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RN Risk & Quality Auditor, CMS/NCQA Focus

Humana Inc

Humana Inc is seeking a Risk Management Professional 2 to lead quality audits within CenterWell UM, ensuring CMS/NCQA compliance and regulatory readiness. The role emphasizes audit accuracy, data analysis, and identifying risks using Power BI and Power Apps. The ideal candidate is an RN with deep knowledge of clinical criteria and regulatory guidance, capable of translating audit findings into actionable insights for leadership and cross-functional teams. #J-18808-Ljbffr Humana Inc

Vacancy posted 1 day ago
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