Latest Jobs  
Advance your technical career… Find a tech school and start an IT career!
Start your career in the fast-growing technical field – Get more info here »
Advance your technology career with the latest technology skills - Get more info here »
 
 
Job Information
Job title

Quality Auditor

Company Humana
Wage between $0.00 - $0.00 Hourly
Location United States, Arkansas, Little Rock
Employment type Full Time
Education Not Specified
Year Experience 4 - 5 Years of Practical Experience
Travel None
Published on 7/3/2008
Description
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation's largest publicly traded health benefits companies. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer-choice plans - to employer groups, government-sponsored plans, and individuals.

Today, Humana is a leader in consumer engagement. Throughout its diversified customer portfolio, the company provides guidance that can both help lower costs and lead to a better health plan experience.

Role: Service Operations Information Specialist
Assignment: Quality Audit
Location:

Are you a fit?
Do you enjoy working in a team environment? Would you like to interact clinical team to help diagnose and resolve their problems and concerns? If so, then read on!
Effective reporting, monitoring and analysis of data are central elements of a high energy work environment. The information specialist supports the success of Humana's business strategy by tracking performance and service quality and indentifying areas for continous improvement.

Assignment Capsule
In this highly visible role as an Information Specialist you will: evaluate data with statistical, financial, or clinical emphasis, track data trends, create custom reports, scrutinize information and provide sophisticated solutions to address issues.

  • Analyze errors to determine origin and communicate outcomes and solutions (written or verbally) to Team Leads or Frontline Leaders.
  • Audit charts for the EAP and Utilization Management teams, ensuring accuracy and completeness
  • Audit calls ensuring correctness of communicated information
  • Recommend process improvement activities pertaining to system enhancements or procedural changes
  • Use web-based technology, computer software/systems, and productivity tools to accomplish individual and team objectives
  • Create and maintain proactive communication with other departments to ensure a positive ongoing relationship


Key Competencies
  • Build Trust: You honor your word by doing what you say you are going to do.
  • Champions the Customer: You keep closely attuned to the needs and perspectives of customers and use this insight for the benefit of the business.
  • Drives for excellence: You are a continuous learner who encourages others to learn. By constantly upgrading your own work, you achieve results and outperform the competition.
  • Is Accountable: You meet clearly stated expectations and take responsibility for achieving results.


Role Essentials
  • Bachelor's Degree or equivalent experience required
  • Proficiency in all Microsoft Office Programs including Word, PowerPoint, Excel, and Access
  • Commitment to preserving confidentiality


Role Desirables
  • Quality background desired
  • Six Sigma Knowledge desired


Reporting Relationships
  • You will report to a Frontline Leader. This area is under the leadership of the SVP & Chief Service and Information Officer.


Additional Informationdf-tc

Experience/Skills
Please see above Role Description

Other desired skills:
Quality Auditor