Healthcare Fraud Analyst Jobs in Gretna, Louisiana | HealthcareCrossing.com


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15

Healthcare Fraud Analyst Jobs in Gretna






Job info
 
Company
**********
Location
Metairie, LA
Posted Date
Apr 28, 2021
Info Source
Employer  - Full-Time  90 

... detecting and investigation of potential fraud and provide clinical guidance to ... reviewing of medical records for fraud, waste or abuse as well ... detecting and investigation of potential..

 
Company
**********
Location
Metairie, LA
Posted Date
Mar 22, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Medicaid Associate Director, Compliance Nursing in Metairie Louisiana Description The Associate Director, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations ..

 
Company
**********
Location
Metairie, LA
Posted Date
Mar 31, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Associate Director for ACD Audit , at the director of the Director of Payment Integrity, will create and implement process improvement plans focused on the beneficiary and provider ..

 
Company
**********
Location
Metairie, LA
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
Metairie, LA
Posted Date
Apr 08, 2021
Info Source
Employer  - Full-Time  90  

Description The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward ..

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

Description The Senior Clinical Fraud and Waste Professional performs analysis ... abusive practices. The Senior Clinical Fraud and Waste Professional work assignments ... factors. Responsibilities The Senior Clinical Fraud and..

 
Company
**********
Location
Metairie, LA
Posted Date
Oct 30, 2021
Info Source
Employer  - Full-Time  90  

Description The Louisiana Medicaid Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to develop, ..

 
Company
**********
Location
Metairie, LA
Posted Date
Apr 11, 2021
Info Source
Employer  - Full-Time  90  

Description The Senior Compliance Nurse reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Senior Compliance ..

 
Company
**********
Location
Metairie, LA
Posted Date
Jun 11, 2021
Info Source
Employer  - Full-Time  90  

Description This role has responsibility for the oversight and monitoring of the Autism Care Demonstration (ACD) team performance to ensure compliance with contract and complex ACD policy requirements as defined by ..

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

Job Information Humana Senior Fraud and Waste Investigator-- REMOTE/WORK AT ... looking for an experienced Senior Healthcare Investigator to join its industry ... have a passion for combating Fraud, Waste,..

 
Company
**********
Location
Metairie, LA
Posted Date
Nov 17, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Senior Care Manager, Behavioral Health (BCBA) in Metairie Louisiana Description Responsibilities The Senior Care Manager, Behavioral Health (BCBA) is responsible for the administration and monitoring of the Autism ..

 
Company
Humana Inc.
Location
Metairie, LA
Posted Date
Aug 27, 2021
Info Source
Employer  - Full-Time  90  

Description Responsibilities The Care Manager, Behavioral Health 2 (BCBA) is responsible for the administration and monitoring of the Autism Care Demonstration (ACD) including coordination of services for ABA Therapy, benefits provided ..

 
Company
**********
Location
Metairie, LA
Posted Date
Nov 06, 2021
Info Source
Employer  - Full-Time  90  

Job Information Humana Genetic Counselor (Board Certified)-Remote/Virtual in US in Metairie Louisiana Description Humana is seeking a Board Certified Genetic Counselor to join our Special Investigations Unit - Clinical Review team ..

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

Job Information Humana Fraud and Waste Investigator - Work ... is looking for an experienced Healthcare Investigator to join its industry ... have a passion for combating Fraud, Waste, and..

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

Description The Nurse Auditor 2 will work on the clinical research and development team with coders, clinicians and genetic counselors to develop, implement and maintain clinical lab audit concepts. The Nurse ..

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