Talent.com
Internal Audit Quality Assurance Professional
Internal Audit Quality Assurance ProfessionalColorado Staffing • Louisville, KY, US
Internal Audit Quality Assurance Professional

Internal Audit Quality Assurance Professional

Colorado Staffing • Louisville, KY, US
2 days ago
Job type
  • Full-time
Job description

Quality Assurance Professional 2

Become a part of our caring community and help us put health first. The Quality Assurance Professional 2 develops and implements programs to establish and maintain quality standards of existing products and services, as well as developing programs to focus employees on the quality of care given to patients. The Quality Assurance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Quality Assurance Professional 2 develops policies, procedures and methods to check operational quality and improve same. Trains and / or coaches staff and management in areas such as quality improvement, process management and reliability science. Maintains communications with administration, medical staff and department heads regarding quality assurance activities. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines / procedures.

Use your skills to make an impact.

Required Qualifications

  • BSN or RN required
  • 3+ years' experience in nursing within a direct patient care setting
  • Excellent organizational skills
  • Demonstrated strong written and oral communication skills
  • Excellent PC skills (including MS Word, Excel and Access) required.
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  • Demonstrated understanding of reviewing policies and procedures
  • If located in Louisville, KY or commutable distance this role will be hybrid from the Waterside Building.

Preferred Qualifications

  • Experience in managed care or health care administration
  • Prior experience working in a system analytics and / or data warehousing environment
  • Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

    WAH Internet Statement To ensure Home or Hybrid Home / Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home / Office employees must meet the following criteria : At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home / Office employees with telephone equipment appropriate to meet the business requirements for their position / job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel : While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

    Scheduled Weekly Hours

    40

    Pay Range

    The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year. This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

    Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

    Application Deadline : 11-04-2025

    About us Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

    Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https : / / www.humana.com / legal / accessibility-resources?source=Humana_Website.

    Create a job alert for this search

    Internal Audit • Louisville, KY, US

    Related jobs
    Premium Auditor-Hybrid

    Premium Auditor-Hybrid

    K2 Insurance Services, LLC • Louisville, Other / Non-US, US
    Full-time
    Midwestern Insurance Alliance (MIA) is seeking a full-time Premium Auditor to join its workers compensation audit team at its headquarters in Louisville, KY. MIA is a program administrator offering ...Show more
    Last updated: 1 day ago • Promoted
    Manager, Global Internal Audit

    Manager, Global Internal Audit

    Kentucky Staffing • Louisville, KY, US
    Full-time
    Our mission is to help people get jobs.We strive to cultivate an inclusive and accessible workplace where all people feel comfortable being themselves. We are looking to grow our teams with more peo...Show more
    Last updated: 4 days ago • Promoted
    Urology

    Urology

    CompHealth • Central, Indiana, US
    Full-time
    Urology physician job in Indiana : Whether you are searching for a position in your area or in another state, we have professionals to help you achieve your goals through our relationships with fac...Show more
    Last updated: 30+ days ago • Promoted
    Urology

    Urology

    Enterprise Medical Recruiting • Central, Indiana, US
    Full-time
    Urology physician job in Indiana : .Join a not-for-profit health system seeking a BC / BE Urologist to provide advanced urologic care supported by the latest da Vinci DV5 Robotic Surgery System.This i...Show more
    Last updated: 30+ days ago • Promoted
    Quality Assurance Manager

    Quality Assurance Manager

    VirtualVocations • Louisville, Kentucky, United States
    Full-time
    A company is looking for a Manager, Quality Assurance.Key Responsibilities Manage a team of QA Engineers and mentor them on best practices Oversee test planning and execution for web and mobile ...Show more
    Last updated: 30+ days ago • Promoted
    Systems Quality Assurance Lead

    Systems Quality Assurance Lead

    VirtualVocations • Louisville, Kentucky, United States
    Full-time
    A company is looking for a Systems / IT Quality Assurance Lead.Key Responsibilities Applies ISO 20000 and CMMI-SVC / DEV for automation, software integration, and systems engineering Aligns with Agi...Show more
    Last updated: 2 days ago • Promoted
    Risk Adjustment Quality Analyst

    Risk Adjustment Quality Analyst

    VirtualVocations • Louisville, Kentucky, United States
    Full-time
    A company is looking for an Individual & Family Plans (IFP) Quality Review and Audit Analyst.Key Responsibilities Conduct medical records reviews and accurate diagnosis code abstraction following...Show more
    Last updated: 30+ days ago • Promoted
    Certified Risk Adjustment Auditor

