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

Job Summary Are you a transitioning military service member or a Military Spouse looking for an internship that supports the goal to put health first?

The Quality Compliance Professional intern will utilize Humana's training and mentorships and engage formerly acquired skills to work with Humana’s Kentucky Medicaid team by participating in performance and quality improvement projects including implementing member and provider targeted interventions to improve health outcomes and member and provider experiences. If you are interested in this position, you will be required to confirm eligibility to participate in the Department of Defense SkillBridge Internship or Hiring our Heroes Military Spouse Fellowship.

The DOD SkillBridge Internship Program provides an opportunity for transitioning military service members to gain civilian work experience with an employer for a period between 90 and 180 days upon approval.
The Military Spouse Fellowship Program connects military spouses with employers offering a variety of professional onsite, field, or remote based opportunities.

• Networking opportunities will be provided while participating in the Internship or Fellowship.
• Due to factors such as location, and/or requirements that cannot be modified, full-time employment is not guaranteed upon completion of the Internship or Fellowship.

               

The Quality Compliance Professional 2 Intern will utilize Humana’s Kentucky Medicaid training and engage formerly acquired skills to participate in performance and quality improvement projects by implementing member and provider targeted interventions to improve health outcomes and member and provider experiences.  This role contributes to multidisciplinary committees, both external and internal, required by NCQA and the State Contract.  The Quality Compliance Professional 2 Intern participates in, with potential to lead, Kentucky market quality improvement activities, coordinate with the department, segment, and organizational strategy and operating objectives, including their linkages to related areas.  

This includes but is not limited to:

• Member outreach calls

• Medical record audits to evaluate provider compliance with clinical practice guidelines, best practices, and regulations in collaboration with internal and external stakeholders. 

• Provider outreach to close care gaps, audit records to identify improvement opportunities, and abstract data from records to close gaps

• Quality document updates (example: quality improvement program description, work plans, and evaluation)

• Quality Improvement Committee meetings

• Completing and updating reports (including State Reports and Kentucky Medicaid Quality Improvement Committee reports)

• Multidisciplinary committees, both internal and external

• Strong relationship building skills

• Excellent written and oral communication skills

• Ability to work independently under general supervision, must be self-directed and motivated

Use your skills to make an impact
 

Required Qualifications

• Transitioning Service Member eligible to participate in SkillBridge or military spouse eligible to participate in the military spouse fellowship

• 3+ years of previous experience working with member outreach on quality and performance improvement activities

• 2+ years previous experience in healthcare quality improvement/quality operations

• Knowledge of HEDIS/CMS/Quality

• Experience with healthcare quality measures (example HEDIS, CAHPS)

• Comprehensive knowledge of Microsoft Office Word, PowerPoint, intermediate Excel experience (pivot tables/filtering, charts, formulas)

Preferred Qualifications

• Bachelor’s degree

• Quality improvement experience with the Medicaid population

• Certified Professional in Healthcare Quality (CPHQ)

• Previous quality or process improvement experience in a hospital or physician office practice

• Ability to work independently under general instructions, self-directed and motivated

The DOD SkillBridge Internship Program provides an opportunity for transitioning military service members to gain civilian work experience with an employer for a period between 90 and 180 days upon approval.

The Military Spouse Fellowship Program connects military spouses with employers offering a variety of professional onsite, field, or remote based oppor