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Humana is seeking a Quality Assurance Professional to review LTSS contractor documentation and performance for compliance with contract scope and state/federal regulations. You will prevent fraud, waste, and abuse, interpret guidelines, and coordinate with LTSS leadership to ensure timely audits. The role requires Michigan proximity or travel, a Bachelor's degree, 2+ years in care/utilization management, and strong data analysis.

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Level

Senior L5

Location

New York, NY

Occupation

Quality Control Systems Managers

Industry

Other Management Consulting Services

Posted

5 days ago

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