Accreditation Lead - Humana
Providence, RI
About the Job
Become a part of our caring community and help us put health first
Responsible for leading all NCQA Health Equity Accreditation work for Humana's Medicaid markets. The ideal candidate will have a proven track record of success in accreditation and survey administration, as well as experience in leading teams and providing guidance on complex accreditation questions. They will work closely with cross-functional teams to ensure compliance with NCQA standards, manage team workload and work assignments, and play a key role in NCQA survey administration tasks. This is a dynamic role requiring strong leadership experience, critical thinking/problem solving skills, and a strategic mindset.
+ Leads a small team responsible for NCQA Health Equity Accreditation.
+ Provides guidance and support to associates on complex accreditation questions.
+ Develops and maintain work plans to ensure timely completion of accreditation requirements.
+ Collaborates with cross-functional teams to ensure compliance with NCQA standards.
+ Provides regular updates to senior leadership on accreditation progress and any identified areas of improvement.
Use your skills to make an impact
Required Qualifications
+ Bachelor's degree.
+ Demonstrated expertise in NCQA accreditation and related processes, especially Health Equity Accreditation or Multicultural Healthcare Distinction
+ 5+ years of experience in Accreditation, Health Equity, or Population Health
+ Demonstrated success directing and leading teams
+ Proven experience managing and maintaining a positive, supportive team culture.
+ Project management experience with excellent organizational skills and the ability to manage multiple projects and competing priorities.
+ Strong communication and interpersonal skills, with the ability to effectively communicate with both internal and external stakeholders.
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
+ Master's Degree in health-related field.
Additional information
+ Workstyle: Remote
+ Location: US
+ Schedule: Monday through Friday 8:00 AM - 5:00 PM Eastern and able to accommodate schedules and meetings in both Central and Eastern time zones.
+ Travel: 5% travel - typically, 3-5 times annually possibly outside of your state of residence for team engagement meetings, onsite audits, and trainings.
Work at Home Requirements
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Social Security Task
Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.
Benefits
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
Health benefits effective day 1; Paid time off, holidays, volunteer time and jury duty pay; Recognition pay; 401(k) retirement savings plan with employer match; Tuition assistance
Scholarships for eligible dependents; Parental and caregiver leave; Employee charity matching program; Network Resource Groups (NRGs); Career development opportunities
#L1-Remote
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.$102,200 - $140,700 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
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
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and 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. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Responsible for leading all NCQA Health Equity Accreditation work for Humana's Medicaid markets. The ideal candidate will have a proven track record of success in accreditation and survey administration, as well as experience in leading teams and providing guidance on complex accreditation questions. They will work closely with cross-functional teams to ensure compliance with NCQA standards, manage team workload and work assignments, and play a key role in NCQA survey administration tasks. This is a dynamic role requiring strong leadership experience, critical thinking/problem solving skills, and a strategic mindset.
+ Leads a small team responsible for NCQA Health Equity Accreditation.
+ Provides guidance and support to associates on complex accreditation questions.
+ Develops and maintain work plans to ensure timely completion of accreditation requirements.
+ Collaborates with cross-functional teams to ensure compliance with NCQA standards.
+ Provides regular updates to senior leadership on accreditation progress and any identified areas of improvement.
Use your skills to make an impact
Required Qualifications
+ Bachelor's degree.
+ Demonstrated expertise in NCQA accreditation and related processes, especially Health Equity Accreditation or Multicultural Healthcare Distinction
+ 5+ years of experience in Accreditation, Health Equity, or Population Health
+ Demonstrated success directing and leading teams
+ Proven experience managing and maintaining a positive, supportive team culture.
+ Project management experience with excellent organizational skills and the ability to manage multiple projects and competing priorities.
+ Strong communication and interpersonal skills, with the ability to effectively communicate with both internal and external stakeholders.
+ Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
+ Master's Degree in health-related field.
Additional information
+ Workstyle: Remote
+ Location: US
+ Schedule: Monday through Friday 8:00 AM - 5:00 PM Eastern and able to accommodate schedules and meetings in both Central and Eastern time zones.
+ Travel: 5% travel - typically, 3-5 times annually possibly outside of your state of residence for team engagement meetings, onsite audits, and trainings.
Work at Home Requirements
+ At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
+ Satellite, cellular and microwave connection can be used only if approved by leadership.
+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Interview Format
As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.
If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.
Social Security Task
Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions to add the information into the application at Humana's secure website.
Benefits
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
Health benefits effective day 1; Paid time off, holidays, volunteer time and jury duty pay; Recognition pay; 401(k) retirement savings plan with employer match; Tuition assistance
Scholarships for eligible dependents; Parental and caregiver leave; Employee charity matching program; Network Resource Groups (NRGs); Career development opportunities
#L1-Remote
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.$102,200 - $140,700 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
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
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and 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. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Source : Humana