Hiring: Quality Improvement Director Company: Humana Location: Oklahoma City, OK Job Posted Time: 2026-09-10 11:43:20 Employment Type: Full-time / Remote Target Skills & Keywords : Care Coordination, HIPAA, Medicaid, Medicare, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Quality Assurance, Root Cause Analysis About the job Required Skills: •Direct HEDIS project deliverables, driving results and improvement by population stream. •Align Quality and Population Health strategies. •Provide strategic oversight of Cross-stream Quality Withhold collaborative efforts. •Direct efforts on maintaining quality documentation including policies/procedures, committee minutes/materials, and program documents. Provide oversight of the Annual Quality Program Description, Annual Quality Work Plan, and the Annual Quality Program Evaluation. •Directs efforts on maintaining NCQA and EQRO compliance. •Maintain confidential information in accordance with policies, and state and federal laws, rules, and regulations regarding confidentiality. •Oversee the development, implementation and management of quality improvement projects including required contract required Performance Improvement Projects (PIPs) •Work collaboratively with OHCA and others to improve health outcomes. Qualifications: •Use your skills to make an impact •Bachelors degree in Public Health, Health Administration, Business Administration, Nursing, Healthcare Quality, or a related healthcare or clinical field. •Minimum five (5) years of experience in Quality Improvement/Quality Assurance in the healthcare field •3 or more years of current or previous leadership experience (Ideally any experience in leading quality improvement and/or compliance professionals). •Prior experience in a fast-paced insurance or health care setting •Understanding of healthcare quality measures STARS, HEDIS, etc. •Comprehensive knowledge of Microsoft Office Word, Excel and PowerPoint •Master's degree in Public Health, Health Administration, Business Administration, Nursing, Healthcare Quality, or a related healthcare or clinical field. •Knowledge of Humana's internal policies, procedures and systems •CPHQ (Certified Professional in Healthcare Quality) Certification. Compensation: •$126,300 - $173,700 / year •Competitive benefits and rewards package •This job is eligible for a bonus incentive plan Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!