level: FLSA Status: Non-Exempt POSITION SUMMARY: To replace or fill-in pharmacy shifts on an as ..
Description The Compliance Nurse 2 reviews medical management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Department: FRYS Pharmacy Position Type: Employee Position Reports To: Pharmacy Manager or Pharmacist on Duty/Store Management Position Supervises: N/A Pay Level: FLSA Status: Non-Exempt POSITION SUMMARY: Create an outstanding patient experience ..
Description Humana's Claims Cost Management (CCM) organization is seeking a ... organization is seeking a Manager, Fraud & Waste to join the ... in the US. As the Fraud &..
Job Information Humana Manager, Fraud and Waste-Remote US in Flagstaff ... Flagstaff Arizona Description The Manager, Fraud and Waste conducts investigations of ... and abusive practices. The Manager, Fraud and..
Description The Manager, Fraud and Waste, Genetic Counseling provides ... and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works ... and goals. Responsibilities The Manager, Fraud and Waste,..
... position with responsibility for utilization management and clinical decision-making as outlined ... clinical information in various medical management systems. The associate understands department, ... limited to: 70% Performing utilization..
Job Information Humana Manager, Fraud and Waste-Remote US in Tucson ... Tucson Arizona Description The Manager, Fraud and Waste conducts investigations of ... and abusive practices. The Manager, Fraud and..
... and clinical compliance, and case management. Serve as a Humana Military/Humana ... for quality standards, claims accuracy, fraud, and required clinical elements. Perform ... clinical elements. Perform telephonic case..
Department: FRYS Pharmacy Post End Date: Position Type: Employee Position Reports To: Pharmacy Manager/Store Management/Pharmacy Coordinator Position Supervises: N/A Pay Level: FLSA Status: Non-Exempt POSITION SUMMARY: To assist in directing the ..
Company Name: Smith's Food and Drug Position Type: Employee FLSA Status: Non-Exempt Position Summary: Create an outstanding customer experience through exceptional service. Establish and maintain a safe and clean environment that ..
... Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure ... and to prevent and detect fraud, waste, and abuse. The Supervisor, ... solve basic problems; collaborates with..
Company Name: Fry's Food Stores Position Type: Employee FLSA Status: Non-Exempt POSITION SUMMARY: Create an outstanding patient experience through exceptional service and patient care. Establish and maintain a safe and clean ..
Job Information Humana Manager, Fraud and Waste-Remote US in Phoenix ... Phoenix Arizona Description The Manager, Fraud and Waste conducts investigations of ... and abusive practices. The Manager, Fraud and..
Department: FRYS Pharmacy Position Type: Employee Position Reports To: Pharmacy Manager/Store Management/Pharmacy Coordinator Position Supervises: N/A Pay Level: FLSA Status: Non-Exempt POSITION SUMMARY: To assist in directing the activities of all ..
... The Compliance Nurse reviews utilization management activities and documentation to ensure ... and to prevent and detect fraud, waste, and abuse. The Compliance ... plus Previous experience in utilization..
... Qualifications 3 plus years of healthcare fraud investigation experience 2 plus years ... knowledge and experience Experience in healthcare or in a managed care ... raw data and recommendations..
