Quality Improvement Professional

Humana

Indiana, US
Base: $65,000 - $88,600 py; bonus/equity: eligible...
Hybrid
Auditing vendor agencies
Service coordination support
Quality standards compliance
Humana is seeking a Quality Improvement Professional to oversee and audit vendor agencies within their Pathways program in Indiana. The role focuses on ensuring compliance with quality standards and improving service delivery, with responsibilities that include conducting audits, providing guidance, and supporting service coordination activities

Job Summary

  • The Quality Improvement Professional plays an important role in auditing vendor agencies providing service coordination to members within the Pathways program to ensure compliance and improve service delivery.
  • This position involves conducting quality audits, supporting service coordination activities, and collaborating with care teams to promote positive member outcomes.
  • Humana offers competitive benefits supporting whole-person well-being, including medical, dental, vision, 401(k), paid time off, and various leave options.

Matching Summary

Match Score: 85

Humana is seeking a Quality Improvement Professional to oversee and audit vendor agencies within their Pathways program in Indiana. The role focuses on ensuring compliance with quality standards and improving service delivery, with responsibilities that include conducting audits, providing guidance, and supporting service coordination activities.

Salary

Base: $65,000 - $88,600 per year; Bonus/Equity: Eligible for bonus incentive plan; Benefits: Medical, dental, vision, 401(k), paid time off, disability, life insurance

Skills & Requirements

Must-have

  • auditing vendor agencies
  • service coordination support
  • quality standards compliance
  • person-centered thinking approaches
  • long-term services and support
  • member needs assessment
  • collaborative care coordination

Nice-to-have

  • training and guidance to vendors
  • interdisciplinary care team participation
  • knowledge of healthcare quality measures
  • experience with provider relations
  • ability to build trust with members
  • experience with Medicaid eligibility support

Key Requirements

  • Bachelor's degree or equivalent
  • Must reside in Indiana
  • Prior experience in insurance or healthcare setting
  • Experience in provider relations and education
  • Understanding of healthcare quality measures STARS and HEDIS
  • Valid state driver's license
  • Proof of personal vehicle liability insurance
  • Access to reliable vehicle

Work Rights

Must reside in Indiana

Tailored Resume

Cover Letter