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Description Humana Military is the Managed Care Support Contractor (MCSC) for the Department of Defense (DoD) charged with administering the TRICARE health plan in the East Region. While the contract is ..
... of the Senior IT Internal Auditor includes these and more! The ... more! The Senior IT Internal Auditor develops, directs, plans and evaluates ... Responsibilities The Senior IT Internal..
Job Information Humana IT Exception Management Professional 2 in Metairie Louisiana Description Are you a fit? Do you have a passion for being able to impact and influence the direction of ..
Description Humana's Provider Payment Integrity organization is looking for a Senior Vendor Management Professional to join the Data Mining Vendor Management team! As the Senior Vendor Management Professional you will act ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Metairie Louisiana Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Metairie Louisiana Description We are looking for a talented risk and compliance expert to help build a best ..
Description The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The Senior Risk Management Professional work assignments involve moderately complex to complex issues where the ..
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 ..
Description The Claims Quality Audit Representative 3 audits claims for coding accuracy, benefit payment, contract interpretation, and compliance with policies and procedures. The Claims Quality Audit Representative 3 performs advanced administrative/operational/customer ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Metairie Louisiana Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..