Note: The job is a remote job and is open to candidates in USA. Humana is a leading U.S. healthcare company seeking a Senior Stars Improvement Consultant to drive impactful change in healthcare quality. The role involves developing programs to influence provider and member outcomes, collaborating with leaders, analyzing performance, and shaping strategic initiatives in a hybrid work environment.

Responsibilities

• Develop programs designed to drive value-based relationships
• Partner with leaders regarding implementation planning
• Review and communicate results of programs
• Make recommendations based on reporting and measure performance
• Support key functions with strategic and analytical thinking
• Experience with a clinical setting to advance provider-first strategies, influence member interventions, and identify new opportunities

Skills

• Live in the Miami, FL area
• Bachelor's degree
• 3 or more years of experience working with managed care organizations, Medicare, or Medicaid
• 2 or more years of experience demonstrated involvement in quality improvement, Stars program or HEDIS
• Strong knowledge of Microsoft Office -Word, Excel-pivot tables, formulas, charts, PowerPoint)
• Campaign management experience
• Registered Nurse
• Microsoft Access
• CMS Stars Program experience
• Knowledge and experience in health care environment/managed care
• Strong analytical skills

Benefits

• This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
• Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being.
• Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.
• Among our benefits, Humana provides 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 and many other opportunities.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

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