Senior Stars Consultant

Senior Stars Consultant / Senior Stars Improvement Professional

The Senior Stars Consultant / Senior Stars Improvement professional will collaborate with network providers and member-facing groups to guide, recommend, and develop targeted strategies that enhance quality and support patients in strengthening their self-management skills. You will report to the Stars Improvement Lead.

As the Senior Stars Consultant / Senior Stars Improvement professional, you will:

• Identify opportunities to improve member experience through organizational key performance indicators, including CAHPS, HOS, Net Promoter Score, and others
• Develop and implement strategies to improve through network engagement
• Collaborate cross-functionally with business leaders to analyze trends across CAHPS and HOS measures
• Identify and execute initiatives that strengthen CAHPS performance, improve efficiency, and deliver exceptional member experience
• Promote participation in the Perfect Experience Program (CAHPS and HOS) by providing information about program availability, explaining program benefits, and supporting member engagement
• Establish strategies for program growth and continuously enhancing program capabilities
• Analyze operational processes to identify and implement key improvements
• Develop and apply best practices that support a market-centric approach
• Manage training and education for providers and members related to program offerings

Required Qualifications:

• Bachelor's degree

• 3 or more years of experience working with managed care organizations, Medicare, or Medicaid

• Demonstrated involvement in quality improvement, Stars program, CAHPS, HOS, or related patient experience initiatives

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

Preferred Qualifications:

• Experience in the health solutions industry

• Understanding of CMS Stars, performance measures, and HEDIS; related experience

• Background in quality improvement

• Experience in patient experience areas such as Grievance and Appeals or Access and Complaints

• Bilingual English and Spanish (verbal and written)

Additional Information:

25% travel in Florida

HireVue

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work at Home

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

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership.

• 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.

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

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours: 40

Pay Range: $86,300 - $118,700 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

About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties.

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements.