Senior Quality Assurance Professional

Humana • Austin, TX

1d • $86,200 - $118,600 • Hybrid

About The Position

The Senior Quality Assurance Professional is responsible for leading organizational quality initiatives with a primary focus on achieving and maintaining NCQA Credentialing Accreditation. This role serves as the subject matter expert for accreditation standards, credentialing quality processes, and continuous improvement efforts. The Senior Quality Assurance Professional partners closely with Credentialing, Quality, Compliance, and Operations leadership to ensure adherence to regulatory, accreditation, and organizational requirements. In addition to leading accreditation readiness activities, this position supports quality metric tracking, reporting, auditing, and improvement initiatives. The role may also provide operational support to the Compliance department during periods of increased regulatory activity or audit preparation.

Requirements

• Bachelor's degree or equivalent experience in healthcare, quality, business, or a related field.
• 5+ years of experience in healthcare quality, accreditation, credentialing, or compliance.
• Experience with NCQA standards and accreditation processes strongly preferred.
• Strong analytical, project management, and communication skills.
• Self-provided internet service must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Responsibilities

• Lead NCQA Credentialing Accreditation preparation, submission, and maintenance activities.
• Conduct accreditation readiness assessments and implement corrective action plans.
• Develop, review, and maintain policies, procedures, and supporting documentation.
• Partner with the Quality Lead to track, analyze, and report quality metrics.
• Perform audits, quality reviews, and process improvement activities.
• Support regulatory audits and compliance initiatives as needed.
• Collaborate with operational and leadership teams to ensure ongoing compliance with accreditation and quality standards.

Benefits

• medical
• dental
• vision benefits
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

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