Humana·20 days ago
20 days ago
Quality Compliance Professional
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About this role
Seeking a Quality Compliance Professional to conduct annual quality reviews and medical record analyses for Coordination of Care studies. Key responsibilities include data analysis, implementing corrective actions, and supporting care delivery. Ideal for transitioning military service members or approved military spouses with experience in healthcare quality and compliance.
Skills
- hedis medical record review
- medical record abstraction
- cms quality programs
- healthcare quality measures
- quality improvement
- compliance
- managed care
- data analysis
- corrective action implementation
- registered nurse license
- licensed practical nurse license
- clinical experience
- interpretation of medical records
- hipaa compliance
- team collaboration
- project support
Company
Humana
Remote, South Carolina
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