Senior STARS Consultant - Remote

HCSC Group; Chicago (IL); Remote; USD 70,000 - 126,000; Full time

Job summary

HCSC is seeking a dedicated professional to serve as the functional liaison between the Intake team and operations, focusing on Medicare and Star Ratings initiatives. You will review project scope, support business needs through delivery, and manage change requests to ensure successful enterprise outcomes.

The role requires strong communication, organizational, and analytical skills, plus experience dealing with senior management across departments.

Qualifications

• Bachelor's degree required.
• 5 years of healthcare industry or health insurance work experience.
• Experience with Medicare.

Responsibilities

• Serve as liaison between Intake and operations teams for Medicare and Star Ratings initiatives.
• Review project scope and support delivery throughout the lifecycle.
• Manage production and/or system change requests to deliver enterprise initiatives.
• Facilitate communication of changes and updates to impacted business units.

Skills

Bachelor's degree

Healthcare industry experience

Medicare experience

Communication skills

Organizational skills

Presentation skills

Stakeholder management

Analytical thinking

Project management

Education

Bachelor's degree

Tools

SQL

Dashboards/Scorecards

Quality platforms (Inovalon/Cotiviti)

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This position serves as the functional liaison between the Intake team and operations teams, supporting Medicare, and Star Ratings related business initiatives. Responsibilities include reviewing project scope, supporting business needs throughout the delivery cycle, and managing production and/or system change requests to deliver enterprise initiatives. The role researches and analyzes business impacts against project scope and supports effective project delivery for medium-complexity initiatives that may span multiple business functions. Additionally, the position facilitates communication of changes, enhancements, and operational updates to impacted business units to support successful implementation and business outcomes.

Required Job Qualifications:

• Bachelor’s degree
• 5 years of healthcare industry or health insurance work experience
• Previous experience with Medicare
• Strong written and oral communication skills
• Organizational skills, including ability to prioritize tasks.
• Presentation skills and executive presence
• Experience with interacting successfully with senior management and staff of all levels across multiple departments
• Analytical thinking, and problem-solving skills
• Business acumen and project / program management skills

Preferred Job Qualifications:

• Demonstrated experience supporting or leading Medicare Advantage Star Ratings initiatives with measurable quality improvement outcomes.
• Deep understanding of HEDIS measures, quality reporting methodologies, and strategies used to improve Star Ratings performance.
• In-depth knowledge of Medicare Advantage products, CMS regulations, and the Medicare regulatory environment.
• Experience utilizing dashboards, scorecards, and performance reporting tools to identify trends, gaps, and opportunities for intervention.
• Experience with Inovalon, Cotiviti, or other quality measurement and HEDIS platforms.
• MBA, MPH, MHA, or related master's degree with demonstrated analytical, strategic, and problem-solving capabilities.
• Experience supporting healthcare quality, operational, and performance improvement initiatives.
• Working knowledge of SQL and healthcare data analysis methodologies.
• Vendor oversight and management experience.

Sponsorship is not available

This is a remote role

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Compensation: $69,800.00 - $125,900.00

Exact compensation may vary based on skills, experience, and location

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.