ConcertoCare · 1 month ago
Stars Quality Specialist - North Carolina
United States
Full-time
Remote
New Grad, Entry LevelConcertoCare is redefining care and aging for millions of US seniors and adults with complex care needs. The Stars Quality Specialist will have a direct impact on overall quality performance by assisting the care team with medication and HEDIS related functions, reporting, and improvement efforts to maximize Star ratings.
Elder CareHealth CareHealth DiagnosticsHome Health CareHospitalMedical
Responsibilities
Direct impact on variety of Stars measures and activities, including Medication Adherence, portable device monitoring, market quality dashboard reviews, individual measure improvement plans, and Q4 pushes to maximize Star ratings
Detail oriented tasks including reviewing and auditing charts to ensure accurate documentation is occurring across the care team and looking for opportunities to improve Stars performance
Use data and reporting to drive decision making, prioritize work efforts, maximize performance, and close quality gaps
Telephonic outreach efforts include interacting with members, providers, pharmacies, ConcertoCare team members, and other key stakeholders
Strong communication skills and ability to interact with a variety of team members
Responsible for interacting with other departments to assist with member problems or questions, and act as facilitator to resolve them
Document completed work efforts in approved format and following outlined processes
Assist in day-to-day quality tasks as needed, including tracking and monitoring Stars related activities
Attend scheduled team meetings and provide relevant feedback regarding workflow issues
Organizational skills, including ability to prioritize tasks and ability to succeed in a fast-paced environment
Know and continually review medication brand and generic names, medical terminology, and pharmaceutical calculations
Qualification
Required
Understanding of Medicare Star ratings program and how to influence Star ratings
Healthcare industry and/or health insurance work experience
Proficiency in Microsoft Word, Excel, Outlook, and PowerPoint
Experience and/or ability to work with electronic health record system
Preferred
Bachelor's degree preferred
Completion of an accredited Pharmacy Technician Program preferred
Benefits
Full healthcare coverage
A 401K with match
A broad range of other health, wellness, and financial benefits
Company
ConcertoCare
ConcertoCare is a provider of at-home and comprehensive care for seniors and other adults.
Founded in 2015
201-500 employees
H1B Sponsorship
ConcertoCare 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
2020 (6)
Funding
Current Stage
Growth StageTotal Funding
$150.25MKey Investors
Wells Fargo Strategic Capital
2022-02-03Series B· $105M
2016-11-01Series Unknown· $30M
2015-07-22Series Unknown· $15.25M
Leadership Team
Dinesh Ganesan
Chief Financial Officer
Nevada Griffin
Chief Growth Officer
Recent News
2025-08-22
2024-02-19
The Washington Post
2023-12-19
Company data provided by crunchbase