Senior Quality Compliance Professional
Humana
full-time
Posted on:
Location Type: Remote
Location: Remote • Missouri • 🇺🇸 United States
Visit company websiteSalary
💰 $78,400 - $107,800 per year
Job Level
Senior
About the role
- Collaborate with internal and external customers to meet benchmarks, goals and complete time sensitive deliverables for Quality Improvement clinical and non-clinical performance projects
- Involved in studies as required by the External Quality Review Organization or the State and monitors activities and performance metrics for the Michigan Medicaid program
- Completes data analysis and implement quality improvement programs as needed
- May participate in multidisciplinary committees, both external and internal and conduct briefings and area meetings
- Additional responsibilities based on business need
Requirements
- Must reside in MI or within 40 miles of the border in Indiana or Ohio
- Bachelor's degree or 4+ years relevant work experience in healthcare settings
- Knowledge of quality and process improvement approaches (PDSA, DMAIC, etc.)
- Experience presenting information to internal and/or external stakeholders
- Demonstrated ability to partner with senior leadership on strategic initiatives
- Comprehensive knowledge of Microsoft Word, Excel and PowerPoint
- RN License for State of MI, unrestricted (preferred)
- Experience with Medicaid programs, LTSS and program population strongly preferred
- Previous experience with QI Science and methodologies (IHI) (preferred)
- Certified Professional in Healthcare Quality (CPHQ) (preferred)
- Project Management skills (preferred)
Benefits
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisquality improvement programsquality and process improvement approachesPDSADMAICQI Science methodologiesproject management
Soft skills
collaborationpresentation skillspartnership with senior leadershipcommunication
Certifications
RN License for State of MICertified Professional in Healthcare Quality (CPHQ)