Humana STARS Improvement Professional 2 in Miramar, Florida
The STARS Improvement Professional 2 develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs all Stars quality improvement programs and initiatives. The STARS Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The STARS Improvement Professional 2 develops programs designed to increase the plan quality. Partners with leaders regarding implementation planning. Reviews and communicates results of programs. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
2-5 years of clinical experience
Prior Medicare 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, PowerPoint and Outlook
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Bachelor’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 analyze and identify gaps in care
Experience with SQL which includes the ability to create reports from scratch and also run existing reports
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
- This office based role located in Miramar, FL also has the potential to work from home.
Scheduled Weekly Hours
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 that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
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