Humana·2 days ago
2 days ago
Program Integrity Researcher
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What you'll do
- Review and document incoming allegations and referrals related to fraud, waste, and abuse
- Support program integrity operations by maintaining accurate records and gathering supporting documentation
What they're looking for
- Strong organizational skills
- Experience in data entry
- Experience in telephone outreach
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Become part of our team as a Program Integrity Researcher, where you will review and document incoming allegations and referrals related to fraud, waste, and abuse. You will support program integrity operations by maintaining accurate records and gathering supporting documentation. Ideal candidates have strong organizational skills and experience in data entry and telephone outreach.
Skills
- case management systems
- medical claims analysis
- program integrity operations
- documentation
- telephone outreach
- healthcare documentation
- database management
- claims data analysis
- fraud investigation
- waste investigation
- abuse investigation
- hipaa compliance
- critical thinking
- organizational skills
- time management
- collaboration
- problem solving
Company
Humana
Remote, Kentucky
Company facts come from this company's own listings. We only show what the postings themselves carry.