Quality Assurance Technician Team Lead

Humana; United States; Remote; USD 58,000 - 80,000; Full time

Job summary

Join a forward-thinking organization dedicated to improving health outcomes. As a Quality Assurance Technician 4, you'll lead a skilled team in ensuring compliance and operational excellence. This dynamic role involves developing policies and training staff while working with minimal oversight. You'll play a crucial part in enhancing consumer experiences and maintaining high standards in healthcare services. With a focus on whole-person health, this position offers a unique opportunity to make a significant impact in a supportive and collaborative environment. Embrace the chance to grow your career while contributing to a meaningful mission.

Benefits

Medical benefits

Dental benefits

Vision benefits

401(k) retirement plan

Paid time off

Short-term disability

Long-term disability

Life insurance

Career coaching

Flexible scheduling

Qualifications

• 1+ years of leadership experience in a relevant field.
• Experience in quality audit or compliance monitoring is essential.
• Strong analytical and communication skills are required.

Responsibilities

• Lead a team of auditors reviewing Medicare episode care requirements.
• Develop policies and procedures to improve operational quality.
• Train staff in quality improvement and process management.

Skills

Leadership experience

Quality audit experience

Compliance monitoring

Microsoft Office proficiency

Analytical skills

Communication skills

Attention to detail

Education

Associate's Degree

Bachelor's Degree

Tools

Microsoft Word

Microsoft Excel

Genesys

Pahub

CRM

RxNova

Job description

Become a part of our caring community and help us put health first
The Quality Assurance Technician 4 assists with a team of skilled auditors reviewing timeliness requirements for Medicare initial episodes of care and reports out on the same. The Quality Assurance Technician 4 assumes ownership and leads advanced and highly specialized administrative, operational, and customer support duties that require independent initiative and judgment.

The Quality Assurance Technician 4 develops policies, procedures and methods to check operational quality and improve same. This role trains and/or coaches staff and management in areas such as quality improvement, process management, and reliability science. This role maintains communications with administration, medical staff, and department heads regarding quality assurance activities. Decisions are made regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals. This role often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. The Quality Assurance Technician 4 works within broad guidelines with little oversight.

Location: Remote KY, IN or TX

Hours: Monday-Friday 8:00AM-4:30PM ET

Use your skills to make an impact

Required Qualifications

• 1+ years of leadership experience (team lead or formal supervisory experience)
• 1+ years of Quality audit or Compliance monitoring experience
• Proficiency in Microsoft Office Programs, including Word and Excel
• Familiarity and proficiency with internal Humana systems including Genesys, Pahub, CRM and RxNova
• Self-starter and able to succeed with minimal supervision or direct managerial oversight.
• Strong analytical and decision making skills
• Excellent verbal and listening communication skills
• Strong attention to detail
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• Associate's or Bachelor's Degree

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$58,700 - $79,700 per year

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.
About us
About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over-the-counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.