Humana - Little Rock, AR
posted 10 days ago
The RN Compliance Nurse 2, Quality Assurance Auditor at Humana is responsible for reviewing utilization management activities and documentation to ensure compliance with policies, procedures, and regulations. This role focuses on preventing and detecting fraud, waste, and abuse while ensuring mandatory reporting is completed. The auditor conducts compliance audits, collects and analyzes data, and provides detailed audit results to support clinical operational teams in identifying corrective actions.