Role: Stars Program Consultant Assignment: Quality Systems Integration Location: Louisville, KY or Work at home
At Humana, we want to inspire people to live life fully by awakening them to the right choices for themselves and each other. As the healthcare industry changes and evolves, we’re changing too. We’re growing and re-shaping to become an organization that is committed to helping people achieve lifelong well-being. Humana is an organization where change is constant, and we always have our consumers in mind. We’re known as an innovator in our industry, with a history of being out front of where healthcare needs to go. We need people with a passion for helping others and making change happen. We don’t want to be like everyone else in the industry—we want to be better. And we’re looking for talent that wants to grow, be challenged and inspired to help make that happen.
Assignment Capsule Be a part of our Clinical Space - Provide guidance to facilitate interaction or services that connect people with lifelong well-being.
Humana is seeking a Stars Program Consultant to support STARs execution and improvement initiatives. In this role you will:
Own and build relationships with assigned market; including the Market Stars Director and Market Leadership.
Owning & building the relationships will include, but is not limited to:
o Collaboration to develop and monitor an improvement plan for geographic Stars measure performance
o Travel to markets to align corporate strategy and local strategy planning
o Assist the markets in developing multi-faceted relationships across all partners (NNO, PE, MarketPOINT, HSO, MRA & QOCA, etc.)
o Evaluate potential Stars impact of provider terminations
o Assist in preparing for Market Reviews/Bid planning
o Monitor Stars measure goals and communicate performance with Market Stars Directors and Stars Task Force Leadership
o Facilitate monthly market/divisional meetings
o Identify opportunities for market training and coordinate with SMEs
o Serve as the voice of the Market to Corporate by escalating barriers and opportunities for improvement
Bachelor’s Degree or equivalent work experience
Previous consulting experience
Excellent PC skills (including MS Word and Excel – specific to pivot tables)
Superb communication skills, written and verbal
Ability to interpret data
Self-starter – comfortable working independently to accomplish components of a larger program
Strong organizational and time management skills
Effective facilitator – direct collaborative efforts amongst internal and external partners
Must be comfortable communicating results to Senior Level leadership Role Desirables
Stars or HEDIS experience
Process documentation and process improvement experience
Project Management experience
Market operations experience a plus
At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana. After applying, we encourage you to join our Talent Network as well, so you can stay informed and up to date on what’s happening around our organization in the changing world of healthcare.
Title: Stars Market Advisor
Requisition ID: 178199