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Job Profile Summary 

The Supervisor, Stars Improvement, Clinical is responsible for supporting the development, implementation and oversight of the Primary Care Organization’s in-clinic Stars Program. The Supervisor, Stars Improvement, Clinical works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach. 

 

Job Description 

The Supervisor, Stars Improvement, Clinical This work focuses on areas of clinical emphasis. Decisions are typically related to schedule, plans and daily operations. Performs escalated or more complex work of a similar nature and supervises a group of support and technical associates; coordinates and provides day-to-day oversight to associates (7-10 FTEs). Ensures consistency in execution across team. Holds team members accountable for following established policies. 

The Supervisor, Stars Improvement, Clinical represents the scope of provider relationships across the following areas: 

• Quality/clinical management and population health 

• HEDIS and Stars performance 

• Operational improvements  

• Financial performance and incentive programs 

• Data sharing and connectivity 

• Documentation and coding  

• Additional areas related to provider performance, member experience, market growth, provider experience and operational excellence 

Use your skills to make an impact
 

Required Qualifications  

• Licensed Registered Nurse (RN) without restriction in applicable state 

• 5+ years of clinical nursing experience 

• Strong knowledge of HEDIS/Stars/CMS 

• Excellent presentation and communication skills, both oral and written 

• Strong relationship building skills as this is a provider-facing role 

• Strong attention to detail with a focus on process and quality 

• Comprehensive knowledge of Microsoft Office applications 

Preferred Qualification 

• Bachelor's degree in nursing 

• 3+ years of managed care experience 

• 3+ years of leadership experience or equivalent 

Additional Information 

• Hours for the role are: Monday-Friday 8am-5pm EST 

• This role will be based within the assigned region. Rotation to various local centers, with approximately 10% - 15% overnight travel, as necessary to meet with leadership in covered markets. 

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$78,400 - $107,800 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and