Healthcare Fraud Management Jobs in Alabama

Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

... Qualifications 3 plus years of healthcare fraud investigation experience 2 plus years ... knowledge and experience Experience in healthcare or in a managed care ... raw data and recommendations..

... and clinical compliance, and case management. Serve as a Humana Military/Humana ... for quality standards, claims accuracy, fraud, and required clinical elements. Perform ... clinical elements. Perform telephonic case..

Job Information Humana Manager, Fraud and Waste-Remote US in Mobile ... Mobile Alabama Description The Manager, Fraud and Waste conducts investigations of ... and abusive practices. The Manager, Fraud and..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Provide exceptional customer service in a safe and clean environment to ensure the customer's return visit. This is accomplished ..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Assist the pharmacist in reaching sales and profit goals established for the department and monitor all established quality assurance ..

... The Compliance Nurse reviews utilization management activities and documentation to ensure ... and to prevent and detect fraud, waste, and abuse. The Compliance ... plus Previous experience in utilization..

Description The Manager, 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 Manager, Compliance ..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Provide exceptional customer service in a safe and clean environment to ensure the customer's return visit. We accomplish this ..

... Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure ... and to prevent and detect fraud, waste, and abuse. The Supervisor, ... solve basic problems; collaborates with..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Provide exceptional customer service in a safe and clean environment to ensure the customer's return visit. This is accomplished ..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Provide exceptional customer service in a safe and clean environment to ensure the customer's return visit. This is accomplished ..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Provide exceptional customer service in a safe and clean environment to ensure the customer's return visit. This is accomplished ..

Description The Manager, Fraud and Waste, Genetic Counseling provides ... and abusive practices. The Manager, Fraud and Waste, Genetic Counseling works ... and goals. Responsibilities The Manager, Fraud and Waste,..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Provide exceptional customer service in a safe and clean environment to ensure the customer's return visit. This is accomplished ..

Description The CCM Compliance Professional 2 ensures compliance with governmental and contractual requirements. The CCM Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the ..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Provide exceptional customer service in a safe and clean environment to ensure the customer's return visit. This is accomplished ..

Job Information Humana Manager, Fraud and Waste-Remote US in Birmingham ... Birmingham Alabama Description The Manager, Fraud and Waste conducts investigations of ... and abusive practices. The Manager, Fraud and..

Description The Associate Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. Contributes to the investigations of fraud waste and our ..

Description Humana's Claims Cost Management (CCM) organization is seeking a ... organization is seeking a Manager, Fraud & Waste to join the ... in the US. As the Fraud &..

Company Name: Kroger Stores Position Type: Employee FLSA Status: Non-Exempt     POSITION SUMMARY: Provide exceptional customer service in a safe and clean environment to ensure the customer's return visit. This is accomplished ..

... and clinical compliance, and case management. Serve as a Humana Military/Humana ... for quality standards, claims accuracy, fraud, and required clinical elements. Perform ... clinical elements. Perform telephonic case..

Job Information Humana Manager, Fraud and Waste-Remote US in Huntsville ... Huntsville Alabama Description The Manager, Fraud and Waste conducts investigations of ... and abusive practices. The Manager, Fraud and..