Sr Quality Compliance Nurse

HumanaWork at Home - Indiana, IN
$78,400 - $107,800Remote

About The Position

The Senior Quality Compliance Nurse Professional works with physicians/physician groups to ensure the highest accountability of compliance and quality. The Senior Quality Compliance Nurse Professional's 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, and makes decisions on moderately complex to complex issues regarding technical approach for project components, performing work without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Requirements

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

Nice To Haves

  • Reside in Indiana

Responsibilities

  • Works with physicians/physician groups to ensure highest accountability of compliance and quality.
  • Analyzes moderately complex to complex issues requiring in-depth evaluation of variable factors.
  • Gains more information about members.
  • Begins to influence department's strategy.
  • Makes decisions on moderately complex to complex issues regarding technical approach for project components.
  • Performs work without direction.
  • Exercises considerable latitude in determining objectives and approaches to assignments.

Benefits

  • medical
  • dental
  • 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
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