HIM Clinical Data Quality Auditor and Educator
Virta HealthSalary not specified
- Full Time
- Junior (1 to 2 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates must reside and perform work in the Commonwealth of Virginia, possessing an Associate degree and at least two years of experience in health plan quality management, along with one or more years of experience working with Healthcare Effectiveness Data and Information Set (HEDIS) measures and quality improvement initiatives. Proficiency in Microsoft Office applications (Word, Excel, and PowerPoint) is required, as is excellent communication and relationship-building skills.
Responsibilities
The Quality Improvement Professional will provide outreach for interventions and initiatives, participate in state workgroups as needed, and collaborate with internal and external partners for community events, focusing on gaps in care. They will perform member outreach calls, assist with quality improvement project documentation, monitor quality metrics and compliance processes, audit processes for compliance, and manage quality improvement projects related to HEDIS and Non-HEDIS initiatives.
Skills
Quality Improvement
HEDIS
Data Analysis
Microsoft Office (Word, Excel, PowerPoint)
Communication Skills
Relationship Building
Project Coordination
Compliance Monitoring
Humana
Health insurance provider for seniors and military
About Humana
Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.
Key Metrics
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees