Quality Improvement Professional 2

Humana • Dublin, OH

1d • $65,000 - $88,600

About The Position

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

Requirements

• 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

Nice To Haves

• 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

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed