Senior Program Delivery Professional (LTSS - Quality)

Employment Type: Full time

Location Type: Remote

Position Overview

Humana Healthy Horizons is seeking a Senior Program Delivery Professional to support quality program work in multiple states. This role is responsible for implementing strategies to improve the quality of care, health outcomes, member experience, or service delivery model related to Long-Term Services and Supports (LTSS) and Home and Community-Based Services (HCBS). The Senior Program Delivery Professional works on problems of diverse scope and moderate complexity, developing insights and strategies to support high-quality LTSS service delivery.

Responsibilities

• Plans, organizes, monitors, and oversees complex projects with cross-functional teams to deliver defined requirements and meet company strategic objectives.
• Utilizes data to identify, develop, and implement evidence-based quality improvement and process improvement strategies.
• Coordinates with cross-departmental teams to integrate quality improvement processes, rapid-cycle improvement, and activities.
• Maintains detailed project documentation including meeting minutes, action items, issues lists, project plans, and risk management plans.
• Negotiates with project stakeholders to identify resources, resolve issues, and mitigate risks.
• Provides functional and technical knowledge of LTSS and quality improvement principles to support Humana Healthy Horizon’s quality strategy and implementation approach.
• Works creatively and analytically in a problem-solving environment demonstrating teamwork, innovation, and excellence.
• Provides status reporting regarding project milestones, deliverables, dependencies, risks, and issues, communicating across leadership.
• Understands the interdependence between technology, operations, and business needs.

Required Qualifications

• Bachelor's degree.
• Three (3) years of experience in healthcare Quality Improvement.
• Previous experience in LTSS quality measures (e.g., HEDIS).
• Previous experience working with Medicaid populations.
• Understanding of healthcare quality improvement strategies such as the Institute for Healthcare Improvements (IHI) Model for Improvement.
• Comprehensive knowledge of Microsoft Office Outlook, Excel, Word, and PowerPoint.
• Excellent communication skills, both oral and written.
• Ability to present to large groups.

Preferred Qualifications

• Master’s degree in nursing, public health, social work, or another relevant field.
• Certified Professional in Health Care Quality (CPHQ).
• Experience working in a LTSS or HCBS quality role or service delivery setting.

Additional Information

• Workstyle: This is a remote position.
• Workdays and Hours: Monday – Friday; 8:00 am – 5:00 pm Eastern Standard Time (EST).
• Travel: Up to 5% to onsite team engagement meetings, possibly outside your state of residence.

WAH Internet Statement

To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required.

• Wireless, wired cable, or DSL connection is suggested.

• Satellite, cellular, and microwave connections can be used only if approved by leadership.

• Employees who live and work from Home in the states 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

As 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.