Key skills
CommunicationPresentation Skills
About this role
Role Overview
- Work with providers to define and advance their goals related to interoperability, quality, value-based arrangements, and risk adjustment strategies
- Serve as an expert on the Stars/Quality program, educating physician groups on HEDIS, patient safety, and patient experience
- Actively monitor and analyze provider performance data to identify areas for improvement
- Act as a liaison for providers to access Humana resources
- Educate provider groups on reward programs and target metrics
- Resolve provider abrasion issues effectively
- Partner with internal teams to track and report on market performance
Requirements
- Bachelor’s degree
- 3+ years of experience in healthcare, Medicare and/or managed care
- Understanding of NCQA HEDIS measures, PQA Measures, CMS Star Rating System and CAHPS/HOS survey system
- Ability to drive interoperability and understanding of Consumer/Patient Experience
- Experience building relationships with physician groups and influencing execution of recommended strategy
- Strong communication and presentation skills, both verbal and written
- Experience with process and quality improvement
- Comprehensive knowledge of all Microsoft Office Word, Excel and PowerPoint
Benefits
- medical, dental and vision benefits
- 401(k) retirement savings plan
- paid time off
- company and personal holidays
- paid parental and caregiver leave
- short-term and long-term disability
- life insurance