Healthcare Fraud Management Jobs in Colorado

... Director, Compliance Nursing reviews utilization management activities and documentation to ensure ... and to prevent and detect fraud, waste, and abuse. The Associate ... and quality performance and staffing..

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 ..

Description The Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

Company Name: Kroger General Office Position Type: Employee FLSA Status: Non-Exempt    POSITION SUMMARY Complete the filling of prescriptions in the High-Volume Pharmacy fulfillment center. This includes manual entry, repetitive picking, operating ..

... 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..

... 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..

Company Name: City Market 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 ..

Company Name: City Market 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 ..

Department: KS Pharmacy Position Type: Employee Position Reports To: Pharmacist, Pharmacy Manager Position Supervises: N/A Pay Level: FLSA Status: Non-Exempt     POSITION SUMMARY: Create an outstanding customer experience through exceptional service. Establish ..

Description The Compliance Nurse 2 reviews medical management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..

Company Name: City Market 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 ..

Company Name: City Market 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 ..

... 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..

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,..

Department: KS Pharmacy Position Type: Employee Position Reports To: Pharmacist, Pharmacy Manager Position Supervises: N/A Pay Level: FLSA Status: Non-Exempt     POSITION SUMMARY: Create an outstanding customer experience through exceptional service. Establish ..

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: City Market 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 ..

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

Company Name: King Soopers 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 ..

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 ..

Company Name: City Market 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..

DEPARTMENT: JDMS Pharmacy POSITION TYPE: Employee POSITION REPORTS TO: Pharmacist POSITION SUPERVISES: N/A PAY LEVEL: N/A FLSA STATUS: Non-Exempt  POSITION SUMMARY Provide exceptional customer service to help people live healthier lives ..