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Humana Senior Stars Improvement Professional - WAH in CO or AZ in Colorado Springs, Colorado

Description

The Senior Stars Improvement Professional develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs Stars quality improvement programs and initiatives. The Senior Stars Improvement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Senior Stars Improvement Professional develops programs designed to increase the plan quality. Partners with leaders regarding implementation and planning for projects. Identifies, develops, and gathers the resources to complete the projects. Reviews and communicates results of programs. Builds and maintains positive relationships with external vendors. Begins to influence department's strategy. Ability to rapidly flex to changing work assignments and a regular basis. Conduct member outreach calls up to 20% of the time. Travel required up to 50% of the time. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications

  • Bachelor's Degree in Business, Finance, Health Care or a related field

  • 5 or more years of professional 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 and PowerPoint

  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences

  • Willingness to travel locally and regionally, up to 50% of the time.

Preferred Qualifications

  • Master'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 identify gaps in care

  • 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

Scheduled Weekly Hours

40

Colorado Pay Range

The compensation range represents a good-faith estimate of annualized starting pay at the time of posting based on a full-time 40-hour workweek and may vary based on geographic location and/or employment type. Individual pay decisions will vary based on demonstrated job-related skills such as education, experience, certifications, etc.

74,900-103,175

Pay Type

Hourly

Incentive

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

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