Healthcare Fraud Management Jobs in Kansas

... customer experience, continuous improvement, change management, data integrity and process-level measurements. ... 10% Working with ACD Care Management operational leaders, lead development of ... objectives. Required Qualifications Experience in..

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 Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..

... unsafe conditions and notify store management *Comply with local, state and ... activity, including robbery, theft or fraud *Must be willing and able ... of previous experience in a..

Job Information Humana Manager, Fraud and Waste-Remote US in Kansas ... City Kansas Description The Manager, Fraud and Waste conducts investigations of ... and abusive practices. The Manager, Fraud and..

... unsafe conditions and notify store management *Comply with local, state and ... activity, including robbery, theft or fraud *Must be willing and able ... of previous experience in a..

Description The CCM Compliance Professional 2 ensures compliance with governmental and contractual requirements. The CCM Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the ..

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 ..

Job Information Humana Manager, Fraud and Waste-Remote US in Overland ... Park Kansas 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..

... 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..

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 &..

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,..

... unsafe conditions and notify store management *Comply with local, state and ... activity, including robbery, theft or fraud *Must be willing and able ... of previous experience in a..

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 ..

... unsafe conditions and notify store management *Comply with local, state and ... activity, including robbery, theft or fraud *Must be willing and able ... of previous experience in a..

... 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..

... unsafe conditions and notify store management *Comply with local, state and ... activity, including robbery, theft or fraud *Must be willing and able ... of previous experience in a..

... unsafe conditions and notify store management *Comply with local, state and ... activity, including robbery, theft or fraud *Must be willing and able ... of previous experience in a..

... unsafe conditions and notify store management *Comply with local, state and ... activity, including robbery, theft or fraud *Must be willing and able ... of previous experience in a..

Description The Manager, 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 Manager, Compliance ..

... unsafe conditions and notify store management *Comply with local, state and ... activity, including robbery, theft or fraud *Must be willing and able ... of previous experience in a..

... 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..