Back to the board

Sr Quality Compliance Nurse

100% remote Flexible hours Hiring now

Become a part of our caring community The Senior Quality Compliance Nurse Professional works with physicians/physician groups to ensure highest accountability of compliance and quality. The Senior Quality Compliance Nurse Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Quality Compliance Nurse Professional works to gain more information about members Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and performs work without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact

Required Qualifications

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

Preferred Qualifications

  • Reside in Indiana

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $78,400 - $107,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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. About us About Humana: 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, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com. ​ Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Apply To This Job

Keep exploring

Primary Care Nurse RN or LPN - Hybrid Remote, Quailbrook

100% remote Flexible hours

Registered Nurse - Virtual Acute Care

100% remote Flexible hours

LPN – Advanced Care Planning Specialist, Remote, Multistate

100% remote Flexible hours

Remote Prior Authorization Pharmacist (PBM Experience Required)

100% remote Flexible hours

Clinical Pharmacist Patient Care - Remote in TX Market Only

100% remote Flexible hours

Consulting Pharmacist - FuzeRx

100% remote Flexible hours

Staff Pharmacist, Hiring ASAP- Remote

100% remote Flexible hours

Clinical Pharmacist - Population Health - Remote

100% remote Flexible hours

Telehealth Nurse – Specialty Pharmacy Patient Support

100% remote Flexible hours

[Hiring] Telehealth Nurse @CopilotIQ

100% remote Flexible hours

Senior Clinical Research Associate

100% remote Flexible hours

Senior Medical Writer (Remote - US)

100% remote Flexible hours

Insurance_Policy Administration_Senior Process Associate _German_Remote EMEA!

100% remote Flexible hours

Licensed or Registered Therapist (MFT, Counseling, Social Work)-Oregon

100% remote Flexible hours

eCornell Salesforce Developer (Remote)

100% remote Flexible hours

Remote Data Entry Associate – Flexible Home‑Based Role for High‑School Teens at arenaflex – Earn‑While‑Learn Opportunity

100% remote Flexible hours

Experienced Data Entry Specialist – Remote Opportunity in arenaflex's United States Operations

100% remote Flexible hours

Director, eCommerce Technology (Engineering)

100% remote Flexible hours

Account Manager - South Boston

100% remote Flexible hours

Bilingual Case Management Coordinator

100% remote Flexible hours