Humana · 8 hours ago
Senior STARS Improvement Consultant
Remote Florida - Naples
Full-time
Remote
Mid, Senior Level
$77K/yr - $106K/yr
2+ years exp
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Responsibilities
Assist with the implementation and management of highly visible Pharmacy development strategies.
Engage with various business partners and be responsible for managing critical features of large scale projects.
Manage multiple projects with absolute resilience.
Coordinate and communicate effectively in written and verbal form.
Execute and outreach of Pharmacy initiatives and present opportunities for improvement.
Build and maintain strong relationships with assigned physician groups to influence execution of recommended strategy, use of self-serve tools and promotion of interoperability solutions.
Maintain collaborative relationships with internal partners (PE, MRA, Interop, Clinical Team, etc.).
Instill focus on Stars/Quality performance.
Develop and lead presentations to physician groups to promote performance improvement.
Actively support team engagement and well-being improvement plans.
Articulate and model desired culture attributes and Humana values.
Educate physician groups on reward programs and target metrics and collaborate with them to achieve established goals.
Data interpretation and analysis.
Draft and review Documents.
Qualification
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Required
Bachelor's Degree
2 or more years of Healthcare experience
Understanding of metrics, trends and the ability to analyze and identify gaps in care
Experience in completing efficient analysis of data with associated conclusions and recommendations for improvement
Comprehensive knowledge of Microsoft Office applications Word, Excel and PowerPoint
Live in Florida
Preferred
Master's Degree in Business Administration, Health Administration or a related field
Understanding of CMS Stars, performance measures, HEDIS knowledge and experience
Pharmacy management experience
Self-starter with a high level of accountability and a strong desire to excel in a fast-paced, highly-demanding environment.
Progressive experience in the health solutions industry
Prior managed care experience
Background working in quality improvements
Experience with SQL which includes the ability to create reports from scratch and also run existing reports
Proven organizational and prioritization skills and ability to collaborate with multiple departments
Experience with tools such as SAS, Power BI, SSIS, Power Apps, Power Automate, Tableau, Qlikview and/or Microsoft Access for running analysis, automating processes, or creating dashboards, self-service tools, and data visualizations
Data analysis, experience with relational databases
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Volunteer time off
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Company
Humana
Humana is a health insurance provider for individuals, families, and businesses.
10,001+ employees
H1B Sponsorship
Humana has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (217)
2022 (257)
2021 (258)
2020 (107)
Funding
Current Stage
Public CompanyTotal Funding
$6.82B2024-03-11Post Ipo Debt· $2.25B
2023-11-02Post Ipo Debt· $1.32B
2023-02-27Post Ipo Debt· $1.25B
Leadership Team
Bruce D. Broussard
President and Chief Executive Officer
Susan M. Diamond
CFO
Recent News
MedCity News
2024-11-13
2024-11-12
Company data provided by crunchbase
