Senior Stars Improvement Professional- Nurse FL RN Medicare/Medicaid Clinical exp. Travel 75 to Central/West FL Orlando or Tampa ONLY - FL

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Job Information
Humana
Senior Stars Improvement Professional- Nurse (FL RN, Medicare/Medicaid, Clinical exp. Travel 75% to Central/West FL) Orlando or Tampa ONLY - FL
in
Orlando
Florida
Description
The Senior STARS Improvement Professional role focuses on clinical and performance interventions with providers. Decisions are typically related to resources, approach, and tactical operations for projects and initiatives involving own departmental area. Requires cross-departmental collaboration, and conducts briefings and area meetings, maintains frequent contact with other managers and leaders across the organization.
Responsibilities
The Senior STARS Improvement Professional develops programs designed to increase the plan quality. 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 with minimal direction. The associate is expected exercise considerable latitude in determining objectives and approaches to assignments and account management. Additionally, this role will also be supporting the Stars operational and compliance team with clinical input and reviews on initiatives and resources.
Required Qualifications
An active Florida Registered Nurse (RN) License free of restrictions
Bachelor's Degree in Business, Finance, Health Care or a related field
5 years of clinical experience
Prior Medicare/Medicaid experience
Strong attention to detail and focus on process and quality
Excellent communication skills
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
Work At Home requirements:
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. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information
COVID Vaccination
: We will require full COVID vaccination for this job as we are a healthcare company committed to putting health and safety first for our members, patients, associates and the communities we serve. If progressed to offer, you will be required to provide proof of full vaccination or documentation for a medical or religious exemption consideration where allowed by law. Requests for these exemptions should be submitted at least 2 week prior to your scheduled first day of work.
Preferred Qualifications
Master's Degree in Business Administration, Health Administration or a related field
Progressive experience in the health solutions industry
Prior managed care experience
Understanding of metrics, trends and the ability to 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
Coding experience a plus
Additional information
Schedule:
Monday to Friday from 8 am to 5 pm.
Work Style:
Field - Associates work from non-Humana locations (such as provider facilities, employer facilities and home health locations)
Training:
One month - Virtual
Work Location (Address):
Work at Home from Orlando or Tampa ONLY- Florida
% Travel: 75% travel to
Central/West FL to visit Providers' offices
# of Direct Reports: 1-2
Scheduled Weekly Hours
40

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