Newport, RI, United States
Mar 19, 2021
Jul 02, 2021
This role is on the Humana At Home Special Needs Plan Compliance Review team within Home Solutions Compliance and Risk Management. The Quality Assurance Professional 2 performs audits to establish and maintain quality standards of existing products and services, as well as developing programs to focus employees on compliance and the quality of care given to patients. The Quality Assurance Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Quality Assurance Professional 2 develops policies, procedures and methods to check operational quality and improve same. Trains and/or coaches staff and management in areas such as quality improvement, process management and reliability science. Maintains communications with administration, medical staff and department heads regarding quality assurance activities. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Bachelor's degree or equivalent experience
Prior experience with quality/compliance auditing
Excellent organizational skills required.
Excellent written and oral communication skills required.
Excellent PC skills (including MS Word, Excel and Access) required.
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Experience in managed care or health care administration desired.
Special Needs Plan experience
Scheduled Weekly Hours
Website : http://www.humana.com