Humana · 3 weeks ago
Senior Quality Compliance Professional
United States
Full-time
Remote
Mid, Senior Level
$78K/yr - $108K/yr
4+ years expHumana Inc. is committed to putting health first, and they are seeking a Senior Quality Compliance Professional for their Michigan Quality Improvement Department. This role involves collaborating with internal and external customers to meet benchmarks and complete timely deliverables while acting as a subject matter expert in Quality Compliance.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Involved in studies as required by the External Quality Review Organization or the State and monitors activities and performance metrics for the Michigan Medicaid program
Completes data analysis and implement quality improvement programs as needed
May participate in multidisciplinary committees, both external and internal and conduct briefings and area meetings
Additional responsibilities based on business need
Qualification
Required
Must reside in MI or within 40 miles of the border in Indiana or Ohio
Bachelor's degree or 4+ years relevant work experience in healthcare settings
Knowledge of quality and process improvement approaches (PDSA, DMAIC, etc.)
Experience presenting information to internal and/or external stakeholders
Demonstrated ability to partner with senior leadership on strategic initiatives
Comprehensive knowledge of Microsoft Word, Excel and PowerPoint
Preferred
RN License for State of MI, unrestricted
Experience with Medicaid programs, LTSS and program population strongly preferred
Previous experience with QI Science and methodologies (IHI)
Certified Professional in Healthcare Quality (CPHQ)
Project Management skills
Proficiency in verbal and written communication to senior and executive leadership
Strong organizational skills and ability to manage multiple or competing priorities
Benefits
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
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-16
2026-01-16
2026-01-14
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