Senior STARS Improvement Consultant

Become a part of our caring community and help us put health first
 

The Humana Florida Team is seeking a Senior STARS Improvement Consultant/ Professional who will work directly with the Stars Improvement Lead to assist with the implementation and management of highly visible Pharmacy development strategies. Additionally, the associate will engage with various business partners and be responsible for managing critical features of large scale projects.

Florida

The Senior STARS Improvement Consultant/ Professional

• Critical thinker who has initiative to manage multiple projects with absolute resilience.

• Must have strong coordination, written and verbal communication skills

• Execution and outreach of Pharmacy initiatives and present opportunities for improvement

• Build and maintain strong relationships with assigned physician groups to influence execution of recommended strategy, use of self-serve tools and promotion of interoperability solutions

• Maintain collaborative relationships with internal partners (PE, MRA, Interop, Clinical Team, etc.)

• Instill focus on Stars/Quality performance

• Develop and lead presentations to physician groups to promote performance improvement

• Actively supports team engagement and well-being improvement plans

• Articulate and model desired culture attributes and Humana values

• Educate physician groups on reward programs and target metrics and collaborate with them to achieve established goals

• Data interpretation and analysis

• Draft and review Documents

Use your skills to make an impact
 

Required Qualifications

• Bachelor's Degree

• 2 or more years of Healthcare experience

• Understanding of metrics, trends and the ability to analyze and identify gaps in care

• Experience in completing efficient analysis of data with associated conclusions and recommendations for improvement

• Comprehensive knowledge of Microsoft Office applications Word, Excel and PowerPoint

• Live in Florida

Preferred Qualifications

• Master's Degree in Business Administration, Health Administration or a related field

• Understanding of CMS Stars, performance measures, HEDIS knowledge and experience

• Pharmacy management experience

• Self-starter with a high level of accountability and a strong desire to excel in a fast-paced, highly-demanding environment.

• Progressive experience in the health solutions industry
  Prior managed care experience

• Background working in quality improvements

• Experience with SQL which includes the ability to create reports from scratch and also run existing reports

• Proven organizational and prioritization skills and ability to collaborate with multiple departments

• Experience with tools such as SAS, Power BI, SSIS, Power Apps, Power Automate, Tableau, Qlikview and/or Microsoft Access for running analysis, automating processes, or creating dashboards, self-service tools, and data visualizations

• Data analysis, experience with relational databases

Additional Information
As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview.  If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided.  Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.

Work at Home Guidance

To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

• Satellite, cellular and microwave connection can be used only if approved by leadership

• Associates 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 associates with telephone equipment appropriate to meet the business requirements for their position/job.

• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/vivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

#LI-BB1

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$76,800 - $105,800 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

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.

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.