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Senior Network Performance Professional at Humana - ApplyBlast

Senior Network Performance Professional

Humana

3 months ago

3.6 on Glassdoor

Texas, United States

Hybrid

Full Time

Senior

0 applicants

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About this role

A Senior Network Performance Professional at Humana collaborates with providers to enhance performance, improve STARs ratings, and advance quality initiatives. The role involves resolving provider issues, analyzing performance data, and driving strategic initiatives to support operational success. It requires strong relationship-building skills and the ability to influence decisions within the healthcare network.

Responsibilities

Collaborate with providers to define and advance goals related to interoperability and quality
Serve as an expert on the Stars/Quality program and educate physician groups on HEDIS measures
Resolve provider abrasion issues to ensure positive collaborative relationships
Monitor and analyze provider performance data to identify areas for improvement
Act as a liaison for providers to access Humana resources and self-serve tools

Skills

Qualifications

Bachelor's Degree in Business, Finance, Health Care/Administration, RNUnderstanding of NCQA and CMS Stars Rating SystemExperience with Medicare and/or managed careMaster's Degree in Business, Finance, Health Care/Administration, RN (Preferred)

About Humana

humana.com

Headquarters

Louisville, Kentucky, United States

Company Size

10001+ employees

Founded

1961

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