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STARS Improvement Professional 2 at Humana - ApplyBlast

STARS Improvement Professional 2

Humana

3 months ago

3.6 on Glassdoor

Florida, United States

Hybrid

Full Time

Senior

0 applicants

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About this role

The STARS Improvement Professional 2 develops and manages oversight of the Medicare/Medicaid Stars Program, directing quality improvement initiatives to increase plan quality. The role involves partnering with leaders on implementation, reviewing provider metrics, and educating staff on clinical programs and CAHPS surveys. Candidates must make independent decisions regarding work methods while following established guidelines to support member care.

Responsibilities

Develop and implement Medicare/Medicaid Stars quality improvement programs
Review provider metrics and coach assigned providers on care gaps
Educate providers and staff on clinical programs and CAHPS surveys
Partner with leaders on implementation planning and strategy
Analyze metrics and identify gaps in care to drive performance

Skills

Qualifications

Bachelor's Degree in Business, Finance, or Health Care2+ years of clinical experiencePrior Medicare/Medicaid experienceMaster's Degree in Business Administration or Health Administration (Preferred)Experience with SQL for report creation

About Humana

humana.com

Headquarters

Louisville, Kentucky, United States

Company Size

10001+ employees

Founded

1961

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