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Senior Quality Improvement Professional

2 months ago

Tallahassee, Florida, United States Humana Full time
About the Role

We are seeking a highly skilled Senior Quality Improvement Professional to join our team at Humana. As a key member of our Quality Improvement Department, you will play a critical role in driving quality improvement initiatives across our organization.

Key Responsibilities
  • Collaborate with internal and external stakeholders to design and implement quality improvement projects
  • Conduct research and analysis to identify areas for improvement and develop data-driven solutions
  • Develop and implement quality improvement tools and templates to support project delivery
  • Lead cross-functional workgroups to drive quality improvement initiatives
  • Provide training and support to staff on quality improvement methodologies and tools
Requirements
  • Active licensed nurse in the state of Florida or Enhanced Nurse License Compact, eNLC, without disciplinary action
  • Bachelor's degree
  • 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)
  • Intermediate to Advanced proficiency performing moderate to complex data analysis
  • Demonstrated ability to manage and prioritize multiple project deadlines
  • Understanding of healthcare quality measures such as CAHPS, NCQA, HEDIS, etc.
  • 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
  • Advanced degree in business, healthcare, or related field
  • Certified Professional in Healthcare Quality (CPHQ)
  • Previous Medicaid Health Plan experience
  • Behavioral Health experience
About Humana

Humana is a leading health and well-being company that is committed to putting health first for our teammates, customers, and communities. We offer a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, time off, and more.

We are an equal opportunity employer and welcome applications from diverse candidates. If you are passionate about quality improvement and have the skills and experience to succeed in this role, we encourage you to apply.