Become a part of our caring community and help us put health first The Quality Improvement Professional 2 will support clinicians and staff, working collaboratively with the staffed clinical and operations teams including center administrators. Provide support, make recommendations and assist with implementing quality improvement best practice initiatives designed to improve CMS Star measures (HEDIS), patient safety and patient experience (CAHPS-HOS). QIP2 assignment may be coverage of PCO staffed providers and PCO Independent Network provider/practices functioning in a similar capacity as described previously for support to the staffed centers. • Best suited candidate will have an interest and practical experience working with clinical Star measures in particular medication adherence and HEDIS. • Utilize approved avenues to outreach to patients with medication reminders • Medical record review, retrieval, and submissions to health plans to support HEDIS gap closure. • Distribute time-sensitive and relevant data to promote action on the part of clinical teams and operations to address opportunities and close gaps (excel moderate -to- advanced skills) • Review and assess provider/member detail HEDIS data/gap reports to identify opportunities for improvement and gap closure. • Leads efforts to identify opportunities for improvement, workflow deficiencies and barriers. • Develop and implement strategic action plans to achieve annual Stars goals within market and/or centers • Provides support to provider/practice specific needs thus assisting in driving the effective implementation of the quality improvement strategy. • Manage workloads such as the distribution of medication adherence reports to PCP. • Train/educate teams on CMS Star measures, one-on-one or in a setting with multiple team members (clinicians, medical assistants, practice administrators, front office). • Present Stars performance information during meetings one-on-one or in wider settings. Create PowerPoint presentation. • Collaborates with various stakeholders/partners (internal and external) including market operations/provider relations, coding teams; medical directors, clinical and health plan teams, and vendors to provide support and in some cases assist with the execution of workflows developed to improve outcomes for HEDIS, patient safety (such as medication adherence) and patient experience. • Support quality initiatives events such as eye screenings, bone mineral density, etc. Use your skills to make an impact Required Qualifications: • Strong understanding of healthcare STARS measures (HEDIS, Patient Safety, and Patient Experience (CAHPS/HOS) in particular knowledge of the measure technical specifications. • 2 + years' experience working with CMS Stars measures. • Prior experience in a health care setting direct hands-on patient care, front office or provider relations field. • Experienced providing training 1:1 or in a group setting. • Comprehensive knowledge of Microsoft Office Word, Excel and PowerPoint and excellent communication and presentation skills • Must be willing to travel locally, to our CenterWell Nevada market. Preferred Qualifications: • Bachelor's Degree • Prior LPN/LVN, Lead Medical Assistant or Center Administrator experience. • Knowledge of Humana's internal policies, procedures, and systems. Additional Information: • Work schedule: M-F, 8AM-5PM. Occasional after 5PM meetings • Work-at-home and visits to medical centers and or IPA offices • Must reside in Las Vegas area Work At Home Statement: To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self- provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: 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. 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. $65,000 - $88,600 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 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.

JOB DESCRIPTION This position is responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including delegation standards and requirements contained in the delegation agreement. Essential Job Duties The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM delegates are compliant all applicable State, CMS, and NCQA requirements, as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. We are looking for LVN's with at least 3 years of UM experience, NCQA accreditation and knowledge of InterQual / MCG guidelines. Excellent computer multi-tasking skills and analytical thought process is important to be successful in this role. Productivity is important with turnaround times. Experience with Appeals, Auditing, Prior Authorization, Compliance and Quality will be a good fit for this position. Further details to be discussed during our interview process. CA located – Remote position - Coordinates, conducts, and documents pre-delegation and annual assessments as necessary to comply with state, federal, NCQA, and any other applicable requirements. - Distributes audit results letters, follow up letters, audit tools, and annual reporting requirement as needed. - Works with Delegation Oversight Analyst on monitoring of performance reports from delegated entities. - Develops corrective action plans when deficiencies are identified, and documents follow up to completion. - Assists with meetings of the Delegation Oversight Committee. - Works with the Delegation Oversight Manager to develop and maintain delegation assessment tools, policies, and reporting templates. - Assists with preparation of delegation summary reports submitted to the EQIC and/or UM Committees. - Participates as needed in Joint Operation Committees (JOC's) for delegated groups. - Assists in preparation of documents for CMS, State Medicaid, NCQA, and/or other regulatory audits as needed. Required Qualifications • At least 3 years experience in health care, including 2 years experience in a managed care environment facilitating utilization reviews, or equivalent combination of relevant education and experience. • Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice. • Knowledge of audit processes and applicable state and federal regulations. • Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet established deadlines. • Ability to collaborate effectively with team members and internal departments. • Strong attention to detail with a focus on maintaining quality in all tasks. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

