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Senior Quality Improvement Professional

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Humana

15d ago

  • Job
    Full-time
    Senior Level
  • Healthcare

AI generated summary

  • You must be a licensed nurse in Florida, hold a bachelor’s degree, and have QI experience, data analysis skills, project management ability, and knowledge of healthcare quality measures.
  • You will analyze data, ensure quality benchmarks are met, lead workgroups, and utilize QI tools, often working independently in ambiguous situations as needed by the business.

Requirements

  • Active licensed nurse in the state of Florida or Enhanced Nurse License Compact, eNLC, without disciplinary action
  • Bachelor’s degree
  • 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)
  • Intermediate to Advanced proficiency performing moderate to complex data analysis
  • Demonstrated ability to manage and prioritize multiple project deadlines
  • Understanding of healthcare quality measures such as CAHPS, NCQA, HEDIS, etc.
  • Ability to build strong relationships and collaborate with interdisciplinary teams, and vendors
  • Excellent oral, written, and confident presentation skills providing information to internal and external stakeholders
  • Intermediate or better working knowledge of Microsoft Office Suite including Word, Excel and PowerPoint

Responsibilities

  • The Senior Quality Improvement Professional will ensure The Florida Agency for Healthcare Administration benchmarks, goals and deliverables for Quality Improvement clinical and non-clinical performance projects are met.
  • This role is expected to research, gather information and analyze data in an expedited timeframe and use QI tools and templates to report out in cross-functional workgroups/subgroups using the tenants of QI Science.
  • This position will also require leading internal and external workgroups for the collaborative as directed.
  • The Senior Quality Improvement Professional works independently, sometimes in ambiguous situations, and work may be performed with minimal direction.
  • The position will have additional responsibilities based on business needs.

FAQs

Do we support remote work?

Yes, this position allows for remote work from home.

What are the required qualifications for the Senior Quality Improvement Professional position?

The required qualifications include an active nursing license in Florida or an Enhanced Nurse License Compact, a bachelor's degree, experience with QI methodologies, proficiency in data analysis, understanding of healthcare quality measures, and excellent communication skills.

What are the preferred qualifications for this role?

Preferred qualifications include an advanced degree in business, healthcare, or a related field, being a Certified Professional in Healthcare Quality (CPHQ), and having previous experience with Medicaid Health Plans and in Behavioral Health.

What is the pay range for the Senior Quality Improvement Professional position?

The pay range for this position is $76,800 to $105,800 per year, depending on geographic location and individual experience.

What is the expected work schedule for this role?

The expected work schedule is 40 hours per week, Monday through Friday, with standard hours from 8:00 AM to 5:00 PM Eastern Time.

Will there be travel required for this position?

Yes, occasional travel may be required, typically limited to one time annually as needed by the business.

What benefits does Humana offer to its employees?

Humana offers a comprehensive benefits package, including health benefits effective from day one, paid time off, a 401(k) retirement savings plan with employer match, tuition assistance, parental and caregiver leave, and more.

How does the application process work?

The application process will include the use of HireVue, an interviewing technology that allows candidates to connect and provide information regarding their relevant skills and experience at a time that suits their schedule.

What kind of projects will the Senior Quality Improvement Professional be working on?

The Senior Quality Improvement Professional will collaborate on fast-paced, time-sensitive clinical and non-clinical performance projects to meet benchmarks and deliverables set by the Florida Agency for Healthcare Administration.

Is an internet connection a requirement for remote work?

Yes, employees must have a reliable internet connection that meets specific criteria, and they will be provided with the necessary telephone equipment for their position.

Science & Healthcare
Industry
1001-5000
Employees
1961
Founded Year

Mission & Purpose

At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.