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

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