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7d ago Curated

Senior STARS Improvement, Clinical Professional

Humana
  • Other
  • Full-time
  • License: Any US
  • 5+ years

Job description

The Senior STARS Improvement, Clinical Professional at Humana focuses on improving Star ratings for Medicare Advantage plans through clinical quality initiatives. This role involves analyzing clinical data, identifying gaps in care, and collaborating with cross-functional teams to implement improvement strategies. Responsibilities include reviewing clinical measures, developing interventions, and monitoring outcomes. Requires an active RN license and experience in managed care, quality improvement, or population health. Remote position with occasional travel for meetings.

Key responsibilities

  • Analyze clinical data to identify opportunities for Star rating improvement
  • Develop and implement clinical quality interventions
  • Collaborate with cross-functional teams on STARS initiatives
  • Monitor and report on outcomes of improvement efforts

What you bring

  • Active RN license
  • 5+ years clinical experience
  • Managed care or quality improvement experience
  • Data analysis and project management skills

Tags

RemoteSTARSQuality ImprovementMedicare Advantage

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