Quality Improvement Specialist
3 weeks ago
We are seeking a highly skilled Quality Improvement Professional to join our team at Humana. The successful candidate will be responsible for monitoring incident investigations and compliance processes, managing the incident management system and processes, and auditing processes as needed for compliance.
Key Responsibilities:
- Monitor incident investigations and compliance processes
- Manage the incident management system and processes
- Audit processes as needed for compliance
- Complete and submit reports to state regulators as required
- Implement quality improvement initiatives related to incident management
- Manage the Incident Management System (IMS) that connects to the state reporting system
- Review, triage, and process incident reports, quality alerts, and program integrity events
- Act as a resource to Care Management by providing guidance and education around incident investigation and follow-up
- Collaborate with Quality Management Leadership and other Departments to ensure appropriate and timely response to immediate member risk or concerns
- Assist with the collection, organization, and evaluation of data from incidents, events, quality alerts, and statements of deficiency
Requirements:
- Bachelor's degree or more advanced degree in the human services area (Social work, Sociology, Psychology or Nursing) and a minimum of one year experience working with elders, adults with physical disabilities or adults with intellectual disabilities
- OR bachelor's degree or more advanced degree in any area other than human services with a minimum of 3 years' experience working with elders, adults with physical disabilities or adults with intellectual disabilities
- 3 years' experience in a health insurance, health care, or long-term services and support setting
- Comprehensive knowledge of Microsoft Office Word, Excel and PowerPoint
Preferred Qualifications:
- Experience in WI long-term care programs, Family Care or Family Care Partnership, providing care management support to elders and/or adults with physical or intellectual disabilities
- Experience in data collection, analysis, and reporting
About Humana:
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
About Inclusa:
Inclusa manages the provision of a person-centered and community-focused approach to long-term care services and support to Family Care members across the state of Wisconsin. As a values-based organization devoted to building vibrant and inclusive communities, Inclusa deploys a unique approach to managed care with a trademarked model of support named Commonunity which focuses on the belief in everyone, and from that belief, the common good for all is achieved.
Equal Opportunity Employer:
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status.
-
Quality Improvement Specialist
3 weeks ago
Madison, Wisconsin, United States Humana Full timeQuality Improvement ProfessionalHumana is seeking a Quality Improvement Professional to join the Wisconsin Medicaid Market team.The Quality Improvement Professional monitors incident investigations and compliance processes; manages the incident management system and processes, department SharePoint, and department reporting; audits processes as needed for...
-
Supplier Quality Specialist
4 weeks ago
Madison, Wisconsin, United States Clasen Quality Chocolate Full timeJob SummaryDrive supplier quality and compliance to prevent or eliminate food safety risks and supplier quality defects in new and existing ingredients and packaging, with a focus on dairy and soy.The Supplier Quality and Compliance Specialist maintains the authority to cease ingredient and packaging receipt if compliance with food safety or quality...
-
Process Improvement Specialist
4 weeks ago
Madison, Wisconsin, United States AprilAire Full timeAprilAire is a leading provider of healthy air solutions. We are committed to our mission of providing healthy air to everyone. As a Process Engineer, you will join a team of professionals who are passionate, customer-focused, adaptable, and leading the way for new HVAC technologies and innovative thinking. Our team is proud to be in over 7 million homes and...
-
Quality Assurance Specialist
3 weeks ago
Madison, Wisconsin, United States Just Breathe Massage Therapy Full timeWe are seeking a skilled Quality Assurance Specialist to join our team at "{company}". As a Quality Assurance Specialist, you will be responsible for ensuring the quality of our products and services. This includes conducting regular audits, identifying areas for improvement, and implementing corrective actions.Key Responsibilities:Conduct regular quality...
-
Business Process Improvement Specialist
4 weeks ago
Madison, Wisconsin, United States Genesis10 Full timeGenesis10 is seeking a Procurement Process Specialist for a contract working with a client in the finance and procurement sector.This role can be performed remotely.The candidate will review current finance and procurement processes, apply their knowledge of procurement rules and regulations, and propose more efficient and compliant processes.They will also...
-
Business Process Improvement Specialist
3 weeks ago
Madison, Wisconsin, United States K&K Global Talent Solutions Inc. Full timeJob DescriptionKey ResponsibilitiesK&K Global Talent Solutions Inc. is seeking a skilled Business Process Improvement Specialist to facilitate analysis of various human resource (HR) processes for the Division of Personnel Management (DPM).The ideal candidate will review documentation, develop questions, schedule meetings, facilitate discussions, create...
-
Quality Assurance Specialist
4 weeks ago
Madison, Wisconsin, United States Payne & Dolan Full timeJob Title: Quality Assurance SpecialistJob Summary: We are seeking a Quality Assurance Specialist to join our team at Payne + Dolan, Inc. As a Quality Assurance Specialist, you will be responsible for ensuring the quality of our construction projects.Responsibilities:Conduct quality control inspections on construction sitesIdentify and report any quality...
