Become a part of our caring community and help us put health firstThe Quality Improvement Coordinator III implements and participates in quality improvement activities for the Medicaid line of business. This includes, but is not limited to the annual program description, work plan, Enrollee outbound calls to support various quality improvement activities and campaigns. The Quality Improvement Coordinator III performs advanced administrative/operational/customer support duties that require independent initiative.

• The Quality Improvement Coordinator performs quality improvement projects and related activities.
• Responsible for documentation and tracking of outstanding team activities through completion of the project.
• Performs Enrollee outreach calls to members to close gaps in care and provide education.
• Assists with managing quality improvement projects and activities related to Early Periodic Screening Diagnosis and Testing (EPSDT)
• Monitors quality metrics as required.
• Exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, and processes.
• Performs advanced administrative/operational/customer support duties that require independent initiative.

Use your skills to make an impact

Required Qualifications

• Associates degree
• Prior experience in a fast-paced insurance or healthcare setting
• Comprehensive knowledge of Microsoft Office, including Word, Excel, and PowerPoint
• Excellent communication skills, both oral and written
• MUST RESIDE IN OKLAHOMA

Preferred Qualifications

• Bachelor's degree in a health or social science area

• Experience participating in and coordinating quality improvement projects and other quality improvement activities.

• Proven analytical skills.

• Experience in provider relations, or member education.

• Understanding of healthcare quality measures STARS, HEDIS, etc.

Additional Information

This position will be required to work in the Humana Oklahoma City office 2-3 days /week.

Scheduled Weekly Hours

40

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 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.