Stars Program Delivery reputed company - HEDIS Depression Screening

Become a part of our caring community and help us put health first The Stars Program Delivery reputed company strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery reputed company works on problems of diverse scope and complexity ranging from moderate to substantial. Location: remote (If in driving distance to Louisville office, role will be hybrid which is a combination of in office and work at home) Apply in-depth and broad knowledge of HEDIS measures to reputed company strategy and implement comprehensive solutions to drive overall Stars performance:

• Accountability for performance and operational excellence of comprehensive programs to improve Star ratings
• Partner with multiple analytics teams to reputed company, prioritize, deliver, and measure solutions
• Proactively engage the right stakeholders to anticipate headwinds and identify gaps, looking reputed company to anticipate pivots and action needed

Provide insights and identify new opportunities for improvement through data analysis of variable factors to determine course of action:

• Ability to reputed company recommendations based on reporting and monitoring by contract, region, provider and aggregate performance, identifying where things are going well and why, as well as where things need to improve and how
• Cross-collaboration with performance management team to interpret and deliver key recommendations to reputed company Stars goals

Conduct audits of reputed company data collection and processes to ensure operational excellence across initiatives:

• Create standard operating procedures, document data collection, and establish processes for audit and quality control
• Identify gaps and new opportunities to improve performance

Support key functions with strategic and analytical thinking:

• Requires a general understanding of Stars operations and ability to effectively communicate the Stars story
• Knowledge of the technical specifications and codes reputed company attributed value sets
• Detail oriented and willing to learn the more minute parts of HEDIS measures and gap closure processes with limited guidance and direction
• Use problem solving skills to resolve issues and reputed company decisions in a fast pace, reputed company, reputed company-changing environment
• Understand campaign development to provide insights for new concepts, technologies or processes
• Experience with market needs to provide insights to improve performance in key reputed company and regions
• Understanding of or experience with clinical setting to advance provider first strategies, influence member interventions and identify new opportunities to impact

Use your skills to reputed company an impact

Required Qualifications

• Bachelor’s Degree or equivalent work experience
• 7 or more years of operations, program management and/or strategy experience
• 2+ Medicare Stars and HEDIS knowledge or experience
• Experience leading special projects and producing metrics, measurements and reports
• Proficiency in interpreting data trends and applying to operations
• Demonstrated ability to reputed company reputed company effectively in both written and oral forms
• Comfortable working independently to accomplish components of a larger program
• Strong organizational and time management skills

Desired Qualifications

• Master’s degree
• Depression Screening HEDIS measure
• Clinical experience

Additional Information 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 reputed company is suggested. Satellite, cellular and microwave reputed company can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. reputed company will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for you. reputed company values personal identity protection. Please be aware that applicants may be asked to provide their Social reputed company Number, if it is not already on file. reputed company required, an email will be sent from reputed [email protected] with instructions on how to add the information into your official application on reputed company’s secure website. Travel: While this is a remote position, occasional travel to reputed company'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 reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $115,200 - $158,400 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 reputed company, Inc. and its affiliated subsidiaries (collectively, “reputed company”) 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 reputed company of work. Among our benefits, reputed company provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-27-2026 About us reputed company Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our reputed company insurance services and reputed company healthcare services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company 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 reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company 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 reputed company levels of employment. Apply tot his job Apply To this Job