    Certified Risk Adjustment Auditor

    VirtualVocations • Louisville, Kentucky, United States
    Full-time
    A company is looking for a Quality Review and Audit Senior Analyst.Key Responsibilities Evaluate and audit medical documentation for diagnosis code accuracy and compliance Assign accurate ICD-10...Show more
    Last updated: 30+ days ago • Promoted
    Quality Assurance Associate

    Quality Assurance Associate

    VirtualVocations • Louisville, Kentucky, United States
    Full-time
    A company is looking for a Remote Quality Assurance Associate.Key Responsibilities Provide GDP Quality Assurance support, including annual supplier qualification and 3PL activities Manage upstre...Show more
    Last updated: 30+ days ago • Promoted
    Senior Quality Audit Specialist

    Senior Quality Audit Specialist

    VirtualVocations • Louisville, Kentucky, United States
    Full-time
    A company is looking for a Quality, Regulatory & Audit Specialist, Senior.Key Responsibilities Develop and improve policies, procedures, and templates within a document control system Conduct in...Show more
    Last updated: 5 days ago • Promoted
    Quality Assurance Specialist

    Quality Assurance Specialist

    VirtualVocations • Louisville, Kentucky, United States
    Full-time
    A company is looking for a Quality Assurance Specialist to conduct detailed reviews of course content and ensure educational materials meet established standards. Key Responsibilities Review cours...Show more
    Last updated: 30+ days ago • Promoted
    Quality Assurance Compliance Analyst

    Quality Assurance Compliance Analyst

    VirtualVocations • Louisville, Kentucky, United States
    Full-time
    A company is looking for a Quality Assurance & Compliance Analyst.Key Responsibilities Conduct audits of case files, billing, and service delivery for compliance with Medicaid waiver and DMAS reg...Show more
    Last updated: 16 days ago • Promoted
    Audit Analyst

    Audit Analyst

    VirtualVocations • Louisville, Kentucky, United States
    Full-time
    A company is looking for an Audit Analyst to lead and execute risk-based audits focusing on operational processes and regulatory compliance. Key Responsibilities Lead end-to-end audit engagements ...Show more
    Last updated: 30+ days ago • Promoted
    Risk Adjustment Audit Senior Analyst

    Risk Adjustment Audit Senior Analyst

    VirtualVocations • Louisville, Kentucky, United States
    Full-time
    A company is looking for a Quality Review and Audit Senior Analyst for Individual & Family Plans (IFP), focusing on Risk Adjustment Data Validation (RADV) audits. Key Responsibilities Coordinate d...Show more
    Last updated: 30+ days ago • Promoted
    Process Technician

    Process Technician

    Royer Corp • Madison, IN, US
    Full-time
    Immediate Process Technician openings on 1st, 2nd, & 3rd Shifts in downtown Madison, IN.Injection Molding Experience Preferred. Competitive Pay with Multiple Incentives Each Year.Paid Vacation, ...Show more
    Last updated: 30+ days ago • Promoted
    Quality Assurance Specialist III

    Quality Assurance Specialist III

    VirtualVocations • Louisville, Kentucky, United States
    Full-time
    A company is looking for a Quality Assurance Specialist III (Remote).Key Responsibilities Conducts audits of assigned functions for accuracy, compliance, and identifies transaction errors Assist...Show more
    Last updated: 2 days ago • Promoted
    Travel CT Tech - $2486 / Week

    Travel CT Tech - $2486 / Week

    Fusion Medical Staffing • Madison, IN, US
    Full-time
    Fusion Medical Staffing is seeking an experienced CT Tech for an exciting Travel Allied job in Madison, IN.Shift : Inquire Start Date : 11 / 16 / 2025 Duration : 13 weeks Pay : $2486 / Week.Fusion Medical ...Show more
    Last updated: 4 days ago • Promoted
    Dice Lead Shift 1A

    Dice Lead Shift 1A

    Royer Corp • Madison, IN, US
    Full-time
    Supervise the production in the dice room.Ensure that all operations are running efficiently and trouble-shoot any problems. Gather understand and follow work orders per schedule.Ensure the dice roo...Show more
    Last updated: 30+ days ago • Promoted