Senior Stars Improvement Professional
Remote US
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Humana's Stars Improvement team is seeking a Senior Stars Improvement Professional with Medicare Risk Adjustment (MRA) and/or Stars experience to work remote. As the Senior Stars Improvement Professional, you will develop, implement and manage processes as part of the Midwest Region Medicare Stars Improvement Program. In this role, you will collaborate with providers in the Midwest region to improve Stars performance and partner with corporate partners and the Regional Stars team regarding progress updates on the marketâs performance.
Key Role Functions
Manage regional marketing and member communications projects
Maintain collaborative relationships (PE, MRA, Clinical Team , etc.)
Instill focus on Stars/Quality performance
Advance our ability to communicate actionable insights at the appropriate moments of influence to drive the next best actionÂ
Actively support team engagement performance, well-being improvement plans, and team activities
Articulate and model desired culture attributes
Document and communicate results
Lead presentations to providers for performance improvement
To be successful in this role, you must be very detail oriented with a focus on process and quality. Having excellent communication skills, both written and verbal, and being organized with the ability to prioritize under tight deadlines and collaborate with multiple departments are also critical to success.
This position is an hourly remote role requires you to be in Central or Eastern time zones.
Use your skills to make an impact
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Required Qualifications
2+ years MRA and/or Stars experience
Understanding of CMS Stars and performance measures
HEDIS knowledge and experience
Experience presenting to leadership
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Understanding of metrics, trends and the ability to identify gaps in care
Provider presentation experience
Prior managed care experience
Ability to manage across all levels of the organization
Understanding of Consumer/Patient Experience
Background working in quality improvements
Additional Information/Requirements
To ensure Home or Hybrid Home/Office employeesâ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees 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
Employees who live and work from Home in the state âŚ
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Benefits/Perks401k Retirement Savings 401(k) with match Bonus Incentive Bonus incentive plan Career development Career development opportunities Caring community Competitive benefits Dental Disability Employee charity matching Employee charity matching program Health benefits Health benefits effective day 1 Holidays Jury duty pay Life Life Insurance Medical Paid parental and caregiver leave Paid Time Off Parental and Caregiver Leave Personal holidays Recognition pay Scholarships Scholarships for eligible dependents Support whole-person well-being Time off Tuition Assistance Variety of benefits Vision Vision Benefits Volunteer time Volunteer time off Work From Home
Tasks- Collaborate with providers
- Communication
- Present to leadership
- Training
Articulate BI Business Clinical CMS Collaborative Communication Communications Compensation Consumer Experiences Data analysis Detail oriented Excel Healthcare HEDIS HIPAA Insurance Leadership Managed Care Marketing Medicaid Medicare Microsoft Office Microsoft Office Applications Network Organization PowerPoint Presentation Presentations Quality improvement Recruitment Risk Adjustment Security Training Wellness Word
Experience2 years
EducationBusiness Communication Communications Education Healthcare Higher Marketing
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9