Remote Quality Compliance Specialist NCQA Data-Driven

Humana Inc; Michigan; Hybrid; USD 71,000 - 98,000; Full time

Benefits offered by this job

Medical, dental and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Disability insurance

Life insurance

Job summary

Humana Inc. in Michigan seeks a Quality Compliance Professional 2 to collaborate with internal and external customers to meet benchmarks and deliver time-sensitive quality projects.

You will act as a subject matter expert in quality compliance and support NCQA accreditation efforts. Requirements include a Michigan resident with a Bachelor's degree, clinical background, LTSS and NCQA experience, plus strong communication and data analysis skills.

Qualifications

• Bachelor's degree required.
• Clinical background and LTSS experience preferred.
• NCQA accreditation experience preferred.
• Strong communication and data analysis skills.
• Proficiency with Microsoft Word, Excel and PowerPoint.

Responsibilities

• Perform medical records reviews and support regulatory adherence.
• Analyze data and implement corrective actions as needed.
• Support NCQA accreditation efforts and related activities.
• Provide guidance on work methods with limited direction.

Skills

Analytical skills

Oral/written communication

Presentation skills

Microsoft Office proficiency

Education

Bachelor's degree

Tools

Microsoft Word

Microsoft Excel

PowerPoint

Job description

Humana Inc. in Michigan seeks a Quality Compliance Professional 2 to collaborate with internal and external customers to meet benchmarks and deliver time-sensitive quality projects.

You will act as a subject matter expert in quality compliance and support NCQA accreditation efforts. Requirements include a Michigan resident with a Bachelor's degree, clinical background, LTSS and NCQA experience, plus strong communication and data analysis skills.