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Humana

Quality Compliance Professional

Remote Michiganremote

Posted today · via Workday

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About this role

Become a part of our caring community The Quality Compliance Professional role is an integral part of the Michigan Quality Department. You will collaborate with internal and external customers to meet benchmarks, goals and complete time sensitive deliverables for quality clinical and non-clinical projects. You will operate as a subject matter expert in Quality Compliance. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Quality Compliance Professional 2 completes medical records reviews, supports adherence to regulatory requirements for member and health plan management. Guide and support efforts for successful NCQA accreditation.…

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What we'd score you on

reqspace match rubric

Five dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.

1

Skills match

For this role: segment, hipaa

2

Level fit

We check your title trajectory against the seniority signal of the role.

3

Domain experience

Your work in the role's domain matters more than your years total. We weight recent and direct experience.

4

Recency

A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.

5

Location fit

This role is remote-eligible — we factor in your stated location and time-zone overlap.

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Skills in this role

Pulled from the job description. These are the keywords we'll weight when scoring your fit.

segmenthipaa

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