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Job Information Humana Manager, Fraud and Waste-Remote US in Baton Rouge Louisiana Description The Manager, Fraud and Waste conducts investigations of allegations of fraudulent and abusive practices. The Manager, Fraud and ..
Description The Behavioral Health Strategy Lead (Behavioral Health Coordinator) shall have responsibility for clinical program development and oversight of staff and services related to the delivery of covered mental health and ..
... in Louisiana is seeking an Associate Director, Care Management who will ... responsible for care management. The Associate Director, Care Management requires a ... care and treatment. Responsibilities The..
Description The Medicaid Housing Specialist (Care Management Support Professional 1)contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..
... in Louisiana is seeking an Associate Director, Care Management(Behavioral Health) who ... responsible for care management. The Associate Director, Care Management requires a ... care and treatment. Responsibilities The..
Description Humana Healthy Horizons in Louisiana is seeking Behavioral Health Liaisons to join our growing team. The Behavioral Health (BH) Liaisons will be responsible for ensuring connection, coordination, outreach, education, 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.)..
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, 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). ..
