JobMesh

Senior Quality Compliance Nurse Professional

Humana · US

Become a part of our caring community The Senior Quality Compliance Nurse Professional is an integral part of the Oklahoma Quality Improvement Department.

Job description

Become a part of our caring community The Senior Quality Compliance Nurse Professional is an integral part of the Oklahoma Quality Improvement Department. 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 role operates as a subject matter expert in Quality Compliance. 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. This position will be involved in studies as required by the External Quality Review Organization or the State and monitors activities and performance metrics for the Oklahoma Medicaid program. The Senior Quality Compliance Nurse Professional exercises considerable latitude in determining objectives and approaches to assignments, with work that influences the quality department and the Oklahoma Medicaid strategy. This role will completes data a...