Senior STARS & Quality Improvement Specialist - Remote

Humana Inc; Town of Florida (NY); Hybrid; USD 78,000 - 108,000; Full time

Job summary

Humana Inc. seeks a Senior Stars Improvement, Clinical Professional to advance quality of care and HEDIS outcomes for Medicaid/Medicare populations.

The role informs department strategy and works with providers during virtual visits to drive member care and education. Based remotely in the United States, you will collaborate with cross-functional teams, support performance improvement efforts, and participate in JOC discussions on clinical and quality measures.

Qualifications

• Experience with Medicare, Medicaid or dual eligible populations.
• Prior experience in a fast-paced insurance or health care setting.
• Understanding of healthcare quality measures such as STARS and HEDIS.
• Experience collaborating with cross-functional teams.
• Strong analytical and communication skills.
• Proven ability to educate providers and drive quality improvement.

Skills

Medicare experience

Medicaid experience

Insurance/healthcare setting

HEDIS knowledge

Stars quality measures

Cross-functional collaboration

Analytical skills

Excellent communication

Education

Bachelor’s degree in nursing

FL RN License

Tools

Microsoft Office

Job description

Humana Inc. seeks a Senior Stars Improvement, Clinical Professional to advance quality of care and HEDIS outcomes for Medicaid/Medicare populations.

The role informs department strategy and works with providers during virtual visits to drive member care and education. Based remotely in the United States, you will collaborate with cross-functional teams, support performance improvement efforts, and participate in JOC discussions on clinical and quality measures.