27 applicants

Company

Humana · 5 hours ago

Stars Program Delivery Lead

Remote Nationwide

Full-time

Hybrid

Senior Level, Lead/Staff

$115K/yr - $158K/yr

8+ 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

Accountability for performance and operational excellence of comprehensive programs to improve Star ratings

Partner with multiple analytics teams to develop, prioritize, deliver, and measure solutions

Proactively engage the right stakeholders to anticipate headwinds and identify gaps, looking ahead to anticipate pivots and action needed

Provide insights and identify new opportunities for improvement through data analysis of variable factors to determine course of action

Ability to make recommendations based on reporting and monitoring by contract, region, provider and aggregate performance, identifying where things are going well and why, as well as where things need to improve and how

Cross-collaboration with performance management team to interpret and deliver key recommendations to achieve Stars goals

Conduct audits of all data collection and processes to ensure operational excellence across initiatives

Create standard operating procedures, document data collection, and establish processes for audit and quality control

Identify gaps and new opportunities to improve performance

Support key functions with strategic and analytical thinking

Requires a general understanding of Stars operations and ability to effectively communicate the Stars story

Knowledge of the technical specifications and codes within attributed value sets

Detail oriented and willing to learn the more minute parts of HEDIS measures and gap closure processes with limited guidance and direction

Use problem solving skills to resolve issues and make decisions in a fast pace, complex, ever-changing environment

Understand campaign development to provide insights for new concepts, technologies or processes

Experience with market needs to provide insights to improve performance in key contracts and regions

Understanding of or experience with clinical setting to advance provider first strategies, influence member interventions and identify new opportunities to impact

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.

HEDIS measuresMedicare Stars knowledgeProgram managementData analysisOperations experienceClinical experienceTime management skills

Required

Bachelor’s Degree or equivalent work experience

8+ years of operations experience

2+ years of program management experience

2+ Medicare Stars knowledge or experience

Superb communication skills, written and verbal

Experience leading special projects and producing metrics, measurements and reports

Proficiency in interpreting data trends and applying to operations

Comfortable working independently to accomplish components of a larger program

Strong organizational and time management skills

Preferred

HEDIS experience

Master’s degree

Clinical 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)