Senior Quality Improvement Professional

Employment Type: Full-time Location Type: Remote (Home Workstyle) Work Location: Must reside in Florida Typical Work Days/Hours: Monday – Friday, 8:30 am – 5:00 pm EST

Position Overview

Become a part of our caring community and help us put health first. Humana Healthy Horizons in Florida is seeking a Senior Quality Improvement Professional who will be 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.

Responsibilities

• Ensures the Florida Agency for Healthcare Administration benchmarks, goals, and deliverables for Quality Improvement clinical and non-clinical performance projects are met.
• Researches, gathers information, and analyzes data in an expedited timeframe.
• Uses QI tools and templates to report out in cross-functional workgroups/subgroups using the tenets of QI Science.
• Leads internal and external workgroups for the collaborative as directed.
• Works independently, sometimes in ambiguous situations, and work may be performed with minimal direction.
• Has additional responsibilities based on business needs.
• Use your skills to make an impact.

Required Qualifications

• Bachelor's degree in a social service or behavioral health related field.
• Minimum of 2 years of behavioral health experience.
• Understanding of healthcare quality measures such as CAHPS, NCQA, HEDIS, etc.
• Experience performing moderate to complex data analysis.
• Experience managing and prioritizing multiple project deadlines.
• Experience giving presentations to both internal and external stakeholders with excellent oral and written communication skills.
• Ability to manipulate data in Excel.
• Experience using Microsoft Word and PowerPoint to create documents and deliver presentations.

Preferred Qualifications

• Quality improvement experience.
• Master's degree in a healthcare or behavioral health related field.
• 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).
• Certified Professional in Healthcare Quality (CPHQ).
• Previous Medicaid Health Plan quality experience.

Additional Information

• Workstyle: Home. Remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
• WAH Internet Statement: 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:
  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
  • 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.
• HireVue: 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 pertaining to your relevant skills and experience at a time that is best for your schedule.
• Limited Geography Remote: This is a remote position but located within a specific geography.
• Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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...