D-SNP Stars & Clinical Principal
Humana(1 month ago)
About this role
Member of Medicaid’s D-SNP Center of Excellence focused on Quality and CMS Stars programs, serving as the subject matter expert for Stars-related initiatives across integrated Medicaid D-SNP markets. The role supports alignment between Medicare and Medicaid segments to advance quality outcomes, access, and standardized operational practices. It operates within Insurance Operations to ensure Stars strategies are integrated into care coordination, billing, claims, and customer service functions.
Required Skills
- Quality Improvement
- Enterprise Strategy
- Insurance Operations
- Care Coordination
- Claims Processing
- Billing
- Customer Service
- Project Management
- Vendor Management
- Data Analysis
+5 more
Qualifications
- Bachelor's Degree
About Humana
humana.comExplore Medicare plans and health insurance coverage to fit your lifestyle. Turning 65 or recently qualified? Sign up for Medicare coverage! Start with healthy, start with Humana.
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