[Remote] Quality Improvement Professional at Humana

A Bachelor's degree is required, along with prior experience in a fast-paced insurance or health care setting, 2+ years’ experience in provider relations and education, understanding of healthcare quality measures like STARS and HEDIS, comprehensive knowledge of Microsoft Office, proven analytical skills, excellent communication skills, and strong relationship building skills.

The role requires residing and performing work in the State of Michigan, with possible travel to the Market office for meetings/training and occasional meetings with Members or providers. It supports Home or Hybrid Home/Office arrangements with specific internet speed requirements of at least 25 Mbps download and 10 Mbps upload.

This information is not specified in the job description.

The role involves becoming part of a caring community to help put health first, with work assignments that are straightforward and of moderate complexity, often guided by precedent, documented procedures, regulations, and professional standards.

Strong candidates will have an RN/LPN nursing background with quality experience and knowledge of Humana's internal policies, procedures, and systems, in addition to meeting all required qualifications.