Senior Stars Improvement, Clinical Professional RN
Humana(1 month ago)
About this role
Senior clinical professional focused on improving maternal health outcomes through management of Humana’s Medicare/Medicaid Stars program. The role centers on oversight of quality and performance for assigned Medicaid provider groups, data-driven analysis of health metrics, and cross-functional collaboration to support plan performance and member experience. This position requires residing in Florida and holds accountability for program implementation and strategic clinical improvement initiatives.
Required Skills
- Quality Improvement
- HEDIS
- CMS Stars
- Excel
- PowerPoint
- Data Analysis
- Provider Engagement
- Communication
- Relationship Building
- Analytical Thinking
Qualifications
- FL RN License
- Bachelor's Degree
- Medical Coding Certification
- CPHQ
About Humana
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