Humana · 3 weeks ago
AVP, Stars Improvement (CAHPS/HOS)
United States
Full-time
Remote
Senior Level, Lead/Staff
$203K/yr - $280K/yr
8+ years expHumana is committed to putting health first and is seeking an AVP for Stars Improvement focusing on CAHPS and HOS initiatives. This role involves overseeing the implementation and continuous improvement of quality solutions aimed at enhancing member experience and satisfaction while ensuring compliance with regulatory requirements.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Serve as an internal expert on CAHPS and HOS survey methodology, regulatory changes, and CMS guidance
Develop and execute an improvement strategy to deliver on contract, measure level targets
Monitor results, identify trends and areas of opportunity, and drive continuous improvement
Accelerate shared accountability for CAHPS and HOS improvement by effectively communicating the strategy to the Enterprise to create alignment, inspire action and deliver tangible results
Develop and maintain a portfolio of improvement initiatives focused on delivering improved member experience and satisfaction, targeting key drivers of performance
Collaborate with cross-functional teams to design, test, and scale interventions that directly impact Star ratings
Responsible for initiative performance monitoring and development of deep, holistic operational reporting, with regular executive summary roll-up to Stars leadership
Lead multiple analytics partners to develop robust reporting informing prioritized opportunities for Quality improvement and experience; requires ability to derive insights from large quantities of data
Develop strategic recommendations for program evolution and policy advocacy, including written summaries and talking points for engagement with CMS, industry groups, and internal stakeholders
Oversee budget, vendor relationships and project/ program management
Lead and develop team of high-performing direct reports
Qualification
Required
Bachelor's Degree
8+ years of experience in Medicare Advantage quality, Stars and/or member experience
Deep understanding of CAHPS/HOS survey methodology, Stars weighting, and CMS expectations
Progressive experience in the healthcare industry, with emphasis on leading and managing teams
Proficiency in analyzing and interpreting healthcare data and trends
Strong attention to detail and focus on process and quality
Ability to operate under tight deadlines
Experience driving enterprise strategy
Exceptional communication, collaboration, and influence skills across clinical, business, and policy audiences
Preferred
Masters degree
Benefits
Medical, dental and vision benefits
401(k) retirement savings plan
Time off (including 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.
10001+ 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
2025 (282)
2024 (246)
2023 (284)
2022 (274)
2021 (212)
2020 (84)
Funding
Current Stage
Public CompanyTotal Funding
$13.07B2025-05-30Post Ipo Debt· $5B
2025-03-03Post Ipo Debt· $1.25B
2024-03-11Post Ipo Debt· $2.25B
Leadership Team
Jim Rechtin
CEO and President
Colin Drylie
Senior Vice President, Experience Transformation
Recent News
2026-01-09
2026-01-07
2026-01-06
Company data provided by crunchbase