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Associate Director, STARS Improvement

Humana

Humana

Remote
Posted on Sunday, June 9, 2024

Become a part of our caring community and help us put health first

The Associate Director, STARS Improvement develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs all STARS quality improvement programs and initiatives. The Associate Director, STARS Improvement requires a solid understanding of how organization capabilities interrelate across department(s).

The Associate Director, STARS Improvement develops programs designed to increase the plan quality. Partners with leaders regarding implementation planning. Reviews and communicates results of programs. Decisions are typically related to identifying and resolving complex technical and operational problems within department(s) and could lead multiple managers or highly specialized professional associates.

  • Manage 8-12 professionals

  • Collaboration with stakeholders for Stars performance of the global risk and path to value providers

  • Collaborate with Provider Engagement, Provider Development, Medicare Risk Adjustment, and the Corporate Stars team among other departments

  • Manages programs, processes and initiatives that supports Stars performance within applicable region

  • Responsible for development of associates

  • Ensures the team culture, engagement, well-being, inclusion and diversity of the team

  • Shares Stars related updates throughout the organization

  • Utilize data to drive decisions


Use your skills to make an impact

Required Qualifications

  • Bachelor's Degree in Business, Finance, Health Care or a related field

  • 2 or more years of management experience

  • Knowledge of HEDIS/Stars and CMS quality measures

  • Progressive experience in the health solutions industry, with emphasis on leading and managing teams

  • Prior Medicare/Medicaid experience

  • Prior managed care experience

  • Proficiency in analyzing and interpreting healthcare data and trends

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

  • Strong attention to detail and focus on process and quality

  • Excellent communication skills

  • Ability to operate under tight deadlines

  • 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

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

  • PMP certification a plus

  • Six Sigma Certification also a plus

Additional Information

  • Travel up to 25% within applicable region

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Work At Home / Internet Guidance:

To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:

  • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested

  • Satellite, cellular and microwave connection can be used only if approved by leadership

  • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

  • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.

  • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Alert: Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from [email protected] with instructions on how to add the information into your official application on Humana’s secure website.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.


$112,400 - $154,900 per year


This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.


About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.


Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.