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Senior Quality Assurance Clinical Professional - Remote

Posted 2 days ago
QA
Full Time
MI, USA
$86,300 - $118,700/year

Overview

The Senior Quality Assurance, Clinical Professional is responsible for ensuring high accountability of compliance and quality in clinical products and services, collaborating with clinicians and supporting quality standards.

In Short

  • Conducts concurrent and retrospective case audits.
  • Assists with audit preparation and visits.
  • Supports quality improvement and compliance projects.
  • Participates in Governance Meetings.
  • Requires applicable State licensure in the field of study.
  • Influences department strategy and makes decisions on complex issues.
  • Exercises considerable latitude in determining objectives.
  • Must have excellent communication skills.
  • Proficient in Microsoft Office products.
  • Remote position with occasional travel required.

Requirements

  • Active Nurse license required.
  • Must reside in Michigan.
  • Bachelor's degree required.
  • Minimum 6 months of relevant experience.
  • Ability to interpret medical records and literature.
  • Experience with Medicare and clinical criteria.
  • Demonstrated ability to operate independently.
  • Experience in compliance oversight preferred.
  • Familiarity with healthcare regulations.
  • Continuous quality improvement experience preferred.

Benefits

  • Competitive medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Paid time off and holidays.
  • Short-term and long-term disability benefits.
  • Life insurance and other opportunities.

Go365

Go365

004 Humana Insurance Company is dedicated to putting health first for its teammates, customers, and the communities it serves. As a leading provider of insurance and healthcare services, Humana focuses on improving the quality of life for millions of individuals, including those with Medicare and Medicaid, families, and military personnel. The company emphasizes a holistic approach to well-being, offering a range of benefits designed to support personal wellness and smart healthcare decisions. Humana is committed to fostering an inclusive workplace and actively promotes equal opportunity for all employees.

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