Senior Stars Consultant

Humana • Tampa, FL

3d • $86,300 - $118,700 • Remote

About The Position

The Senior Stars Consultant /Senior Stars Improvement professional will collaborate with network providers and member-facing groups to guide, recommend, and develop targeted strategies that enhance quality and support patients in strengthening their self-management skills. You will report to the Stars Improvement Lead. As the Senior Stars Consultant / Senior Stars Improvement professional, you will Identify opportunities to improve member experience through organizational key performance indicators, including CAHPS, HOS, Net Promoter Score, and others Develop and implement strategies to improve through network engagement Collaborate cross-functionally with business leaders to analyze trends across CAHPS and HOS measures Identify and execute initiatives that strengthen CAHPS performance, improve efficiency, and deliver exceptional member experience Promote participation in the Perfect Experience Program (CAHPS and HOS) by providing information about program availability, explaining program benefits, and supporting member engagement Establish strategies for program growth and continuously enhancing program capabilities Analyze operational processes to identify and implement key improvements Develop and apply best practices that support a market-centric approach Manage training and education for providers and members related to program offerings Use your skills to make an impact

Requirements

• Bachelor's degree
• 3 or more years of experience working with managed care organizations, Medicare, or Medicaid
• Demonstrated involvement in quality improvement, Stars program, CAHPS, HOS, or related patient experience initiatives
• Comprehensive knowledge of Microsoft Office Word, Excel, and PowerPoint

Nice To Haves

• Experience in the health solutions industry
• Understanding of CMS Stars, performance measures, and HEDIS; related experience
• Background in quality improvement
• Experience in patient experience areas such as Grievance and Appeals or Access and Complaints
• Bilingual English and Spanish (verbal and written)

Responsibilities

• Identify opportunities to improve member experience through organizational key performance indicators, including CAHPS, HOS, Net Promoter Score, and others
• Develop and implement strategies to improve through network engagement
• Collaborate cross-functionally with business leaders to analyze trends across CAHPS and HOS measures
• Identify and execute initiatives that strengthen CAHPS performance, improve efficiency, and deliver exceptional member experience
• Promote participation in the Perfect Experience Program (CAHPS and HOS) by providing information about program availability, explaining program benefits, and supporting member engagement
• Establish strategies for program growth and continuously enhancing program capabilities
• Analyze operational processes to identify and implement key improvements
• Develop and apply best practices that support a market-centric approach
• Manage training and education for providers and members related to program offerings

Benefits

• medical
• dental
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior