Quality STARS Specialist

Quality STARS Specialist, a full-time remote position, is responsible for supporting a clinical health plan's CMS Star Ratings performance by monitoring quality measures, analyzing data for actionable insights, and collaborating with various teams to improve care delivery and member experience. Key Responsibilities Monitor and report on CMS Star Ratings measures, identifying performance gaps and recommending interventions Assist in quality improvement initiatives and coordinate outreach campaigns to close care gaps Ensure compliance with CMS requirements and support regulatory audits and documentation Required Qualifications Bachelor's Degree required; Master's Degree preferred 2-3 years of experience in a CMS STARs role and managing STARs data 5-7 years in health plan quality within a managed care organization preferred Familiarity with quality improvement methodologies and regulatory standards preferred Certification in healthcare quality or equity (e.g., CPHQ, Lean Six Sigma) preferred