Quality Improvement Supervisor, Clinical
Quality Improvement Supervisor, Clinical
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Job Description
Become a part of our caring community and help us put health first
Job Profile Summary
The Supervisor Stars Improvement Clinical is responsible for supporting the development implementation and oversight of the Primary Care Organizations in-clinic Stars Program. The Supervisor Stars Improvement Clinical works within thorough prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods techniques and analytical approach.
Job Description
The Supervisor Stars Improvement Clinical This work focuses on areas of clinical emphasis. Decisions are typically related to schedule plans and daily operations. Performs escalated or more complex work of a similar nature and supervises a group of support and technical associates; coordinates and provides day-to-day oversight to associates (7-10 FTEs). Ensures consistency in execution across team. Holds team members accountable for following established policies.
The Supervisor Stars Improvement Clinical represents the scope of provider relationships across the following areas:
Quality/clinical management and population health
HEDIS and Stars performance
Operational improvements
Financial performance and incentive programs
Data sharing and connectivity
Documentation and coding
Additional areas related to provider performance member experience market growth provider experience and operational excellence
Use your skills to make an impact
Required Qualifications
Licensed Registered Nurse (RN) without restriction in applicable state
5 years of clinical nursing experience
Strong knowledge of HEDIS/Stars/CMS
Excellent presentation and communication skills both oral and written
Strong relationship building skills as this is a provider-facing role
Strong attention to detail with a focus on process and quality
Comprehensive knowledge of Microsoft Office applications
Preferred Qualification
Bachelors degree in nursing
3 years of managed care experience
3 years of leadership experience or equivalent
Additional Information
Hours for the role are: Monday-Friday 8am-5pm EST
This role will be based within the assigned region. Rotation to various local centers with approximately 10% - 15% overnight travel as necessary to meet with leadership in covered markets.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills knowledge experience education certifications etc.Description of Benefits
Humana Inc. and its affiliated subsidiaries (collectively Humana) 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 outside of work. Among our benefits Humana 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.
About Us
About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive preventive care to seniors including wellness visits physical exams chronic condition management screenings minor injury treatment and more. As part of CenterWell Senior Primary Care Convivas innovative value-based approach means each patient gets the best care when needed most and for the lowest cost. We go beyond physical health addressing the social emotional behavioral and financial needs that can impact our patients well-being.About CenterWell a Humana company: CenterWell creates experiences that put patients at the center. As the nations largest provider of senior-focused primary care one of the largest providers of home health services and fourth largest pharmacy benefit manager CenterWell is focused on whole-person health by addressing the physical emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM) CenterWell offers stability industry-leading benefits and opportunities to grow yourself and your career. We proudly employ more than 30000 clinicians who are committed to putting health first for our teammates patients communities and company. By providing flexible scheduling options clinical certifications leadership development programs and career coaching we allow employees to invest in their personal and professional well-being all from day one.
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.
Required Experience:
Manager
Employment Type
Full-Time
