[Hiring] Senior Quality Compliance Nurse @Humana

Role Description

The Senior Quality Compliance Nurse Professional works with physicians/physician groups to ensure the highest accountability of compliance and quality. The role involves:

• Working on moderately complex to complex issues requiring in-depth evaluation of variable factors.
• Gaining more information about members and influencing department strategy.
• Making decisions on moderately complex to complex issues regarding technical approaches for project components.
• Performing work without direction and exercising considerable latitude in determining objectives and approaches to assignments.

Qualifications

• Must be a Registered Nurse with applicable state license.
• Must have HEDIS experience.
• Must have Value-based Payments experience.
• Must have Mortality Review experience.

Requirements

• Reside in Indiana (preferred).
• Occasional travel to Humana's offices for training or meetings may be required (remote position).

Benefits

• Competitive benefits that support whole-person well-being.
• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Time off including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance and many other opportunities.

Company Description

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

These efforts are leading to a better quality of life for:

• People with Medicare and Medicaid.
• Families and individuals.
• Military service personnel.
• Communities at large.