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Remote Risk Adjustment QA Auditor III

Remote / Online - Candidates ideally in
Blue Springs, Jackson County, Missouri, 64013, USA
Listing for: Humana
Full Time, Remote/Work from Home position
Listed on 2026-11-05
Job specializations:
  • Quality Assurance - QA/QC
Salary/Wage Range or Industry Benchmark: 43000 - 56000 USD Yearly USD 43000.00 56000.00 YEAR
Job Description & How to Apply Below

Humana seeks a Risk Adjustment Representative 3 to conduct QA audits of medical records and ICD-9/10 codes submitted to CMS and other government agencies. The role requires independent judgment, supports administrative tasks, and may use intermediate mathematical skills. Travel up to 20% to CA provider offices is required.

Responsibilities include managing sites, tracking records, and collaborating with IPA/Medical Groups. This is a remote position with standard M-F hours and top-tier benefits.

We are seeking a motivated Remote Risk Adjustment QA Auditor III to join Humana in California, MO, United States.

This role, Remote Risk Adjustment QA Auditor III at Humana, could be your next move.

Are you ready to take on the Remote Risk Adjustment QA Auditor III role at Humana?

We would love to welcome a new Remote Risk Adjustment QA Auditor III to our group in California, MO, United States.

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