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.

The Senior Quality Improvement Professional:

• 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 and uses QI tools and templates to report out in cross-functional workgroups/subgroups using the tenants 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 and experience using Microsoft Word and PowerPoint to create documents and deliver presentations.
   

Preferred Qualifications

• Quality improvement experience.
• Master's degree in 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. Home workstyle is defined as remote but will use Humana office space on an as needed basis for collaboration and other face-to-face needs.
• Work Location: must reside in Florida.
• Typical work days/hours: Monday – Friday, 8:30 am – 5:00 pm EST.

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 geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$78,400 - $107,800 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person