Remote RN Risk & Quality Auditor
Remote / Online - Candidates ideally in
Trenton, Mercer County, New Jersey, 08628, USA
Listed on 2026-07-13
Trenton, Mercer County, New Jersey, 08628, USA
Listing for:
Humana Inc
Remote/Work from Home
position Listed on 2026-07-13
Job specializations:
-
Quality Assurance - QA/QC
Job Description & How to Apply Below
Humana Inc. seeks a Risk Management Professional 2 to lead quality audits within Center Well UM, ensuring CMS/NCQA compliance and data‑driven insights. You’ll analyze clinical criteria, leverage Power BI/Power Apps, and translate findings into actionable improvements with cross‑functional teams.
Active RN required; strong regulatory knowledge and audit readiness mindset essential. This remote role offers a bonus plan and opportunities for quality improvement impact across inpatient to post‑acute
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