Senior Stars Improvement Professionals Patient Experience SME - Remote NV CA or AZ

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Job Information

Humana

Senior Stars Improvement Professionals (Patient Experience SME) - Remote NV, CA or AZ

in

Phoenix

Arizona

Description

The Senior STARS Improvement Professional (Patient Experience SME) develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs Patient Experience Stars quality improvement programs and initiatives focusing on CAHPS/HOS surveys. 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 Improvement Professional (Patient Experience SME) develops programs designed to increase the plan CAHPS/HOS survey results. Partners with leaders regarding implementation planning. Reviews Patient Experience data to monitor performance and communicates results of programs to leadership. Identify opportunities and establish improvement action plans. Begins to influence the 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 strategies to assignments.

The Senior STARS Improvement Professional (Patient Experience SME) will meet cross-functionally to increase patient experience education in the market, establish cross-functional improvement plans, and share best practices. They will also meet with providers directly to drive improvement at the provider level.

Required Qualifications

Bachelor's Degree in Business, Finance, Health Care or a related field or a combination of education and experience

3 years of experience working directly with providers and/or patients

Understanding of CMS Stars, performance measures, CAHPS/HOS knowledge and experience

Prior Medicare/Medicaid experience

Strong attention to detail and focus on process and quality

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

Excellent communication and presentation 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

Preferred Qualifications

Master's Degree in Business Administration, Health Administration or a related field

Progressive experience in the health solutions industry

Prior managed care experience

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

Background working in quality improvements

Project Management Certification

Additional Information

Role requires 30% travel within the region.

For this job, associates are required to be fully COVID vaccinated, including booster or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are a healthcare company committed to putting health and safety first for our members, patients, associates, and the communities we serve.

If progressed to offer, you will be required to:

Provide proof of full vaccination, including booster or commit to testing protocols

*OR  *

Provide proof of applicable exemption including any required supporting documentation

​​Medical, religious, state and remote-only work exemptions are available.

Scheduled Weekly Hours

40

Company info

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