Become a part of our caring community and help us put health first
 

Senior Compliance Nurse Collects and analyzes data daily, weekly, monthly or as needed to assess outcome and operational metrics for the team and individuals, begins to influence department’s strategy, makes decisions on moderately complex-to-complex issues regarding technical approach for project components. Work is performed without direction with the ability to exercise considerable latitude in determining objectives and approaches to assignments.

               

• This position ensures mandatory reporting for Case Management audit team is completed timely and accurately.
• 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,
• Requires minimal direction and receives guidance where needed.
• Follows established guidelines/procedures.

Use your skills to make an impact
 

Required Qualifications

• Bachelor’s Degree
• Active Registered Nurse, RN, license in the state of Oklahoma with no discrepancies
• 5 years varied clinical nursing experience
• 1 year team lead or supervisory experience
• 2 years Compliance Auditing experience
• Health Plan or Medical Practice experience
• Proficient with Microsoft Office products including Word, Excel and Outlook, multiple systems, platforms, and ability to troubleshoot and resolve general technical issues.  
• Ability to work independently under general instructions and with a team
• Ability to travel 5-10% within Oklahoma as needed
• MUST RESIDE IN OKLAHOMA

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Additional Information

• Workstyle – Remote work at Home. Must be able to travel to the office for meetings and trainings. ​

Work at Home Criteria  

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 recommended; 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.  

 

  Interview Format  

As part of our hiring process for this opportunity, we will be using an interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire 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.  

Scheduled Weekly Hours

40

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 because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.