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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 ..
15,891 Job Information Deloitte Audit Senior Assistant - Tampa in Tampa Florida Do you have the forward-looking view to match ours? We are investing heavily in new innovations in data analytics ..
Description The Quality Audit Coordinator 2 analyzes and investigates quality issues. The Quality Audit Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine ..
... 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 Health Services Compliance Manager - Remote FL in Tampa Florida Description The Manager, Compliance (UM) conducts and summarizes compliance audits. The Manager, Compliance (UM) works within specific guidelines ..
Remote Inpatient Coding Opportunity – Full-time/Director Hire Requirements: 3+ years of Inpatient Coding, Auditing experience preferred Credentials: CCS, RHIT, or RHIA Required Reviews and evaluates hospital inpatient medical record documentation to ..
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 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 ..
Job Information Humana Senior IT Compliance Professional- Controls Management (Remote / Virtual) in Tampa Florida Description We are looking for a talented risk and compliance expert to help build a best ..
Job Information Humana Associate Director of Clinical Audit, Payment Integrity - REMOTE in US in Tampa Florida Description The Associate Director of Clinical Audit, Payment Integrity uses their clinical experience and ..
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 IT Exception Management Professional 2 in Tampa Florida Description Are you a fit? Do you have a passion for being able to impact and influence the direction of ..
Job Information Humana Manager, Compliance - Agent Investigation Unit in Tampa Florida Description The Manager, Compliance ensures compliance with governmental requirements. The Manager, Compliance works within specific guidelines and procedures; applies ..
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 ..
Description The Manager, Compliance (UM) conducts and summarizes compliance audits. This role works within specific guidelines and procedures; applies advanced technical knowledge to solve moderately complex problems; receives assignments in the ..
Description The Supervisor, Compliance (UM) conducts and summarizes compliance audits. The Supervisor, Compliance (UM) works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve ..
Description Author, recently launched by Humana, is a service experience designed to meet the whole-health needs of the people we serve. Created to innovate with the speed and agility of a ..