-
Quality Assurance Specialist
4 weeks ago
Madison, Wisconsin, United States ACCURAY - MFG & OPS BLDG Full timeJob Summary: We are seeking a highly organized and driven Quality Assurance Specialist to join our team at Accuray - MFG & OPS BLDG. As a key member of our quality assurance team, you will be responsible for planning and performing activities related to the selection, monitoring, and control of purchased materials and suppliers.Key Responsibilities:*...
-
Process Improvement Specialist
1 month ago
Madison, Wisconsin, United States JP Cullen Full timeJob Title: Process Improvement AnalystJP Cullen is a leading construction management firm with a rich history and commitment to excellence.We are seeking a highly skilled Process Improvement Analyst to join our team. The ideal candidate will be proactive, resourceful, and collaborative, with excellent communication and interpersonal skills.The Process...
-
Physical Therapist Assistant
4 weeks ago
Madison, Wisconsin, United States Quality Talent Group Full timeAbout the Job:At Quality Talent Group, we are seeking a skilled Physical Therapist Assistant to join our team. As a Physical Therapist Assistant, you will work closely with our therapy team to provide exceptional care to our residents.Key Responsibilities: Measure and record residents' motor function, strength, and muscle performance. Observe residents and...
-
Quality Assurance Specialist
3 weeks ago
Madison, Wisconsin, United States Sub-Zero & Wolf Appliance Full timeThe Supplier Quality Engineering team plays a vital role in ensuring the quality and integrity of materials and components used in our luxurious products.This position will join a team of experienced engineers who are dedicated to promoting continuous improvement and supporting departmental goals.The team is responsible for developing and implementing...
-
Quality Assurance Specialist
2 weeks ago
Madison, Wisconsin, United States Gpac Full timeQuality Supervisor OpportunityGpac, an award-winning search firm, is seeking an exceptional Quality Supervisor to contribute to the company's growth and development.Key Responsibilities:Lead Team: Coach and mentor team members to success, promoting a culture of excellence and continuous improvement.Quality Problem Identification: Develop and implement a...
-
Senior Process Improvement Specialist
4 weeks ago
Madison, Wisconsin, United States KYYBA Full timeJob OverviewThis role will focus on analyzing and improving HR processes for the Division of Personnel Management within the Wisconsin Department of Administration. The successful candidate will work closely with HR professionals to identify areas for improvement and develop recommendations for process enhancements.The ideal candidate will have experience...
-
Quality Assurance Specialist
4 weeks ago
Madison, Wisconsin, United States Chili's Grill & Bar Full timeQuality Assurance SpecialistAt Chili's Grill & Bar, we're looking for a skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will be responsible for ensuring that every Guest receives perfectly prepared, high-quality food. This involves controlling the pace of food orders, following company safety and sanitation...
-
Process Improvement Analyst
4 weeks ago
Madison, Wisconsin, United States WPS Inc Full timeJoin WPS Health Solutions as a Process Improvement Analyst InternAt WPS Health Solutions, we're committed to making healthcare easier for the people we serve. As a Process Improvement Analyst Intern, you'll play a key role in helping us achieve this mission. You'll work closely with our team to identify and solve problems, think creatively, and develop...
-
Quality Assurance Specialist
4 weeks ago
Madison, Wisconsin, United States GE Healthcare Full timeJob Summary:This role is responsible for driving exceptional product quality for patient safety, customer value, regulatory assurance, and optimized Cost of Quality for GEHC.This is a key technical position, affecting part quality for the installed base.Key Responsibilities:Improve supplier quality performance by sending timely defect data.Assure supplier...
-
Quality Control Microbiology Specialist
4 weeks ago
Madison, Wisconsin, United States eGenesis Full timeJob SummaryeGenesis is seeking a highly skilled Quality Control Microbiology Specialist to lead and provide technical and strategic oversight of our environmental monitoring program.This role will be responsible for coordinating the environmental monitoring program at our two GMP manufacturing facilities, ensuring the collection, transport, and processing of...
-
Quality Assurance Specialist
4 weeks ago
Madison, Wisconsin, United States Chili's Grill & Bar Full timeJob SummaryAs a Quality Assurance Specialist at Chili's Grill & Bar, you will play a crucial role in ensuring that every guest receives perfectly prepared, high-quality food. You will be responsible for controlling the pace of food orders, following company safety and sanitation policies, and communicating effectively with team members across the...
-
Senior CMM/Quality Specialist
4 weeks ago
Madison, Wisconsin, United States Franklin Electric Full timeJob SummaryWe are seeking a highly skilled Senior CMM/Quality Specialist to join our team at Franklin Electric. The successful candidate will be responsible for developing, implementing, and maintaining CMM programs using Calypso software.Key ResponsibilitiesOperate coordinate measuring equipment to make complex, precise measurements of materials.Read and...
-
Nurse Care Specialist
4 weeks ago
Madison, Wisconsin, United States Norton Healthcare Full timeNurse Care SpecialistAt Norton Healthcare, we are seeking a skilled Nurse Care Specialist to join our team. As a key member of our healthcare team, you will be responsible for providing high-quality patient care and promoting a positive patient experience.Key Responsibilities:Assess and develop individualized care plans for patientsProvide direct patient...