Quality Improvement Specialist

2 weeks ago

Dublin, Ohio, United States CenterWell Home Health Full time
Job Summary

We are seeking a highly skilled Quality Improvement Professional 2 to join our team at CenterWell Home Health. As a key member of our quality improvement team, you will play a critical role in implementing quality improvement and collaborative projects for Ohio's Medicaid program.

Key Responsibilities
  • Assist in the analysis of situations or data that requires an in-depth evaluation of variable factors.
  • Partner closely with the Sr. Quality Improvement Professional on projects and deliverables.
  • Make decisions regarding work methods and receive guidance where needed, while following established guidelines and procedures.
Requirements
  • Associates Degree or 3+ years related Quality Improvement experience.
  • Prior experience in health insurance or healthcare setting.
  • Prior experience in Managed care or related government agreements.
  • Prior experience in Medicaid membership.
  • Understanding of healthcare quality measures (i.e., HEDIS, CAHPS, STARS, CMS etc.).
  • Understanding of healthcare quality standards.
Preferred Qualifications
  • Comprehensive knowledge of Microsoft Office Suite.
  • Knowledge of QI methodologies (i.e. IHI model of improvement) and familiarity with QI Tools (i.e. FMEA, KDD, workflows/diagrams, root cause analysis).
  • CPHQ certification.
  • Lean/Six Sigma certification.
  • Proven analytical skills.
  • Excellent communication skills, both oral and written.
  • Knowledge of policies, procedures, and systems used in quality improvement.
  • Experience in member/provider education and communications.
  • Knowledge of Humana's internal policies, procedures and systems.
About Us

CenterWell Home Health is committed to putting health first for our teammates, our customers and our company. Through our Humana insurance services and 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.

We are an equal opportunity employer and welcome applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion.

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