Audit Manager Healthcare Jobs in Louisville

Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..

... 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..

... Medical Coding Auditors Assists the Audit Manager with data analysis, team management, ... guidelines Prepares written summaries of audit findings Presents verbal audit feedback and provides education upon .....

... system needs, data needs, provider audit compliance etc. Creates team engagement ... years of experience in a healthcare or managed care setting 3 ... plus years of experience in..

... seeking a HEDIS Senior Data Manager to deliver quality and value ... Responsibilities The HEDIS Senior Data Manager is accountable for engaging in ... results. The HEDIS Senior Data..

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 ..

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

Job Information Humana Outpatient Medical Coding Auditor-Remote/Virtual in US in Louisville Kentucky Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

Description The Director HEDIS Production and Quality Analytics takes the lead in driving success for key quality measures development and analytic reporting functions that support Humana Military clinical quality strategies, including ..

Location : US Type : Full-Time Salary : $19.00 - $23.00 / Hourly / DOE This is a full-time position that will be based from your home office, reporting to the ..

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 Humana's Health Quality and Stars organization is seeking an Associate Director of Strategy and Organizational Enablement to deliver quality and value in a fast-paced, dynamic environment. The successful candidate will ..

... 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..

... (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 Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Louisville Kentucky Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..

... 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 Inpatient Medical Coding Auditor (MSDRG/ APDRG)-Remote/Virtual in US in Louisville Kentucky Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate ..

Job Information Humana Bilingual Quality Auditor in Louisville Kentucky Description The Bilingual Quality Auditor/ Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. Review ..

Job Information Humana Inpatient Medical Coding Auditor-Remote/Virtual in US in Louisville Kentucky Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology ..

Job Information Humana Nurse Auditor 2-Remote in KY/IN in Louisville Kentucky Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services ..

Job Information Humana Director, Behavioral Health Strategy in Louisville Kentucky Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..

... Medical Coding Auditors Assists the Audit Manager with data analysis, team management, ... guidelines Prepares written summaries of audit findings Presents verbal audit feedback and provides education upon .....