RN Risk & Quality Auditor — UM Data Leader
Job in
Concord, Merrimack County, New Hampshire, 03306, USA
Listed on 2026-07-14
Listing for:
Humana Inc
Full Time
position Listed on 2026-07-14
Job specializations:
-
Quality Assurance - QA/QC
Job Description & How to Apply Below
Humana Inc is seeking a Risk Management Professional 2 to lead quality audits within the UM program, ensuring CMS/NCQA compliance. You will leverage Power BI and Power Apps to support audit processes, reporting, and performance monitoring.
The ideal candidate holds an active RN license with extensive utilization management and regulatory knowledge, capable of translating findings into actionable insights for leadership.
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