Senior Stars Improvement Clinical Professional RN or LPN - Work at Home Montana

Profile

Description

The Senior Stars Improvement, Clinical Professional (RN or LPN) responsible for the development, implementation and management oversight of the company's Medicare/Medicaid Stars Program. The Senior Stars Improvement, Clinical Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

How we Value You

Benefits starting day 1 of employment

Competitive 401k match

Generous Paid Time Off accrual

Tuition Reimbursement

Parent Leave

Go365 perks for well-being

Responsibilities

The Senior Stars Improvement, Clinical Professional (RN or LPN). This work focuses on areas of clinical emphasis including HEDIS and Medication Safety. 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.


Works with an internal team to collaborate and plan for best approach to meet goals
Works with provider offices to consult on process improvements to help advance Stars performance
External-facing role of influence to provider partners and executives
Frequently in a position to influence with compelling data
Presents in front of customer regularly in an environment with high levels of professionalism


Required Qualifications


An active Registered Nurse (RN) License or LPN License free of restrictions
5 years of RN experience OR 5 years LPN experience with Bachelors Degree
2 years In clinic experience ( (if hospital experience, quality improvement focus)
Familiar with provider office processes
Ability to influence and make a positive impact
Strong presentation skills both verbal and written
Ability to work autonomously and within a highly collaborative team
Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
Understanding of metrics, trends and the ability to identify best next steps
Proven organizational and prioritization skills and ability to collaborate with multiple departments
Must be passionate about contributing to an organization focused on continuously improving consumer experiences


Preferred Qualifications


Bachelor's Degree or Master's Degree in Business, Finance, Health Care or a related field
Understanding of CMS Stars, performance measures, HEDIS knowledge and experience
Background working in quality improvements
Experience working with Medicare Advantage Plans
Prior value-based care or managed care experience
Coding experience


Additional Information

Reside in Montana with ability to travel through out state and occasionally elsewhere

Our Hiring Process

As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Modern Hire. Modern Hire Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.

If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews

If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

In order to support the CDC recommendations on social distancing and reduce health risks for associates, members and public health, Humana is deploying virtual and video technologies for all hiring activities. This position may be subject to temporary work at home requirements for an indefinite period of time. These requirements include access to a personal computing device with a camera, a minimum internet connection speed of 10m x 1m (satellite and/or wireless internet connections are NOT permitted for Work at Home roles) and a dedicated secure home workspace for interview or work purposes. Humana continues to monitor the situation, and will adjust service levels as the coronavirus situation evolves. The following changes are temporary and will be evaluated frequently with the goal of returning to normal operations as soon as possible. Your Talent Acquisition representative will advise on the latest recommendations to protect your health and wellbeing during the hiring process. #ThriveTogether #WorkAtHome

Scheduled Weekly Hours

40

Company info

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