Stars Program Delivery Lead – Colon Cancer Screening

Become a part of our caring community

Location: remote (If in driving distance to Louisville office, role will be hybrid which is a combination of in office and work at home)

Apply in-depth and broad knowledge of HEDIS measures to develop strategy and implement comprehensive solutions to drive overall Stars performance:

• Accountability for performance and operational excellence of comprehensive programs to improve Star ratings

• Partner with multiple analytics teams to develop, prioritize, deliver, and measure solutions

• Proactively engage the right stakeholders to anticipate headwinds and identify gaps, looking ahead to anticipate pivots and action needed

Provide insights and identify new opportunities for improvement through data analysis of variable factors to determine course of action:

• Make recommendations based on reporting and monitoring by contract, region, provider and aggregate performance, identifying where things are going well and why, and where things need to improve and how

• Cross-collaboration with performance management team to interpret and deliver key recommendations to achieve Stars goals

Conduct audits of all data collection and processes to ensure operational excellence across initiatives:

• Create standard operating procedures, document data collection, and establish processes for audit and quality control

• Identify gaps and new opportunities to improve performance

Support key functions with strategic and analytical thinking:

• Requires a general understanding of Stars operations and ability to effectively communicate the Stars story

• Knowledge of the technical specifications and codes within attributed value sets

• Detail oriented and willing to learn the more minute parts of HEDIS measures and gap closure processes with limited guidance and direction

• Use problem solving skills to resolve issues and make decisions in a fast pace, complex, ever-changing environment

• Understand campaign development to provide insights for new concepts, technologies or processes

• Experience with market needs to provide insights to improve performance in key contracts and regions

• Understanding of or experience with clinical setting to advance provider first strategies, influence member interventions and identify new opportunities to impact

Use your skills to make an impact

Required Qualifications

• Bachelor’s Degree or equivalent work experience

• 7 or more years of operations, program management, clinical and/or strategy experience

• 2+ Medicare Stars and HEDIS knowledge or experience

• Experience leading special projects and producing metrics, measurements and reports

• Proficiency in interpreting data trends and applying to operations

• Demonstrated ability to articulate ideas effectively in both written and oral forms

• Comfortable working independently to accomplish components of a larger program

• Strong organizational and time management skills

Desired Qualifications

• Master’s degree

• Colon Cancer Screening (COL) measure experience

• Clinical experience

Additional Information

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 required; 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.

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.

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 Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

Scheduled Weekly Hours

Pay Range

Description of Benefits

About us

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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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.