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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 ..
Description The Home Compliance & Risk Management Lead contributes ... strategy by supporting risk and compliance initiatives across Home Solutions teams ... Home Solutions teams within the Healthcare Services organization...
Description The Compliance Manager ensures compliance with governmental requirements. The Compliance Manager works on problems of ... moderate to substantial. Responsibilities The Compliance Manager develops and implements compliance policies and..
Job Information Humana Medical Coding Auditor - Outpatient & Surgical Specialty ... Florida Description The Medical Coding Auditor reviews medical claims submitted against ... CPT, HCPCS). The Medical Coding Auditor..
Description Senior Compliance Professional ensures compliance with governmental requirements as they ... Medicaid State reporting. The Senior Compliance Professional work assignments involve moderately ... variable factors. Responsibilities The Senior Compliance..
Description The Manager, Compliance (UM) conducts and summarizes compliance audits. This role works within ... and goals. Responsibilities The Manager, Compliance (UM) collects and analyzes data ... managers across the..
Job Information Humana RN, Compliance Nurse 2 (Quality Assurance Audit) ... Tampa Florida Description The RN, Compliance Nurse 2 reviews utilization management ... waste, and abuse. The RN Compliance Nurse..
Hospital Coding Auditor (IP/OP) - Remote Location : ... and Advisory Services. The Coding Auditor ensures that coding compliance initiatives are met for our ... and other factors. The Coding..
Job Information Humana Health Services Compliance Manager - Remote FL in ... Tampa Florida Description The Manager, Compliance (UM) conducts and summarizes compliance audits. The Manager, Compliance (UM) works within..
Description The DRG Validation Auditor extracts clinical information from a ... patient records. The Medical Coding Auditor work assignments are varied and ... action. Responsibilities The DRG Validation Auditor confirms..
Job Information Humana Bilingual Quality Auditor in Tampa Florida Description The ... Florida Description The Bilingual Quality Auditor/ Professional 2 ensures that products ... ensure accuracy. Responsibilities Bilingual Quality Auditor/..
Description The Compliance Nurse 2 reviews utilization management ... fraud, waste, and abuse. The Compliance Nurse 2 work assignments are ... appropriate courses of action. The Compliance Nurse 2 will..
... seeking an Associate Director, Quality Compliance Nursing that works with physicians/physician ... to ensure highest accountability of compliance and quality. The Associate Director, ... quality. The Associate Director, Quality..
Description The Supervisor, Compliance Nursing reviews utilization management activities ... waste, and abuse. The Supervisor, Compliance Nursing works within thorough, prescribed ... analytical approach. Responsibilities The Supervisor, Compliance Nursing ensures..
Description The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g. CPT) to patient records. The Medical Coding Auditor ..
Description The Senior Compliance Professional ensures compliance with governmental requirements, specifically risk ... clinics including serving as a compliance subject matter expert for revenue ... value-based care programs. The Senior..
Job Information Humana RN Compliance Auditing in Tampa Florida Description ... Auditing in Tampa Florida Description Healthcare isn't just about health anymore. ... of our patients, and the healthcare industry...
