Senior Network Performance Strategist (Remote)

Humana Inc; Remote; USD 78,000 - 108,000; Full time

Job summary

A healthcare services company seeks a Senior Network Performance Professional in Raleigh, NC. You will improve provider performance in the SouthEast Region by enhancing STARs ratings through strategic initiatives and fostering relationships. Responsibilities include analyzing performance data, educating providers on healthcare measures, and executing performance strategies. Requires 5+ years of experience with Medicare and strong relationship-building skills. This remote role involves occasional travel and offers competitive benefits and compensation between $78,400 and $107,800 annually.

Benefits

Medical, dental, and vision benefits

401(k) retirement savings plan

Paid time off

Short-term and long-term disability

Qualifications

• 5 or more years' experience with Medicare and/or managed care.
• Understanding of NCQA HEDIS measures and CMS Star Rating System.
• Experience building relationships with physician groups.

Responsibilities

• Define and advance goals related to interoperability and quality.
• Monitor and analyze provider performance data.
• Educate physician groups on HEDIS and patient safety.

Skills

Relationship building

Data analysis

Presentation skills

Knowledge of NCQA HEDIS measures

Education

Bachelor's Degree

Tools

Microsoft Office (Word, Excel, PowerPoint)

Job description

A healthcare services company seeks a Senior Network Performance Professional in Raleigh, NC. You will improve provider performance in the SouthEast Region by enhancing STARs ratings through strategic initiatives and fostering relationships. Responsibilities include analyzing performance data, educating providers on healthcare measures, and executing performance strategies. Requires 5+ years of experience with Medicare and strong relationship-building skills. This remote role involves occasional travel and offers competitive benefits and compensation between $78,400 and $107,800 annually.