Become a part of our caring community and help us put health first
 

Humana's Stars Improvement team is seeking a Senior Stars Improvement Professional with Medicare Risk Adjustment (MRA) and/or Stars experience to work remote. As the Senior Stars Improvement Professional, you will develop, implement and manage processes as part of the Midwest Region Medicare Stars Improvement Program. In this role, you will collaborate with providers in the Midwest region to improve Stars performance and partner with corporate partners and the Regional Stars team regarding progress updates on the market’s performance.

Key Role Functions

• Manage regional marketing and member communications projects

• Maintain collaborative relationships (PE, MRA, Clinical Team , etc.)

• Instill focus on Stars/Quality performance

• Advance our ability to communicate actionable insights at the appropriate moments of influence to drive the next best action 

• Actively support team engagement performance, well-being improvement plans, and team activities

• Articulate and model desired culture attributes

• Document and communicate results

• Lead presentations to providers for performance improvement

To be successful in this role, you must be very detail oriented with a focus on process and quality. Having excellent communication skills, both written and verbal, and being organized with the ability to prioritize under tight deadlines and collaborate with multiple departments are also critical to success.

This position is an hourly remote role requires you to be in Central or Eastern time zones.

Use your skills to make an impact
 

Required Qualifications

• 2+ years MRA and/or Stars experience

• Understanding of CMS Stars and performance measures

• HEDIS knowledge and experience

• Experience presenting to leadership

• 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

Preferred Qualifications

• Understanding of metrics, trends and the ability to identify gaps in care

• Provider presentation experience

• Prior managed care experience

• Ability to manage across all levels of the organization

• Understanding of Consumer/Patient Experience

• Background working in quality improvements

Additional Information/Requirements

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

• Satellite, cellular and microwave connection can be used only if approved by leadership

• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

• Health benefits effective day 1

• Paid time off, holidays, volunteer time and jury duty pay

• Recognition pay

• 401(k) retirement savings plan with employer match

• Tuition assistance

• Scholarships for eligible dependents

• Parental and caregiver leave

• Employee charity matching program

• Network Resource Groups (NRGs)

• Career development opportunities

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Scheduled Weekly Hours