Senior Stars Improvement Clinical Professional RN/LPN - Remote NY NJ CT MA ME NH

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Job Information
Humana
Senior Stars Improvement, Clinical Professional (RN/LPN) - Remote NY, NJ, CT, MA, ME, NH
in
Bridgeport
Connecticut
Description
The Senior Stars Improvement, Clinical Professional (RN/LPN) 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, Clinical Professional (RN/LPN) 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.
Effectively develops, enhances and maintains provider relationships
Facilitates virtual and in-person meetings with provider groups
Reviews and communicates to providers groups results of Humana Quality programs
Identifies specific practice needs to provide support
Collaborates with internal and external stakeholders to improve regional quality performance
Provides support and consultation to provider groups related to CMS Stars programs as well as Humana's quality programs
In addition to being a great place to work, Humana also offers industry leading benefits for all employees, starting your FIRST day of employment. Benefits include:
Medical Benefits
Dental Benefits
Vision Benefits
Health Savings Accounts
Flex Spending Accounts
Life Insurance
401(k)
PTO including 7 paid holidays, one personal holiday, one day of volunteer time off, 23 days of annual PTO, parental leave, caregiving leave, and weekly well-being time
And more
Required Qualifications
An active Registered Nurse (RN) License or LPN License free of restrictions
5 years of RN experience OR 5 years LPN experience with Bachelors Degree
2 years In clinic experience ( (if hospital experience, quality improvement focus)
Familiar with provider office processes
Ability to influence and make a positive impact
Strong presentation skills both verbal and written
Ability to work autonomously and within a highly collaborative team
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
Understanding of metrics, trends and the ability to identify best next steps
Proven organizational and prioritization skills and ability to collaborate with multiple departments
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred Qualifications
Bachelor's Degree or Master's Degree in Business, Finance, Health Care or a related field
Understanding of CMS Stars, performance measures, HEDIS knowledge and experience
Background working in quality improvements
Experience working with Medicare Advantage Plans
Prior value-based care or managed care experience
Coding experience
Additional Information
Ability to travel 25% of the time in the North East region.
For this job, associates are required to be fully COVID vaccinated, including booster or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. 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, including booster or commit to testing protocols
*OR  *
Provide proof of applicable exemption including any required supporting documentation
​​Medical, religious, state and remote-only work exemptions are available.
Work at Home/Remote Requirements Must ensure designated work area is free from distractions during work hours and virtual meetings. Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance is required.
Our Hiring Process
As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m (satellite and/or wireless internet connections are NOT permitted for Work at Home roles) and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process. #ThriveTogether #WorkAtHome
Alert:
Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide a social security number, if it is not already on file. When required, an email will be sent from **** with instructions to add the information into the application at Humana's secure website.
Humana is more than an equal opportunity employer, Humana's dedication to promoting diversity, multiculturalism, and inclusion is at the heart of what we do in all of our Humana roles. Diversity is more than a commitment to us, it is the foundation of what we do. We are fully focused on diversity of race, gender, sexual orientation, religion, ethnicity, national origin and all of the other fascinating characteristics that make us each uniquely wonderful.
Scheduled Weekly Hours
40

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