Quality Improvement Professional

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

The Quality Improvement Professional 2 helps implement quality improvement and collaborative projects for Ohio's Medicaid program. The Quality Improvement Professional 2 assignments involve the analysis of situations or data that requires an in-depth evaluation of variable factors. You will partner with the Sr. Quality Improvement Professional on projects and deliverables. The Quality Improvement Professional 2 understands department, segment, and organizational strategy and operating goals.

You will need to work with people in the organization and outside of the organization. You will have experience with state agencies and have a sense of urgency when it comes to deliverables.

Use your skills to make an impact.

• 1-3 years of previous Quality Improvement experience
• Prior experience in health insurance or health care setting
• Prior experience in Managed care or related government agreements
• Prior experience in Medicaid membership
• Understanding of healthcare quality measures (i.e., HEDIS, CAHPS, STARS, CMS etc.)
• Understanding of healthcare quality standards

• Reside in Eastern Standard Time Zone
• Knowledge of QI methodologies (i.e. IHI model of improvement) and familiarity with QI Tools (i.e. FMEA, KDD, workflows/diagrams, root cause analysis)
• Ability to present information to internal and external stakeholders.
• Knowledge of policies, procedures, and systems used in quality improvement
• Experience in member/provider education and communications
• Knowledge of Humana's internal policies, procedures and systems
• Comprehensive knowledge of Microsoft Office Suite

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

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.

40

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.

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.

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our…