Stars Improvement Lead

Humana

1d • Remote

About The Position

Become a part of our caring community and help us put health first The STARs Improvement Lead develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs all Stars quality improvement programs and initiatives. Focuses on STARs medication adherence measures. The STARs Improvement Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The STARs Improvement Lead develops programs designed to increase the plan quality. Partners with leaders regarding implementation planning. Reviews and communicates results of programs. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action. Use your skills to make an impact

Requirements

• Bachelor's Degree in Business, Finance, Health Care or a related field
• 2 or more years of project leadership experience
• Prior Medicare/Medicaid experience
• Strategic thinking and planning capabilities; organized and detail-oriented
• Demonstrated ability to articulate ideas effectively in both written and oral forms
• Enthusiasm and motivation essential; a confident change-agent; strong presentation skills (oral and written)
• Ability to operate under tight deadlines
• 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
• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; 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 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 employees 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.

Nice To Haves

• Master's Degree in Business Administration, Health Administration or a related field
• Progressive experience in the health solutions industry
• Provider relations experience
• 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

Responsibilities

• Develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program.
• Directs all Stars quality improvement programs and initiatives.
• Focuses on STARs medication adherence measures.
• Develops programs designed to increase the plan quality.
• Partners with leaders regarding implementation planning.
• Reviews and communicates results of programs.
• Advises executives to develop functional strategies (often segment specific) on matters of significance.
• Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision.

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.

What This Job Offers

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