Become a part of our caring community and help us put health first

The Quality Improvement Coordinator implements quality improvement programs for all lines of business including annual program description, work plan, and annual evaluation.

The Quality Improvement Coordinator performs varied activities and moderately complex administrative / operational / customer support assignments.

Performs computations. Typically works on semi-routine assignments.

The Quality Improvement Coordinator monitors quality investigations and compliance processes. Manages quality management system, department SharePoint, and department reporting.

Audits processes as needed for compliance. Completes and submits reports to CMS and state regulators as required for clinical studies.

Decisions are typically focus on interpretation of area / department policy and methods for completing assignments. Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization / timing, and works under minimal direction.

Follows standard policies / practices that allow for some opportunity for interpretation / deviation and / or independent discretion.

Use your skills to make an impact

Required Qualifications

Prior experience in a fast paced insurance or health care setting

Experience in provider relations and education

Understanding of healthcare quality measures STARS, HEDIS, etc.

Comprehensive knowledge of Microsoft Office Word, Excel and PowerPoint

Proven analytical skills

Excellent communication skills, both oral and written

Strong relationship building skills

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Knowledge of Humana's internal policies, procedures and systems

Bilingual English and Spanish

Additional Information

Schedule Information : Working From Home

Schedule : Monday Friday 8 : 00 AM to 5 : 00 PM

Being a part of the CenterWell team gives you : We offer tangible and intangible benefits such as medical, dental and vision benefits, 401k, tuition reimbursement, vacation, paid holidays, work-life balance, growth, a positive and fun culture and much more.

Alert :

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file.

When required, an email will be sent from with instructions on how to add the information into your official application on Humana’s secure website.

Interview Format :

As 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.

WAH Internet Statement

To 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 suggested.

Satellite, cellular and microwave connection can be used only if approved by leadership.

Employees 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 information.

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Scheduled Weekly Hours

About us

About CenterWell Senior Primary Care : CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.

Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being.

Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes.

We go beyond physical health by also addressing other factors that can impact a patient’s well-being.About CenterWell, a Humana company : CenterWell creates experiences that put patients at the center.

As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients.

As part of Humana Inc. (NYSE : HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career.

We proudly employ more than 30,000 clinicians who are committed to putting health first for our teammates, patients, communities and company.

By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

Equal Opportunity Employer

It 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 because he or she is a protected veteran.

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.