Senior Stars Improvement Professional - WAH for Kansas City Metro Area

Profile

Description

The Senior Stars Improvement Professional develops, implements, and manages oversight of the company's Medicare/Medicaid Stars and Quality Program. Directs all Stars quality improvement programs and initiatives. He/she will manage projects, initiatives, and pilots in a highly matrixed environment-working with multiple regional and corporate partners. 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 Senior Stars and Improvement Professional develops programs designed to increase the plan quality. Partners with leaders regarding implementation planning. Reviews and communicates results of programs. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications


Bachelor's Degree in Business, Finance, Health Care or a related field
Understanding of CMS Stars, performance measures, HEDIS knowledge and experience a plus
Extensive knowledge of Microsoft Excel
Strong Project Management skills
Prior Medicare/Medicaid experience
Strong attention to detail and focus on process and quality
Excellent communication skills
Ability to operate under tight deadlines
Comprehensive knowledge of all Microsoft Office applications, including Word, and PowerPoint
Must be passionate about contributing to an organization focused on continuously improving consumer experiences


Preferred Qualifications


Master's Degree in Business Administration, Health Administration or a related field
An active Registered Nurse (RN) License free of restrictions
5 or more years of clinical experience
Comprehensive knowledge of Microsoft Power BI or Tableau
Project Management Certification
Progressive experience in the health solutions industry
Prior managed care 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 a plus
Background working in quality improvements
Coding experience a plus


This position is a WAH opportunity for candidates residing within a reasonable commuting distance to the Kansas City Metro area.

Scheduled Weekly Hours

40

Company info

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