Hybrid Senior Nurse, STARS Improvement Consultant

at Humana

• Job title: Senior Nurse, STARS Improvement Consultant
• Job type: Full Time
• Experience level: Senior
• Salary: $78,400 - $107,800 per year
• Degree requirement: No Education Requirement
• Location requirements: Hybrid, Orlando, United States

About the role

• Nurse Senior Stars Improvement Consultant working at Humana managing Medicare/Medicaid Quality Rating System. Collaborating with provider groups to ensure favorable outcomes for CMS Star Rating categories.

Responsibilities

• Contributes to the development, implementation, and management of the company's Medicare/Medicaid Five-Star Quality Rating System
• Works directly with provider groups, Management Services Organizations (MSOs) and organizational leaders to impact Centers for Medicare & Medicaid Services (CMS) Star Rating categories
• Focuses on areas of clinical emphasis related to the CMS Stars Program
• Relationship building and implementation of best practices to drive results within a provider network and MSO as it relates to clinical HEDIS measures
• Experience in preparing and delivering training sessions, educational materials, performance reports, and presentations

Requirements

• Licensed Professional Nurse or Registered Nurse
• 3 or more years of Medicare experience
• 3 or more years of CMS Stars and HEDIS experience
• Strong knowledge of Microsoft Office XP products (Word, Excel, PowerPoint)
• Proven analytical skills (i.e., trending and analysis of healthcare data)

Benefits

• 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