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Senior STARS Consultant - Remote
Contract type
Ongoing
Work mode
Remote · United States
Experience
Senior · 5+ years
Job description
Serves as the functional liaison between the Intake team and operations teams, supporting Medicare and Star Ratings related business initiatives. Reviews project scope, supports business needs through the delivery cycle, and manages production and/or system change requests for medium-complexity initiatives.
At a glance
- Work mode
- Remote · United States
- Pay
- USD 69,800 – 125,900 / year
What you'll do
- Serve as the functional liaison between the Intake team and operations teams
- Support Medicare and Star Ratings related business initiatives
- Review project scope and support business needs throughout the delivery cycle
- Manage production and/or system change requests to deliver enterprise initiatives
- Research and analyze business impacts against project scope
- Support effective project delivery for medium-complexity initiatives that may span multiple business functions
- Facilitate communication of changes, enhancements, and operational updates to impacted business units
What we're looking for
- Bachelor's degree
- 5 years of healthcare industry or health insurance work experience
- Previous experience with Medicare
- Strong written and oral communication skills
- Organizational skills, including ability to prioritize tasks
- Presentation skills and executive presence
- Experience with interacting successfully with senior management and staff of all levels across multiple departments
- Analytical thinking and problem-solving skills
- Business acumen and project / program management skills
Nice to have
- Demonstrated experience supporting or leading Medicare Advantage Star Ratings initiatives with measurable quality improvement outcomes
- Deep understanding of HEDIS measures, quality reporting methodologies, and strategies used to improve Star Ratings performance
- In-depth knowledge of Medicare Advantage products, CMS regulations, and the Medicare regulatory environment
- Experience utilizing dashboards, scorecards, and performance reporting tools to identify trends, gaps, and opportunities for intervention
- Experience with Inovalon, Cotiviti, or other quality measurement and HEDIS platforms
- MBA, MPH, MHA, or related master's degree with demonstrated analytical, strategic, and problem-solving capabilities
- Experience supporting healthcare quality, operational, and performance improvement initiatives
- Working knowledge of SQL and healthcare data analysis methodologies
- Vendor oversight and management experience
Your team
Intake team
Apply
About HCSC
A purpose-driven company that empowers employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Key facts
- Sponsorship is not available
- This is a remote role
- This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii
- This role aligns with an annual incentive bonus plan subject to the terms and conditions of the plan