STARS Coordinator

Solis Health Plans

6d • Onsite

About The Position

This position is
responsible for the coordination of HEDIS and Stars program, including
gap closure, comprehensive data submission, monitoring and reporting accuracy. The Stars coordinator
will be responsible for Stars improvement by supporting HEDIS and Star program data gathering process, completing member & provider outreach as needed, and developing strategies for member experience and quality of service enhancement.

Requirements

• High School graduate or GED equivalent; College degree preferred
• Minimum two-years experience working in a health plan or IPA environment conducting HEDIS/Star activities and/or medical record reviews
• Willing to travel locally to provider offices
• Attention to detail and quick learner
• Excellent verbal, written communication and interpersonal skills Excellent organizational skills and ability to multitask
• Ability to work well in a busy department
• Able to stay focused in a fast-paced environment
• Bilingual English & Spanish and/or Creole.

Nice To Haves

• 2+ years of college, in pursuance of a Bachelor's or Associate's degree in Health Care.

Responsibilities

• Responsible for formulating/implementing and executing all Star quality program processes, requests, workflows or policies as requested by management in a courteous and efficient manner, including offering a proactive approach to suggestions and recommendations
• Download pull lists and perform provider/member outreach as required
• Coordinate with provider staff schedule remote or onsite record reviews
• Access HEDIS data repository or Ensure Data Solutions to continually monitor areas of improvement on HEDIS gap closure
• Create Power Point decks and other training material for internal and external meetings
• Develop, monitor and report performance for improvement activities
• Attend health plan Joint Operating Meetings (JOM) and other quality meetings
• Attend on-site medical group provider meetings regarding quality measures
• Additional duties as assigned

Benefits

• Full benefits package offered on the first day of the month following the date of hire including: Medical, Dental, Vision, 401K plan with a 100% company match!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED