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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 ..
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 ..
Description Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of a ..
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 ..
Title: QA Analyst Duration: 12 months Location: Albany ... As a Quality Assurance (QA) Analyst, you will collaborate with team ... our clients through today's ever-changing healthcare landscape. Your day-to-day..
Title: SADC QA Analyst Location: Albany, NY Will be ... As a Quality Assurance (QA) Analyst, you will collaborate with team ... our clients through today's ever-changing healthcare landscape. Your..
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 ..
Job Information Humana Enterprise Risk Management Lead-US-Remote in Albany New York Description The Sales Conduct Risk Management Lead a critical member of Humana's Third Party Risk Management Program (TPRM), a 2nd ..
Job Information Humana Nurse Auditor 2/ER - WFH/REMOTE-- Anywhere in the US in Albany New York Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation ..
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 ..
... As a Senior Clinical Quality Analyst, you will support health plan ... As our Senior Clinical Quality Analyst, you will travel throughout New ... providers Scoring audits and writing..
Title: Quality Assurance Analyst Location: Albany, NY. Local candidates only. Candidates who do not reside in the Albany, NY area will not be considered for the position. This position has a ..
... a Conflict of Interest Review Analyst. In this role, the Conflict ... role, the Conflict of Interest Analyst (COI Analyst) is responsible for analyzing and ... Director might assign...
... 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..
Title: QA Analyst Location: Albany, NY - Will ... 3/31/2023 As a Quality Assurance Analyst, you will collaborate with team ... our clients through today's ever-changing healthcare landscape. Your day-to-day..
... 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..
Job Information Humana Senior Risk Management Professional - Third Party Risk Management-Remote, US in Albany New York Description The Senior Risk Management Professional a critical member within Humana's Third Party Risk ..
... 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..
... 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..
Job ID 21000MDOAvailable Openings 1PURPOSE AND SCOPE: Conducts data quality audits of outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation ..
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 ..
