Senior Quality Compliance Nurse Professional

CarePlus Health Plans Inc

Oklahoma City, Oklahoma, US
Base: $78,400 - $107,800 py; bonus/equity: eligibl...
Hybrid
Quality improvement clinical performance
Quality compliance subject matter expert
Oklahoma medicaid program monitoring
This role will collaborate with internal and external customers to meet benchmarks, goals and complete time sensitive deliverables for Quality Improvement clinical and non-clinical performance projects

Job Summary

  • This role will collaborate with internal and external customers to meet benchmarks, goals and complete time sensitive deliverables for Quality Improvement clinical and non-clinical performance projects.
  • The Senior Quality Compliance Nurse Professional makes decisions on moderately complex to complex issues regarding technical approach for project components, works independently, sometimes in ambiguous situations and work may be performed with minimal direction to ensure the highest accountability of compliance and quality.
  • Humana offers a variety of benefits to promote the best health and well-being of our employees and their families, including health benefits effective day 1, paid time off, and a 401(k) retirement savings plan with employer match.

Matching Summary

This role will collaborate with internal and external customers to meet benchmarks, goals and complete time sensitive deliverables for Quality Improvement clinical and non-clinical performance projects.

Salary

Base: $78,400 - $107,800 per year; Bonus/Equity: eligible for a bonus incentive plan; Benefits: competitive benefits package

Skills & Requirements

Must-have

  • Quality Improvement clinical performance
  • Quality Compliance subject matter expert
  • Oklahoma Medicaid program monitoring
  • Data analysis and quality improvement implementation
  • Work from home with internet criteria

Nice-to-have

  • Collaborate with senior leadership
  • Participate in multidisciplinary committees
  • Drive strategic initiatives
  • Partner with managed care

Key Requirements

  • RN License for State of OK
  • Bachelor's degree or 4+ years relevant work experience
  • Knowledge of quality and process improvement approaches
  • Experience presenting information to stakeholders
  • Comprehensive knowledge of Microsoft Office Suite
  • Must reside in the state of Oklahoma

Work Rights

Not specified

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