Remote Healthcare Quality Improvement Leader

004 Humana Insurance Company; Florida; Hybrid; USD 86,000 - 119,000; Full time

Job summary

Humana, Inc. seeks a Manager of Quality Improvement to lead quality and process improvement efforts within long-term care programs.

You will collaborate with clinical, operational, compliance, and leadership teams to redesign processes, implement solutions, and monitor outcomes. The role emphasizes regulatory compliance, accreditation readiness, and data-driven insights across 80+ metrics to enhance member outcomes and operational efficiency.

Qualifications

• Bachelor's degree is required.
• 3+ years leading or supporting healthcare quality/process improvement initiatives.
• 2+ years of formal leadership experience.
• Experience with process mapping, root-cause analysis, workflow assessment, and implementing improvement initiatives.
• Proficiency in Excel and PowerPoint; working knowledge of Power BI for data visualization.

Responsibilities

• Lead quality and process improvement initiatives across long-term care programs and partner with clinical, operational, compliance, systems, and leadership teams.
• Provide oversight of quality assurance activities, performance metrics, audits, accreditation readiness, corrective actions, and regulatory requirements.
• Analyze quality, compliance, and operational data across 80+ metrics to identify trends and actionable insights for leadership.
• Manage cross-functional projects, pilots, and improvement initiatives from planning through implementation and monitoring.
• Develop, document, and annually review market policies, procedures, and support tools to ensure compliance and alignment with regulations.

Skills

Quality improvement

Process mapping

Root cause analysis

Stakeholder management

Leadership

Analytics

Communication

Education

Bachelor's degree

Tools

Excel

PowerPoint

Power BI

Job description

Humana, Inc. seeks a Manager of Quality Improvement to lead quality and process improvement efforts within long-term care programs.

You will collaborate with clinical, operational, compliance, and leadership teams to redesign processes, implement solutions, and monitor outcomes. The role emphasizes regulatory compliance, accreditation readiness, and data-driven insights across 80+ metrics to enhance member outcomes and operational efficiency.