JOB DESCRIPTION This position is responsible for continuous quality improvements within the Delegation Oversight Department. Oversees delegated activities to ensure compliance primarily with NCQA, CMS and State Medicaid requirements including delegation standards and requirements contained in the delegation agreement. Essential Job Duties The Delegation Oversight Nurse is responsible for ensuring that Molina Healthcare's UM delegates are compliant all applicable State, CMS, and NCQA requirements, as well as Molina Healthcare business needs. In addition, the Delegation Oversight Nurse will assist the Delegation Oversight Manager with additional duties of the team. We are looking for LVN's with at least 3 years of UM experience, NCQA accreditation and knowledge of InterQual / MCG guidelines. Excellent computer multi-tasking skills and analytical thought process is important to be successful in this role. Productivity is important with turnaround times. Experience with Appeals, Auditing, Prior Authorization, Compliance and Quality will be a good fit for this position. Further details to be discussed during our interview process. CA located – Remote position - Coordinates, conducts, and documents pre-delegation and annual assessments as necessary to comply with state, federal, NCQA, and any other applicable requirements. - Distributes audit results letters, follow up letters, audit tools, and annual reporting requirement as needed. - Works with Delegation Oversight Analyst on monitoring of performance reports from delegated entities. - Develops corrective action plans when deficiencies are identified, and documents follow up to completion. - Assists with meetings of the Delegation Oversight Committee. - Works with the Delegation Oversight Manager to develop and maintain delegation assessment tools, policies, and reporting templates. - Assists with preparation of delegation summary reports submitted to the EQIC and/or UM Committees. - Participates as needed in Joint Operation Committees (JOC's) for delegated groups. - Assists in preparation of documents for CMS, State Medicaid, NCQA, and/or other regulatory audits as needed. Required Qualifications • At least 3 years experience in health care, including 2 years experience in a managed care environment facilitating utilization reviews, or equivalent combination of relevant education and experience. • Licensed Vocational Nurse (LVN) or Licensed Practical Nurse (LPN). License must be active and unrestricted in state of practice. • Knowledge of audit processes and applicable state and federal regulations. • Ability to work effectively in a fast-paced, high-volume environment, maintain accuracy and meet established deadlines. • Ability to collaborate effectively with team members and internal departments. • Strong attention to detail with a focus on maintaining quality in all tasks. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Registered Nurse (RN). License must be active and unrestricted in state of practice. • Certified Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified Professional in Healthcare Quality (CPHQ). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

• Ensuring compliance with all relevant laws and regulations by developing and implementing the policies and procedures; • Conducting compliance risk assessments and elaborating an annual compliance plan; • Developing and implementing a plan of second-line controls and conducting the tests; • Drafting of compliance points of attention and recommendations to the Board of Directors; • Assessing future business activities to identify potential compliance risks; • Ensuring the firm’s policies and procedures are being communicated effectively to all relevant employees; • Keeping abreast with regulatory changes and maintaining the policies and procedures up to date; • Being responsible for oversight of Keyrock SYC compliance with its AML obligations and acting as a focal point for the firm’s AML activity • Carrying out the duties as per the AML/CTF Framework such as conducting KYC, onboarding customers, ongoing monitoring, reporting of STR/SAR, complaint handling, etc. • Representing the company in all matters of money laundering prevention in the Seychelles • Serving as a subject matter expert on AML/CTF matters, providing guidance and support to the compliance team and other departments; • Conducting regular audits and reviews to ensure compliance with Keyrock’s SYC regulatory obligations; • Serve as a Board Member of Keyrock SYC, with a focus on all compliance related matters. This includes providing strategic guidance on regulatory obligations, overseeing the implementation of compliance frameworks, and ensuring adherence to applicable laws and internal policies across all business activities.