Humana · 2 days ago
Stars Improvement Lead
United States
Full-time
Remote
Mid, Senior Level
$104K/yr - $143K/yr
2+ years expHumana is committed to putting health first and is seeking a Stars Improvement Lead to develop, implement, and manage their Medicare/Medicaid Stars Program. The role involves directing quality improvement programs, focusing on medication adherence measures, and advising executives on functional strategies.
Health CareHealth InsuranceInsuranceVenture Capital
Responsibilities
Develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program
Directs all Stars quality improvement programs and initiatives
Focuses on STARs medication adherence measures
Develops programs designed to increase the plan quality
Partners with leaders regarding implementation planning
Reviews and communicates results of programs
Advises executives to develop functional strategies (often segment specific) on matters of significance
Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision
Uses independent judgment requiring analysis of variable factors and determining the best course of action
Qualification
Required
Bachelor's Degree in Business, Finance, Health Care or a related field
2 or more years of project leadership experience
Prior Medicare/Medicaid experience
Strategic thinking and planning capabilities; organized and detail-oriented
Demonstrated ability to articulate ideas effectively in both written and oral forms
Enthusiasm and motivation essential; a confident change-agent; strong presentation skills (oral and written)
Ability to operate under tight deadlines
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
Must be passionate about contributing to an organization focused on continuously improving consumer experiences
Preferred
Master's Degree in Business Administration, Health Administration or a related field
Progressive experience in the health solutions industry
Provider relations experience
Prior managed care experience
Understanding of metrics, trends and the ability to analyze and identify gaps in care
Proven organizational and prioritization skills and ability to collaborate with multiple departments a plus
Understanding of CMS Stars, performance measures, HEDIS knowledge and experience a plus
Background working in quality improvements
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
Caleb Gallifant
Chief Operating Officer, CenterWell Home Health
Recent News
2026-01-16
2026-01-16
Company data provided by crunchbase