Become a part of our caring community and help us put health first
The Senior STARS Improvement Professional develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs all Stars quality improvement programs and initiatives.
The Senior STARS Improvement Professional develops programs designed to increase the plan quality. Partners with leaders regarding implementation planning. Reviews and communicates results of programs.
- Manages a Book of Business of small fee for service providers
- Tracks trends in HEDIS and Quality measures for assigned providers/contracts
- Educates internal and external stakeholders on Quality measures and improvement opportunities
- Develops strategies/coordinates special projects to impact quality improvement for the region
Use your skills to make an impact
Required Qualifications
- Bachelor's Degree
- 5 or more years of Healthcare experience
- 3 or more years of Medicare and/or Medicaid experience
- Comprehensive knowledge of Microsoft Office Word, Excel and PowerPoint
Preferred Qualifications
- Master's Degree in Business Administration, Health Administration
- Registered Nurse
- Understanding of CMS Stars, performance measures, HEDIS knowledge and experience a plus
- Prior managed care experience
- Understanding of metrics, trends and the ability to identify gaps in care
- Proven organizational and prioritization skills and ability to collaborate with multiple departments a plus
- Background working in quality improvements
- Coding experience
Additional Information
As part of our hiring process, we will be using an interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.
If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. Expect this type of interview to last anywhere from 5-10 minutes.
Work at Home Guidance
- 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
- 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.
$76,800 - $105,800 per year. This job is eligible for a bonus incentive plan.
Description of Benefits : Humana, Inc. offers competitive benefits that support whole-person well-being. 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
Humana Inc. is committed to putting health first – for our teammates, our customers and our company.
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.
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