Senior Quality Improvement Professional - Humana
Tallahassee, FL
About the Job
Become a part of our caring community and help us put health first
The Senior Quality Improvement Professional is an integral part of the Florida Quality Improvement Department. This role will collaborate with internal and external customers to complete fast-paced and time sensitive projects.
The Senior Quality Improvement Professional will ensure The Florida Agency for Healthcare Administration benchmarks, goals and deliverables for Quality Improvement clinical and non-clinical performance projects are met. This role is expected to research, gather information and analyze data in an expedited timeframe and use QI tools and templates to report out in cross-functional workgroups/subgroups using the tenants of QI Science. This position will also require leading internal and external workgroups for the collaborative as directed. The Senior Quality Improvement Professional works independently, sometimes in ambiguous situations, and work may be performed with minimal direction. The position will have additional responsibilities based on business needs
Use your skills to make an impact
Required Qualifications:
+ Active licensed nurse in the state of Florida or Enhanced Nurse License Compact, eNLC, without disciplinary action
+ Bachelor’s degree
+ Experience with QI methodologies (i.e., IHI model of improvement) and familiarity with QI Tools and reporting (i.e., FMEA, PDSA, DMAIC workflows/diagrams, root cause analysis)
+ Intermediate to Advanced proficiency performing moderate to complex data analysis
+ Demonstrated ability to manage and prioritize multiple project deadlines
+ Understanding of healthcare quality measures such as CAHPS, NCQA, HEDIS, etc.
+ Ability to build strong relationships and collaborate with interdisciplinary teams, and vendors
+ Excellent oral, written, and confident presentation skills providing information to internal and external stakeholders
+ Intermediate or better working knowledge of Microsoft Office Suite including Word, Excel and PowerPoint,
Preferred Qualifications
+ Advanced degree in business, healthcare, or related field
+ Certified Professional in Healthcare Quality (CPHQ)
+ Previous Medicaid Health Plan experience
+ Behavioral Health experience
Additional Information
Workstyle: Remote work at home
Location: Florida
Schedule: 40-hour work week Monday through Friday
+ Standard hours are 8:00 AM to 5:00 PM Eastern
+ Must be able to manage schedule and prioritize meetings in Eastern Time Zone
Travel: Occasional travel one time annually as business needs
Work at Home Guidance 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: 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 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.
SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Benefits Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:
+ Health benefits effective day 1
+ Paid time off, holidays, volunteer time and jury duty pay
+ Recognition pay
+ 401(k) retirement savings plan with employer match
+ Tuition assistance
+ Scholarships for eligible dependents
+ Parental and caregiver leave
+ Employee charity matching program
+ Network Resource Groups (NRGs)
+ Career development opportunities
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.
$76,800 - $105,800 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.
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 veteran status. 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.
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.
The Senior Quality Improvement Professional is an integral part of the Florida Quality Improvement Department. This role will collaborate with internal and external customers to complete fast-paced and time sensitive projects.
The Senior Quality Improvement Professional will ensure The Florida Agency for Healthcare Administration benchmarks, goals and deliverables for Quality Improvement clinical and non-clinical performance projects are met. This role is expected to research, gather information and analyze data in an expedited timeframe and use QI tools and templates to report out in cross-functional workgroups/subgroups using the tenants of QI Science. This position will also require leading internal and external workgroups for the collaborative as directed. The Senior Quality Improvement Professional works independently, sometimes in ambiguous situations, and work may be performed with minimal direction. The position will have additional responsibilities based on business needs
Use your skills to make an impact
Required Qualifications:
+ Active licensed nurse in the state of Florida or Enhanced Nurse License Compact, eNLC, without disciplinary action
+ Bachelor’s degree
+ Experience with QI methodologies (i.e., IHI model of improvement) and familiarity with QI Tools and reporting (i.e., FMEA, PDSA, DMAIC workflows/diagrams, root cause analysis)
+ Intermediate to Advanced proficiency performing moderate to complex data analysis
+ Demonstrated ability to manage and prioritize multiple project deadlines
+ Understanding of healthcare quality measures such as CAHPS, NCQA, HEDIS, etc.
+ Ability to build strong relationships and collaborate with interdisciplinary teams, and vendors
+ Excellent oral, written, and confident presentation skills providing information to internal and external stakeholders
+ Intermediate or better working knowledge of Microsoft Office Suite including Word, Excel and PowerPoint,
Preferred Qualifications
+ Advanced degree in business, healthcare, or related field
+ Certified Professional in Healthcare Quality (CPHQ)
+ Previous Medicaid Health Plan experience
+ Behavioral Health experience
Additional Information
Workstyle: Remote work at home
Location: Florida
Schedule: 40-hour work week Monday through Friday
+ Standard hours are 8:00 AM to 5:00 PM Eastern
+ Must be able to manage schedule and prioritize meetings in Eastern Time Zone
Travel: Occasional travel one time annually as business needs
Work at Home Guidance 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: 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 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.
SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
Benefits Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:
+ Health benefits effective day 1
+ Paid time off, holidays, volunteer time and jury duty pay
+ Recognition pay
+ 401(k) retirement savings plan with employer match
+ Tuition assistance
+ Scholarships for eligible dependents
+ Parental and caregiver leave
+ Employee charity matching program
+ Network Resource Groups (NRGs)
+ Career development opportunities
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.
$76,800 - $105,800 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.
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 veteran status. 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.
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.
Source : Humana
