Healthcare Fraud Management Jobs in Kentucky | HealthcareCrossing.com


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41

Healthcare Fraud Management Jobs in Kentucky

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Company
**********
Location
Louisville, KY
Posted Date
Nov 27, 2020
Info Source
Employer  - Full-Time  90  

Job Information Humana Healthcare Data Analyst in Louisville Kentucky Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. ..

 
Company
Humana Inc.
Location
Louisville, KY
Posted Date
Jun 11, 2021
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
Humana Inc.
Location
Louisville, KY
Posted Date
Sep 02, 2021
Info Source
Employer  - Full-Time  90  

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 &..

 
Company
**********
Location
Bellevue, KY
Posted Date
Oct 27, 2021
Info Source
Employer  - Full-Time  90  

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Provide exceptional customer service in a safe and clean environment to ensure the customer's return visit. Treat our customers ..

 
Company
**********
Location
Louisville, KY
Posted Date
May 02, 2022
Info Source
Employer  - Full-Time  90  

... 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
**********
Location
Louisville, KY
Posted Date
Aug 26, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Louisville, KY
Posted Date
Apr 17, 2023
Info Source
Employer  - Full-Time  90  

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,..

 
Company
Humana Inc.
Location
Louisville, KY
Posted Date
Apr 22, 2023
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Louisville, KY
Posted Date
Nov 26, 2022
Info Source
Employer  - Full-Time  90  

... Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... and to prevent and detect fraud, waste, and abuse. The Compliance ... carriers Previous experience in utilization..

 
Company
**********
Location
Bardstown, KY
Posted Date
Oct 27, 2021
Info Source
Employer  - Full-Time  90  

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Provide exceptional customer service in a safe and clean environment to ensure the customer's return visit. We accomplish this ..

 
Company
**********
Location
Louisville, KY
Posted Date
Apr 23, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
**********
Location
Lexington, KY
Posted Date
Apr 22, 2022
Info Source
Employer  - Full-Time  90  

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

 
Company
Humana Inc.
Location
Louisville, KY
Posted Date
Apr 25, 2022
Info Source
Employer  - Full-Time  90  

... Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... and to prevent and detect fraud, waste, and abuse. The Compliance ... carriers Previous experience in utilization..

 
Company
**********
Location
Louisville, KY
Posted Date
Nov 05, 2021
Info Source
Employer  - Full-Time  90  

... for the supervision of the Fraud and Abuse Staff in discovery, ... discovery, development, and coordination of fraud and abuse cases that are ... to the Program Integrity Sr...

 
Company
**********
Location
Louisville, KY
Posted Date
May 07, 2022
Info Source
Employer  - Full-Time  90  

... Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... and to prevent and detect fraud, waste, and abuse. The Compliance ... of action. Responsibilities The Utilization..

 
Company
**********
Location
Louisville, KY
Posted Date
Nov 18, 2021
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
Humana Inc.
Location
Louisville, KY
Posted Date
May 04, 2023
Info Source
Employer  - Full-Time  90  

... mission of supporting the TRICARE healthcare program for our nation's military? ... the team responsible for identifying fraud and abuse in TRICARE billings ... Defense Health Agency to substantiate..

 
Company
**********
Location
Louisville, KY
Posted Date
Jun 05, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Associate Director, Fraud and Waste in Louisville Kentucky ... as needed. Responsible for the management of the Fraud and Abuse staff in discovery, ... discovery, development, and..

 
Company
**********
Location
Louisville, KY
Posted Date
Apr 06, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Louisville, KY
Posted Date
Apr 25, 2022
Info Source
Employer  - Full-Time  90  

... Compliance Nurse 2 reviews utilization management activities and documentation to ensure ... and to prevent and detect fraud, waste, and abuse. The Compliance ... of action. Responsibilities The Utilization..

 
Company
**********
Location
Louisville, KY
Posted Date
Feb 06, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Manager of Fraud and Abuse Data Analytics in ... Description Responsibilities The Manager of Fraud and Abuse Data Analytics will ... for the supervision of the Fraud..

 
Company
**********
Location
Louisville, KY
Posted Date
Nov 02, 2022
Info Source
Employer  - Full-Time  90  

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 ..

 
Company
**********
Location
Louisville, KY
Posted Date
May 28, 2022
Info Source
Employer  - Full-Time  90  

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 ..

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