STARS Improvement Professional - Remote

Profile

Description

The STARS Improvement Professional 2 develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs all Stars quality improvement programs and initiatives. The STARS Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The STARS Improvement Professional 2 develops programs designed to increase the plan quality. Partners with leaders regarding implementation planning. Reviews and communicates results of programs. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

Required Qualifications

Associate's Degree in Business, Finance, Health Care or a related field

2 - 5 years of clinical experience

Prior Medicare/Medicaid experience

Strong attention to detail and focus on process and quality

Excellent communication skills

Ability to operate under tight deadlines

Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint

Experience with SQL which includes the ability to create reports from scratch and also run existing reports

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

Bachelor's Degree in Business, Finance, Health Care or a related field

Progressive experience in the health solutions industry

Prior managed care experience

Understanding of metrics, trends and the ability to analyze and identify gaps in care

Proven organizational and prioritization skills and ability to collaborate with multiple departments a plus

Understanding of CMS Stars, performance measures, HEDIS knowledge and experience a plus

Background working in quality improvements

Additional Information

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com