Become a part of our caring community and help us put health first
 

The Senior Quality Improvement Professional is 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 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

Use your skills to make an impact
 

Required Qualifications:

• Bachelor's degree in business, health related such as public health, social work, nursing,

• Minimum 2 years quality improvement experience

• Understanding of healthcare quality measures such as CAHPS, NCQA, HEDIS, etc.

• Previous Health Plan quality experience

• Intermediate to Advanced proficiency performing moderate to complex data analysis

• Demonstrated ability to manage and prioritize multiple project deadlines

• 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,

Preferred Qualifications

• Active licensed nurse in the state of Florida or Enhanced Nurse License Compact, eNLC, without disciplinary action

• Master's degree in business, healthcare, or 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

• Behavioral Health experience

Additional Information

Workstyle: Remote work at home

Location: Florida

Schedule: 40-hour work week Monday through Friday

• Standard hours are 8:00 AM to 5:00 PM Eastern

• Must be able to manage schedule and prioritize meetings in Eastern Time Zone

Travel: Occasional travel one time annually as business needs

Work at Home Guidance 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: 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.

Interview Format 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.

SSN Alert Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Benefits Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

• Health benefits effective day 1

• Paid time off, holidays,