Clinical Excellence Quality and Performance Improvement National Lead

Become a part of our caring community and help us put health first
 We are seeking an experienced and dedicated Clinical Excellence Quality and Performance Improvement National Lead to join our team. This remote position plays a pivotal role in enhancing clinical outcomes and quality improvement initiatives across our Markets and Centers. The ideal candidate will have a clinical background, quality and project management expertise, an understanding of value-based care principles, and deep knowledge of clinical process improvement and analytics.

Location: Remote (Work from Home) with National Impact

Company Overview:

CenterWell Senior Primary Care is the nation's largest senior-focused primary care organization dedicated to improving the health and well-being of older adults. We are committed to delivering compassionate, high-quality care through innovative practices and a patient-centered, value-based approach.

Position Summary:

We are seeking an experienced and dedicated Clinical Excellence Quality and Performance Improvement National Lead to join our team. This remote position plays a pivotal role in enhancing clinical outcomes and quality improvement initiatives across our Markets and Centers. The ideal candidate will have a clinical background, quality and project management expertise, an understanding of value-based care principles, and deep knowledge of clinical process improvement and analytics.

Key Responsibilities:

- Quality Improvement Initiatives:

  - Partner with local markets to identify, implement, and assess quality improvement opportunities.

  - Collaborate with cross-functional teams to drive continuous improvement in patient care.

- Consensus Guidelines Development:

  - Organize and facilitate the development of new consensus guidelines along with our Evidence Based Practice Team.

  - Ensure guidelines align with evidence-based practices and regulatory standards.

- Clinical Outcomes Analysis:

  - Analyze and present trends in clinical outcomes performance nationally and locally.

  - Facilitate governance processes around clinical performance data.

- Goal Setting and Performance Monitoring:

  - Assist in setting attainable and relevant clinical outcomes goals.

  - Monitor progress towards goals and recommend corrective actions as needed.

- Collaboration with Leadership:

  - Partner with the VP for Clinical Excellence and the Clinical Excellence and Safety National Medical Director.

  - Support the national patient harm avoidance program through strategic initiatives.

Use your skills to make an impact
 

Qualifications:

- Education:

  - Bachelor's degree in Nursing, Healthcare Administration, Public Health, or a related field required.

  - Master's degree preferred.

Experience:

  - Minimum of 5 years of clinical experience in a healthcare setting.

  - Proven success in project management and quality improvement.

  - Experience with statistical process control and other analytic tools for improvement.

  - Familiarity with value-based care models and population health management.

Certifications:

  - Project Management Professional (PMP) certification preferred.

  - Certification in Healthcare Quality (CPHQ) is a plus.

Skills:

  - Strong analytical and problem-solving abilities.

  - Excellent communication and interpersonal skills.

  - Proficient in data analysis tools and project management software.

  - Ability to work independently in a remote environment and manage multiple projects simultaneously.

  - Comfortable working with and engaging at all levels of the organization.

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.

 

$94,900 - $130,500 per year

 

This 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
 About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.

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 veteran status. 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.

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