[Hiring] Senior Accreditation Professional @Humana

Role Description

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.

• 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.

Qualifications

• 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.

Requirements

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

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.
• Many other opportunities.

Company Description

Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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.