Job Overview
Location
Remote Indiana
Job Type
Full-time
Category
Other
Date Posted
April 8, 2026
Full Job Description
đź“‹ Description
- • The Quality Improvement Professional plays a vital role in auditing vendor agencies that provide service coordination to members in Humana’s Pathways program, ensuring compliance with contractual obligations and quality standards while driving improvements in service delivery.
- • Day-to-day responsibilities include conducting audits and evaluations of vendor agencies, analyzing performance metrics, developing action plans based on findings, providing training and guidance to vendors, administering person-centered assessments, contacting members via phone or in-person to establish goals and care plans, coordinating LTSS services, supporting members in accessing community resources, and participating in interdisciplinary care team meetings.
- • The role is part of Humana Inc., a leading U.S. healthcare company dedicated to improving health outcomes for Medicare and Medicaid members, families, individuals, and communities through its insurance and CenterWell healthcare services, with a mission to deliver the right care at the right time.
- • In this role, you will develop expertise in healthcare quality auditing, person-centered service coordination, long-term services and supports (LTSS) navigation, vendor management, and interdisciplinary collaboration — gaining valuable experience that supports career growth in healthcare quality improvement and population health management.
🎯 Requirements
- • Bachelor’s degree or equivalent
- • Must reside in Indiana
- • Prior experience in an insurance or healthcare setting
- • Experience in provider relations and education
- • Understanding of healthcare quality measures such as STARS and HEDIS
- • RN license (preferred)
🏖️ Benefits
- • Medical, dental, and vision benefits
- • 401(k) retirement savings plan
- • Paid time off, including company and personal holidays, volunteer time off, and paid parental and caregiver leave
- • Short-term and long-term disability, life insurance
- • Eligibility for a bonus incentive plan based on company and/or individual performance
Skills & Technologies
About Humana Inc.
Humana Inc. is a for-profit health and well-being company headquartered in Louisville, Kentucky. Founded in 1961, it provides health insurance, Medicare Advantage plans, Medicaid services, pharmacy benefit management, and clinical care through primary care centers. Serving millions of members across the United States, Humana focuses on integrated care delivery, home health, and wellness programs aimed at improving health outcomes and reducing costs for individuals, employers, and government partners.
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