Startups · AI

Quality Compliance Professional

human · Remote Kentucky · Remote

← All jobs
About human

human is an ai-enabled dating app for those ready for love . . . now. we are changing the future of how people find their person. Backed by Techstars.

About the role

These positions are part of the variable staffing pool (VSP). Variable Staffing Pool Humana associates work part to full time hours based on business need. VSPs are not eligible for associate bonuses and receive limited benefits, which are effective upon hire. The hours for this role are generally aligned based on the associate and business task at hand. Found on 1752vc Careers, the job board for startup and VC roles.

What they're looking for

  • 3+ years of previous experience working with member outreach on quality and performance improvement activities
  • 2+ years previous experience in healthcare quality improvement/quality operations
  • Knowledge of HEDIS/CMS/Quality
  • Experience with healthcare quality measures (example HEDIS, CAHPS)
  • Comprehensive knowledge of Microsoft Office Word, PowerPoint, intermediate Excel experience (pivot tables/filtering, charts, formulas)
More about this role

Job Description Summary

Humana Healthy Horizons is seeking Quality Compliance Professionals (VSP) who participate in performance and quality improvement projects by implementing member and provider targeted interventions to improve health outcomes and member and provider experiences.

These positions are part of the variable staffing pool (VSP). Variable Staffing Pool Humana associates work part to full time hours based on business need. VSPs are not eligible for associate bonuses and receive limited benefits, which are effective upon hire. The hours for this role are generally aligned based on the associate and business task at hand.

Job Description

The Quality Compliance Professional participates in performance and quality improvement projects by implementing member and provider targeted interventions to improve health outcomes and member and provider experiences. This role contributes to multidisciplinary committees, both external and internal, required by NCQA and the State Contract. The Quality Compliance Professional (2) participates in, with potential to lead, Kentucky market quality improvement activities, and understands department, segment, and organizational strategy and...

Read the full posting on human's site ↗

Build your edge while you search

Free tools for founders and investors, plus VC Unfiltered, our take on startups, venture and the people who build them.