The board
- Hours
- Part time
- Where
- Remote South Carolina
- Posted
- Sep 10
Become a part of our caring community
The Quality Compliance Professional 2 completes annual quality reviews and research. The Quality Compliance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Quality Compliance Professional 2 completes medical records reviews for Coordination of Care studies. Analyze data and implement corrective actions. Review medical records for supplemental data and enter data in supplemental data base. Understand department, segment, and organizational strategy and operating goals, including their linkages to related areas. Regarding own work methods, occasionally in, and and receive guidance where needed.
What they want
- Must be a Current Military Spouse approved for a spousal internship or a Transitioning Military Service Member under the DOD SkillBridge Internship Program.
- Experience with HEDIS medical record review and abstraction.
- Knowledge of HEDIS, Stars, CMS Quality programs, and healthcare quality measures.
- Previous quality improvement, compliance, or managed care experience.Preferred Qualifications
- Bachelor's Degree or Equivalent Experience
- Active, unrestricted Registered Nurse (RN) or Licensed Practical Nurse (LPN) license in good standing.
- Experience reviewing, interpreting, and abstracting information from medical records.
- Clinical experience in a health plan, physician practice, hospital, or other healthcare setting.
About Humana
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large.
- Starts
- 2026-09-10