Stars Improvement Analyst - Remote

Profile

Description

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

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 STARS Improvement Analyst 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.

Tracks program trends and present analytical insights and feedback to management via Power BI dashboards, Excel spreadsheets and PowerPoint presentations

Collects, monitors and analyzes data

Identifies PCP group needs and challenges (e.g. gaps in care); establishes goals and objectives; provides insights to help develop strategies to meet goals within timelines

Supports program and initiatives set to help support market growth by developing reporting with key metrics and insights

Creates and maintains reporting tools to simplify data needs and enhance analytical findings; advances quality outcomes

Customizes program strategies and deliverables for specific PCP groups focused on quality metrics and other key performance indicators

Participates in monthly leadership meetings to review goals, provide suggestions and develop strategies

Organizes and cleans up data via Excel and SQL to ensure uniformity, accuracy and minimal redundancy/duplicates

Prepares ad-hoc queries and create query scripts for data extraction as needed

Other duties as assigned

Required Qualifications:

3 years experience in an analytical role preferably in the Healthcare Industry

Proficient in Excel (v-lookup, pivot tables, complex IF statements, conditional formatting, etc.)

Experience in completing efficient analysis of data with associated conclusions and recommendations for improvement

Experience with data mining and validation

Excellent verbal and written communication skills with the ability to present complex information in a simplified easy to understand manner - ability to create content for all levels of the organization

Knowledge of all MS Office applications, including Word, Excel and PowerPoint

Self-starter with a high level of accountability, organization, time-management skills and a strong desire to excel in a fast-paced, highly-demanding environment

Team player with ability to work cross functionally to achieve results

Aptitude to learn quickly

Working knowledge of provider and member data to identify contract, group, provider or member geographic performance shortfalls / opportunities

Strong Organization and time management skills.

Critical thinking

Detail oriented and analytical

Organizational and time management skills

Proven problem solver

Preferred Qualifications:

Bachelor's Degree

Advanced skills in Power BI and SQL

Experience with Microsoft Access or equivalent database software

Experience with VBA macro building

Familiarity with SAS, Qlikview, or Tableau

Experience with quality of care concepts such as HEDIS, CMS Star Ratings

Experience with healthcare claims data

Comfortable with presenting in front of leadership

Experience with a work from home environment

Additional Information

Work at Home/Remote Requirements Must ensure designated work area is free from distractions during work hours and virtual meetings. Must provide a high-speed DSL or cable modem for a workspace (Satellite and Hotspots are prohibited). A minimum standard speed of 10x1 (10mbs download x 1mbs upload) for optimal performance is required

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

Humana Inc.
Website : http://www.humana.com