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Description The Compliance Lead (Medicaid Contract Administrator) ensures compliance with governmental requirements, works on problems of diverse scope and complexity ranging from moderate to substantial. The Compliance Lead (Medicaid Contract Administrator) ..
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 ..
Description The Manager, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Manager, Care Management works within specific guidelines and procedures; applies advanced technical knowledge ..
Job Information Humana Manager, Fraud and Waste-Remote US in Greenville South Carolina Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
... The Strategy Operations team provides consulting services to Humana's lines of ... Required Qualifications 2-5 years of consulting, corporate strategy, (or data/business analysis ... Data Science, Data Analytics, etc.)..
Job Information Kindred at Home BAYLOR (Weekend), Registered Nurse, Home Health Full Time in Greenville South Carolina BAYLOR (WEEKEND) FT RN - Saturday, Sunday, 1 Weekday As a Home Health Registered ..
Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..
Job Information Kindred at Home Registered Nurse, Home Health Full Time in Greenville South Carolina As a Home Health Registered Nurse , you will: Provide admission, case management, and follow-up skilled ..