Compliance Registered Nurse
Humana(20 days ago)
About this role
The Compliance Registered Nurse 2 at Humana supports the organization's compliance and accreditation efforts, focusing on NCQA and regulatory adherence across state contracts and policies. The role contributes to risk mitigation and quality standards within the compliance function and is primarily remote with occasional in-office meetings.
Required Skills
- NCQA
- State Audits
- Auditing
- Data Analysis
- Microsoft Excel
- Policy Enforcement
- Compliance Monitoring
- Reporting
- Case Management
Qualifications
- Active RN License (SC)
- BSN
- CCM
About Humana
humana.comExplore Medicare plans and health insurance coverage to fit your lifestyle. Turning 65 or recently qualified? Sign up for Medicare coverage! Start with healthy, start with Humana.
View more jobs at Humana →Apply instantly with AI
Let ApplyBlast auto-apply to jobs like this for you. Save hours on applications and land your dream job faster.
More jobs at Humana
Similar Jobs
Payer Delegation and Compliance Specialist
Anders(1 month ago)
Director, Clinical Care Services - New Mexico, Remote
Magellan Health(1 month ago)
Associate, Risk/Compliance
Oscar Health(11 days ago)
Accreditation Program Manager - Hybrid
Blue(30 days ago)
Associate, Risk/Compliance
Oscar Health(11 days ago)
Accreditation Specialist
Evergreen Nephrology(2 months ago)