Senior Stars Improvement Professional - Member Experience MN IA or WI preferred

Profile

Description

The Senior STARS Improvement Professional develops, implements, and manages oversight of the company's Medicare Stars Program. Directs all Stars quality improvement programs and initiatives. The Senior STARS Improvement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Responsibilities

The Member Experience Senior Stars Improvement Professional will facilitate and work collaboratively with the regional departments, providers and partners focused on Medicare Senior Products to guide, recommend and develop specific strategies designed to improve all aspects of member experience and improve the CAHPS & HOS performance and survey results.

Effectively develop, enhance and maintain provider relationships

Deliver provider/member-specific metrics and coach providers on member experience and health outcomes opportunities

Successfully promote patients' participation in CAHPS & HOS programs - providing information on participation and partner with local Tivity team and providers

Accurately define gaps in member experience/member relationship with providers and facilitate resolution

Identify specific practice needs to provide support

Review provider facilities and systems to identify needed improvements that impact CAHPS & HOS measures

Effectively coach/support provider office staff on best practices to communicate with Senior patients that may have hearing, vision, physical abilities challenges

Support diverse quality improvement projects and initiatives to improve patients' education and patients' satisfaction

Required Qualifications

3 plus years of CMS Stars or Consumer based experience with a Health Plan or Provider

Prior Medicare experience

Strong attention to detail and focus on process and quality

Excellent communication and behavior influencing skills

Ability to operate under tight deadlines

Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint

Must be passionate about contributing to an organization focused on continuously improving consumer experiences

This position may require about 10% travel with some overnight stays

Preferred Qualifications

Bachelor's Degree

Progressive experience in the health solutions industry

Previous quality or process improvement experience in a hospital or physician office practice

Medicaid experience

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

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

Understanding of CAHPS/HOS knowledge and experience

Background working in quality improvements

Health Education background is a plus

Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com