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32

Healthcare Audit Analyst Jobs in Michigan





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Job info
 
Company
**********
Location
Troy, MI
Posted Date
May 18, 2021
Info Source
Employer  - Full-Time  90  

Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Nurse Auditor roles! This is a unique team that's primary role is to quickly jump ..

 
Company
**********
Location
Troy, MI
Posted Date
Jul 27, 2021
Info Source
Employer  - Full-Time  90  

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

 
Company
**********
Location
Troy, MI
Posted Date
Jul 29, 2021
Info Source
Employer  - Full-Time  90  

... health. Dedicated to simplifying the healthcare experience and helping people navigate ... and helping people navigate their healthcare journey, Author is leveraging digital ... a new path for the..

 
Company
Humana Inc.
Location
Troy, MI
Posted Date
Sep 05, 2022
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Troy, MI
Posted Date
Dec 02, 2022
Info Source
Employer  - Full-Time  90  

... in all phases of the audit process including evaluating control design ... 5 or more years of healthcare revenue cycle management experience may ... with Auditing and monitoring of..

 
Company
**********
Location
Dearborn, MI
Posted Date
Sep 16, 2022
Info Source
Employer  - Full-Time  90  

Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..

 
Company
**********
Location
Lansing, MI
Posted Date
Feb 24, 2022
Info Source
Employer  - Full-Time  90  

... prepares detailed specifications from which healthcare application programs will be selected; ... concise documentation, instruction manuals, and audit trails of program changes in ... Minimum of one year previous..

 
Company
**********
Location
Troy, MI
Posted Date
Oct 17, 2021
Info Source
Employer  - Full-Time  90  

Description The RN Clinical team is looking for a dynamic Registered Nurse to join the team working remote anywhere in the US or in Louisville, KY! We are looking for someone ..

 
Company
**********
Location
Lansing, MI
Posted Date
Feb 24, 2022
Info Source
Employer  - Full-Time  90  

... new addresses, if necessary. Review, audit and process employer group enrollment ... group and/or agent when applicable. Audit out-of-area (OOA) enrollment to ensure ... consultation to PHP Business Systems..

 
Company
**********
Location
Troy, MI
Posted Date
Apr 10, 2022
Info Source
Employer  - Full-Time  90  

Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Troy Michigan Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and ..

 
Company
**********
Location
Troy, MI
Posted Date
Dec 11, 2021
Info Source
Employer  - Full-Time  90  

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..

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

Description The Supervisor, 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 Supervisor, Compliance ..

 
Company
**********
Location
Troy, MI
Posted Date
Dec 18, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Communications & Sales Conduct Risk Management Lead-US-Remote in Troy Michigan Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program (TPRM), ..

 
Company
**********
Location
Troy, MI
Posted Date
Sep 30, 2022
Info Source
Employer  - Full-Time  90  

... implement and maintain clinical lab audit concepts. The Nurse Auditor 2 ... Auditor 2 will perform clinical audit and validation processes to ensure ... implement and maintain clinical lab..

 
Company
Humana Inc.
Location
Troy, MI
Posted Date
Jun 19, 2023
Info Source
Employer  - Full-Time  90  

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. The ..

 
Company
**********
Location
Troy, MI
Posted Date
May 07, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Enterprise Risk Management Lead-US-Remote in Troy Michigan Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program (TPRM), a 2nd Line ..

 
Company
**********
Location
Kalamazoo, MI
Posted Date
Sep 16, 2022
Info Source
Employer  - Full-Time  90  

Description Senior Compliance Professional ensures compliance with governmental requirements as they relate to Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis ..

 
Company
**********
Location
Troy, MI
Posted Date
Dec 05, 2022
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Detroit, MI
Posted Date
Feb 27, 2022
Info Source
Employer  - Full-Time  90  

... with other members of the healthcare team to plan, implement and ... directed, implements external and internal audit recommendations. Ensures hospital departments achieve ... Care Administration, Business Administration, clinical..

 
Company
**********
Location
Troy, MI
Posted Date
Apr 07, 2023
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Troy Michigan Description The Senior Risk Management Professional a critical member within Humana's Third Party Risk Management ..

 
Company
**********
Location
Troy, MI
Posted Date
Mar 04, 2022
Info Source
Employer  - Full-Time  90  

... 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..

 
Company
**********
Location
Detroit, MI
Posted Date
Feb 27, 2022
Info Source
Employer  - Full-Time  90  

... with other members of the healthcare team to plan, implement and ... directed, implements external and internal audit recommendations. Ensures hospital departments achieve ... Care Administration, Business Administration, clinical..

 
Company
**********
Location
Troy, MI
Posted Date
Apr 07, 2023
Info Source
Employer  - Full-Time  90  

Description The Senior Clinical Fraud and Waste Professional performs analysis of clinical investigations of allegations of fraudulent and abusive practices. The Senior Clinical Fraud and Waste Professional work assignments involve moderately ..

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