Humana

About Humana

 

Job Category:

Member Quality & Financials - Risk Adjustment & STARS operations

Country:

United States

Postal Code:

33023

Approximate Salary:

Not Specified

Position Type:

Full Time

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Member Experience Educator

Humana - Miramar, Florida

Posted: 10/29/2018

Description

The Member Experience Educator develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs Stars quality improvement programs and initiatives. The STARS Improvement Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.

Responsibilities

The Member Experience Educator develops programs designed to increase the plan quality. Partners with leaders regarding implementation planning. Reviews and communicates results of programs. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.

               

Required Qualifications

  • Bachelor's Degree
  • 2 to 3 years of experience working with healthcare providers
  • Prior Medicare/Medicaid experience
  • Strong attention to detail and focus on process and quality
  • Excellent communication skills
  • Ability to operate under tight deadlines
  • Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint
  • Reliable transportation with the ability to travel within the region up to 75% of the time

Preferred Qualifications

  • Experience educating or training to individuals or large groups
  • Progressive experience in the health solutions industry
  • Prior managed care experience
  • Understanding of metrics, trends and the ability to analyze and identify gaps in care
  • Proven organizational and prioritization skills and ability to collaborate with multiple departments a plus
  • Understanding of CMS Stars, performance measures, HEDIS knowledge and experience a plus
  • Background working in quality improvements

Scheduled Weekly Hours

40

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