Senior Stars Improvement Professional - Phoenix AZ Remote- Work at Home with some Travel must reside in AZ

Profile

Description

The Senior Stars Improvement Clinical Professional develops and grows positive, long-term relationships with physicians, providers and healthcare systems in order to support and improve quality performance within assigned geographic markets and/or assigned provider relationships.

Responsibilities

How we Value You:


Benefits starting day one of employment
Competitive 401k match
Generous Paid Time Off accrual
Tuition Reimbursement
Parental Leave
Go365 perks for well-being


Responsibilities

The Senior Stars Improvement Clinical Professional's work focuses on relationship management, influencing provider group strategy and achieving regional goals.


Consult with internal resources to identify opportunities for improving provider/member outcomes related to clinical utilization, disease management program participation, quality care gaps and social determinates of health.
Identify both population health and member-level opportunities to improve clinical performance and health outcomes.
Facilitate external discussions and workgroups with provider practices on improvement opportunities, development and implementation of tactical improvement initiatives, workflow development, and monitoring of outcomes.
Coach assigned provider groups on gap closing opportunities and improving quality outcomes via in-person/virtual/telephone meetings.
Educate providers and staff about CMS Stars program, HEDIS, CAHPS, HOS


Required Qualifications


Bachelor's Degree in Healthcare, Business, or related field
3-5 years of experience in healthcare, operations, clinical, Quality or Stars
Managed care experience and understanding of value-based care model
Strong analytic skills, ability to use data to drive improvements
Strong presentation (oral and written) & relationship-building skills
Ability to operate under tight deadlines in fast-paced environment
Ability to work independently under general instructions; self-directed and motivated
Proven organizational and prioritization skills; ability to collaborate with multiple remote departments in a team environment
Excellent PC skills, including Word, Excel, PowerPoint and Outlook
Ability to travel locally throughout AZ, 30-40%
Must have the ability to provide a high-speed DSL or cable modem for a home office (Satellite and Wireless Internet service is NOT allowed for this role). A minimum standard speed for optimal performance of 10x1 (10mbs download x 1mbs upload) is required


Preferred Qualifications


Nursing or operations background, familiar with clinical/PCP workflow and processes
Understanding of CMS Stars program including HEDIS, CAHPS/HOS
Experience in provider relations, health plan operations or quality improvement


Additional Information


To be considered for this role you must live in Arizona and be willing to travel locally to provider offices throughout the state, up to 40% of the time
Currently this position is not doing any traveling as we adhere to our company travel restriction policy due to COVID-19.
As the Covid-19 environment changes and we return to normal business operations, this person will continue to work from home and be required to do local travel to provider offices within the Arizona, up to 40% of the time.


Scheduled Weekly Hours

40

Company info

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