Senior STARS Improvement Professional Work at Home

Profile

Description

The Senior STARS Improvement Professional develops, implements, and provides oversight on the execution of the regional markets Medicare/Medicaid Stars quality improvement programs and initiatives. The Senior STARS Improvement Professionals work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors to recommend, manage and execute these strategies to improve overall Star ratings and provider engagement.

Responsibilities

The Senior STARS Improvement Professional develops programs designed to increase the plans overall Star ratings and improve quality outcomes. Partners with leaders regarding implementation planning. Reviews and communicates results of programs. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications

Demonstrated critical and/or strategic thinking acumen

Proven project management skills

Strong attention to detail and focus on quality, process and accountability

Excellent communication and presentation skills

Ability to operate under tight deadlines and influence

Understanding of metrics, trends and the ability to analyze various data points for insight

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

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 and provider experiences

Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required

Preferred Qualifications

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

CMS Stars performance measures knowledge and experience

Progressive experience in the health solutions industry

Prior managed care experience

Background working in quality improvements

Project management training or certification a plus

Scheduled Weekly Hours

40

Company info

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