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The STARS Improvement Professional 2 develops, implements, and manages oversight of the company's Medicare/Medicaid Stars Program. Directs all 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.
TheFlorida Stars Improvement Professional 2supports Stars performance improvement initiatives across Florida Medicare Advantage markets. This role partners with internal stakeholders, market teams, provider groups, quality teams, clinical operations, pharmacy, and analytics partners to identify performance opportunities, monitor Stars measures, and support execution of targeted improvement strategies.
The role requires the ability to interpret healthcare quality data and use data tools to analyze performance trends, identify gaps in care, validate reporting outputs, and support actionable recommendations.
Key Responsibilities- Analyze Stars measure performance, trends, gaps, and opportunities for improvement.
- Partner with analytics teams to support dashboard development, report validation, and measure-level performance monitoring.
- Monitor intervention progress, performance results, and initiative effectiveness.
- Prepare reports, presentations, dashboards, and summaries for leadership and business partners.
- Ensure work aligns with compliance requirements, business objectives, and quality improvement priorities.
Use your skills to make an impact
Required Qualifications
- Experience in healthcare, quality improvement, Stars, analytics and operations
- Working knowledge of CMS Star Ratings, HEDIS and medication adherence
- Experience writing, modifying, and interpretingSQL queriesfor data extraction, validation, and analysis.
- Proficiency with Microsoft Excel, to include pivot tables, data validation and conditional formatting
- Must be located in the State of Florida
Preferred Qualifications
- Bachelors degree in healthcare administration, business, public health, analytics, information systems, nursing, or a related field.
- Experience working with CAHPS and HOS measures
- Experience querying healthcare claims, membership, provider, pharmacy, clinical, quality, or care gap data.
- Experience with reporting or analytics tools such as Power BI, Tableau
Additional Information
This role is 4remote/work at home4, however, you must live in the State of Florida to be considered for this opportunity.
Work at Home Requirements: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$71,100 - $97,800 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, Humana ) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
