Become a part of our caring community
 

The Senior Quality Engineer is an integral member of the operational unit, focused on partnering with suppliers to drive continuous improvement in quality performance. This role serves as an embedded resource, fostering collaboration and supporting operational excellence through proactive monitoring, analysis, and guidance.. Work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

The Senior Quality Engineer is important to sustain operational efficiency and continuity within the Resolution Team. By providing training and ongoing support for MHK, you will empower specialists. These empowered specialists can resolve 70% of incident tickets internally. This internal resolution reduces reliance on external vendors. This approach preserves productivity and ensures closure of appeals and responses to member needs. This directly impacts the IRE STARs measure, supporting compliance and reducing the risk of STARs-affecting delays.

The Senior Quality Engineer will:

• Serve as an embedded quality partner within the operational unit, working with supplier teams to ensure alignment on quality standards and objectives.
• Monitor supplier performance through established metrics, analyze results, and identify opportunities for improvement.
• Facilitate regular reviews and discussions with suppliers regarding quality outcomes, trends, and corrective action plans.
• Collaborate with operational leaders and supplier representatives to address quality issues and guide resolution.
• Support implementing process improvements, training, and best practices to enhance supplier quality performance.
• Track, document, and report supplier quality incidents, defects, and corrective actions using designated systems and tools.
• Maintain visibility of supplier quality status for operational leadership, providing updates and recommendations.
• Guide communication between the operational unit and supplier teams.
• Maintain documentation and records on quality performance and improvement initiatives.

Use your skills to make an impact
 

Required Qualifications

• Minimum 5 years of experience in quality engineering and/or supplier quality management
• Experience with quality performance monitoring, root cause analysis, and corrective action implementation
• Experience in healthcare or managed care environment
• Excellent communication and interpersonal skills, with the ability to influence and guide cross-functional teams
• Analytical skills with attention to detail and a proactive approach to problem-solving
• Ability to operate effectively as an embedded resource within the operational unit, supporting both internal and external stakeholders

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

Preferred Qualifications

• Minimum 3 years of experience working within Resolution Team
• Strong background in collaborating with external suppliers and operational teams to achieve quality objectives
• Proficiency in quality management tools, incident tracking systems, and reporting platforms

Additional Information

• Role will require occasional night and weekend support, to be available for our operational unit
• As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
• If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

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.

 

$97,900 - $133,500 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 Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

​
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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.