Be an early applicantLess than 25 applicants

This job has closed.

Company

Humana · 1 month ago

Senior Stars Improvement Professional

Texas, United States

Full-time

Remote

Mid, Senior Level

$77K/yr - $106K/yr

2+ years exp

Maximize your interview chances

Health CareHealth Insurance

H1B Sponsor Likely

Insider Connection @Humana

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Articulates and models desired cultural attributes

Supports Stars narrative with backup data / material

Prioritize and address financial, RA, clinical and interoperability opportunities in concert with Stars

Drive YOY performance improvement within their assigned ‘Book of Business’

Identifies areas of strength and opportunity for a provider Group / TIN and packages to share

Develop and deliver a clear, strong message that invokes the appropriate response

Utilize critical thinking to prioritize provider group / TIN, and the provider performance opportunities, based on performance value / opportunity

Establishes and maintains effective working relationships

Evaluate provider current state willingness to work with Humana to improve performance, identify improvement plan and escalate as appropriate

Identify provider best practices and needs, disseminate for sharing and / or resolution

Maintain documentation of provider visit, including focus and performance trending

Facilitate effective collaboration and communication

Self-directed and motivated, with proven ability to work independently given general instructions

Accountable to work, requiring minimal day-to-day direction and supervision

Comfortable with facilitating virtual and in-person meetings with C-suite/Management Level Executives

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Medicare experienceCMS Stars programData analysisAccount managementMS Office SuiteQuality ImprovementProcess ImprovementProject managementCoding experienceStakeholder engagementCollaboration skills

Required

Bachelor’s degree or higher in Business, Finance, Health Care or related field

2+ years of Medicare and/or Stars experience

Understanding of CMS Stars program and performance measures

Demonstrated proficiency with MS Office Suite (Word, Excel and PowerPoint)

Understanding of metrics and performance trends and ability to identify performance strengths and opportunities

History of using data to identify and prioritize opportunities and identify data driven solutions

Persistent and curious. Driven by the why and willing to engage in detective work to seek and uncover causation and solution.

Prior successful account management experience; proven influencer

History of taking on roles of increased responsibilities with proven results

Excellent communication and presentation skills, both virtually and in person

Possess an ability to lead by influence and garner buy-in among a diverse group of stakeholders

Organized and able to manage multiple deliverables requiring moderate to complex decision making (i.e., Project management/Account management)

Excellent organization, collaboration and team player skills

Detail orientated, forward looking and comfortable working with tight deadlines in a fast paced, dynamic environment

Preferred

Progressive experience in the Health Care industry

Physician office practice experience or managed care experience

Previous experience and/or knowledge of Quality Improvement or Process Improvement

Coding experience

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

Glassdoor

3.8

Humana is a health insurance provider for individuals, families, and businesses.

Founded in 1964

Louisville, Kentucky, USA

10001+ employees

http://www.humana.com

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)