Become a part of our caring community and help us put health firstThe Quality Improvement Coordinator 3 assists in administering and monitoring quality improvement and compliance processes for the Ohio Medicaid program. The Quality Improvement Coordinator 3 performs advanced administrative, operational, and Quality program and team support duties that require independent initiative and judgment.The Quality Improvement Coordinator 3 monitors quality compliance processes and manages the quality management system, department SharePoint, Teams sites and departmental reporting. Decisions are typically focused on methods, tactics and processes for completing administrative tasks and projects. This role regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge and other duties as assigned.Responsibilities :
Coordinates inter-departmental quality committees and workgroups; as well as materials, agendas, minutes and meeting invites
Maintains department SharePoint and Teams sites information and folders
Assists in prioritizing requests for information in regard to the Quality program, procedures, policies and deliverables
Monitors and tracks teams commitments and time spent on program requirements specific to collaborative projects
Performs outreach calls to members and providers related to Quality Improvement efforts.
Use your skills to make an impactRequired Qualifications
1+ year prior experience in a fast-paced health insurance environment
Understanding of healthcare quality measures HEDIS, CMS, NCQA, etc.
Comprehensive knowledge of Microsoft Office Suite (Word, Excel, PowerPoint, Access)
Experience in Medicaid managed care
Excellent communication skills, both oral and written
Highly organized and detailed oriented
Previous experience taking meeting minutes and note taking
Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.
Preferred Qualifications
Strong relationship building skills
Detail oriented and comfortable working with tight deadlines in a fast-paced environment
Ability to work independently under general instructions, self-directed and motivated
Experience with external provider communications, procurement processing and timesheet management.
Experience in documentation creation and updates such as policies, meeting minutes, process flow charts, etc.
Additional information
Schedule: Monday to Friday from 8 am to 5 pm. ET Overtime as per business needs. Open for flexible Start and Stop times. Able to work in the Eastern Time Zone
This position is an Hourly position, traditional week will be 40 hours
Training: 3 week remote learning
Work Location (Address): Work at Home/Remote Nationwide. Able to work in the Eastern Time Zone
Work at Home GuidanceTo ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipEmployees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA informationInterview FormatAs part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.Scheduled Weekly Hours40Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$43,400 - $59,600 per yearDescription of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.About usHumana Inc. (NYSE: HUM) 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. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.Equal Opportunity EmployerIt 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. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=HumanaWebsite.