Director, Quality Improvement

Job description

Become a part of our caring community The Director, Quality Improvement implements quality improvement programs for Louisiana Medicaid, including annual program description, work plan, and annual evaluation. The Director, Quality Improvement requires an in-depth understanding of how organization capabilities interrelate across the function or segment. This role is accountable for developing, executing, and continuously refining the market’s quality strategy, ensuring close alignment between local market objectives and enterprise-wide goals. The Director will be responsible for aligning cross-functional and matrixed teams—including clinical, operational, analytics, and network functions—to drive cohesive quality improvement efforts. The Director, Quality Improvement provides strategic leadership for Humana's Louisiana Medicaid Quality Program, in alignment with organizational quality and population health goals and ensuring compliance with all contract, state, and federal requirements. You will support NCQA accreditation and will be the local market lead for accreditation compliance. The Director, Quality Improvement has oversight of quality and compliance processes, including evalu...