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The Florida Stars Improvement Professional 2 supports 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.
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 interpreting SQL queries for 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
- Bachelor’s 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 "remote/work at home", 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
Pay & benefits
Description of Benefits
About us
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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