Senior Accreditation Professional (NCQA HEA / HEA+)

Humana

4d • Remote

About The Position

The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. You will report to an Accreditation Lead. The Senior Accreditation Professional works in a team environment on Humana's health plan accreditations, performing complex tasks related to compliance with accreditation standards across multiple operational areas within Humana. You will include but does not limit: Help develop and implement quality improvement interventions and audits and help resolve deficiencies that impact plan compliance with national accreditation standards. Work with operational areas to prepare documentation and files for presentation to NCQA Advise operational leaders and frontline associates in developing functional strategies for compliance with accreditation standards Use analysis of variable factors and determining the best course of action. Use your skills to make an impact

Requirements

• Bachelor's degree
• 3+ years' experience in process improvement, data analytics, Compliance, Risk Management, and/or program implementation/design
• Experience working on NCQA Health Equity Accreditation or Health Equity Plus Accreditation
• Exceptional analytical skills, including both problem solving and technical proficiency
• Demonstrated advanced skills in Excel, Access, and database creation, maintenance and management
• Demonstrated excellent time management skills with proven ability to be flexible, adapt to changing environment, handle multiple tasks and deadlines and manage multiple priorities
• Exceptional verbal and written communication skills
• Demonstrated successful relationship building
• Put context around data and identify problems and solutions
• Experience working with cross-functional teams

Nice To Haves

• Advanced degree in Healthcare, Business, Nursing or related field
• Demonstrated experience with process improvement or roles working in process design/implementation
• Excellent research and investigative skills

Responsibilities

• Help develop and implement quality improvement interventions and audits
• Help resolve deficiencies that impact plan compliance with national accreditation standards
• Work with operational areas to prepare documentation and files for presentation to NCQA
• Advise operational leaders and frontline associates in developing functional strategies for compliance with accreditation standards
• Use analysis of variable factors and determining the best course of action

Benefits

• medical
• dental
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior