1+ months

Senior STARS Improvement Professional - Eastern Panhandle Florida

Humana
Destin, FL 32541
Description The Senior STARS Improvement Professional develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs all Stars quality improvement programs and initiatives. The Senior STARS Improvement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. 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 departments 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 + An active Registered Nurse (RN) License free of restrictions in state of Florida + Bachelor's Degree in Business, Finance, Health Care or a related field + 5 or more 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 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: Travel / Field Work up to 75% of time Scheduled Weekly Hours 40 About Us Mission: At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms when and where they need it. Our employees are at the heart of making this happen and thats why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first. Equal Opportunity Employer It is our policy to recruit, hire, train, and promote people without regard to race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, disability, or veteran status, except where age, sex, or physical status is a bona fide occupational qualification. View the EEO is the Law poster. If you are an individual with a disability and require a reasonable accommodation to complete any part of the application process, or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact mailbox_tas_recruit@humana.com for assistance. Humana Safety and Security Humana will never ask, nor require a candidate provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact mailbox_tas_recruit@humana.com to validate the request. <>

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Posted: 2020-03-11 Expires: 2020-06-10

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Senior STARS Improvement Professional - Eastern Panhandle Florida

Humana
Destin, FL 32541

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