Quality Improvement Professional 2

Summary: Humana Inc. is committed to putting health first, and they are seeking a Quality Improvement Professional 2 to help implement quality improvement and collaborative projects for Ohio's Medicaid program. This role involves analyzing data and partnering with senior professionals to achieve organizational goals in quality improvement. Responsibilities: - Help implement quality improvement and collaborative projects for Ohio's Medicaid program - Analyze situations or data that requires an in-depth evaluation of variable factors - Partner with the Sr. Quality Improvement Professional on projects and deliverables - Understand department, segment, and organizational strategy and operating goals - Work with people in the organization and outside of the organization Required Qualifications: - 1-3 years of previous Quality Improvement experience - Prior experience in health insurance or health care 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: - Reside in Eastern Standard Time Zone - Knowledge of QI methodologies (i.e. IHI model of improvement) and familiarity with QI Tools (i.e. FMEA, KDD, workflows/diagrams, root cause analysis) - Ability to present information to internal and external stakeholders - 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 - Comprehensive knowledge of Microsoft Office Suite Required Skills: Quality Improvement experience, Healthcare quality measures, Managed care experience Important Skills: QI methodologies knowledge, Microsoft Office Suite Nice-to-Have Skills: Member/provider education, policies, Presentation skills Benefits: Medical, Dental and vision benefits, 401(k) retirement savings plan, Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), Short-term and long-term disability, Life insurance, Many other opportunities