Quality Improvement Coordinator

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Job Information
Humana
Quality Improvement Coordinator
in
Rogers
Arkansas
Description
The 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.
Responsibilities
R-291946 Quality Improvement Coordinator 3 (Medicaid membership, HEDIS, CMS, NCQA, STARS, Health insurance Exp. a MUST) Remote Nationwide
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.
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
R-291946 Quality Improvement Coordinator 3 (Medicaid membership, HEDIS, CMS, NCQA, STARS, Health insurance Exp. a MUST) Remote Nationwide
Required Qualifications
1 year prior experience in a fast-paced health insurance environment
Detail oriented and comfortable working with tight deadlines in a fast-paced environment
Understanding of healthcare quality measures HEDIS, CMS, NCQA, STARS, etc.
Comprehensive knowledge of Microsoft Office Suite (Word, Excel, PowerPoint, Access)
Experience in Medicaid membership
Experience in Managed Care
Excellent communication skills, both oral and written
Work At Home Requirements
: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
Preferred Qualifications
Strong relationship building skills
Ability to work independently under general instructions, self-directed and motivated
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
Training:
3 week remote learning
Work Location (Address):
Work at Home/Remote Nationwide. Able to work in the Eastern Time Zone
Work Style:
Remote/Home
% Travel: 5%
Covid Vaccination
: 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.
Notice about requesting SSN:
Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from **** with instructions to add the information into the application at Humana's secure website.​
Benefits​:
Retirement match of 100% on your contributions to your 401K. Medical, Dental, Vision and a Variety of supplemental insurances. Free Basic Life Insurance. Tuition Reimbursement. 23 days Paid Time Off. 9 paid Holidays. 1 day for Volunteer Time Off... and much more...
#LI-Remote
#LI-EM1
Scheduled Weekly Hours
40
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 ****

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