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RN Risk & Quality Auditor: CMS/NCQA Insights

Humana Inc

Humana, Inc. is seeking a Risk Management Professional 2 to lead quality audits within the CenterWell Utilization Management program, ensuring CMS and NCQA compliance. You will leverage Power BI and Power Apps to support audits, reporting, and performance monitoring, translating findings into actionable insights for leadership. The role requires deep expertise in clinical criteria and regulatory guidance, with a strong focus on data analysis, trend identification, and audit readiness from #J-18808-Ljbffr Humana Inc

Vacancy posted 1 day ago
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