Humana Market Management Consultant (Bilingual, Leadership exp. HEDIS, STARS, PM, Health Care industry a PLUS) - San Juan in San Juan, Puerto Rico

Role: Market Management Consultant Assignment: Location: San Juan, Puerto Rico

At Humana, we want to inspire people to live life fully by awakening them to the right choices for themselves and each other. As the healthcare industry changes and evolves, we’re changing too. We’re growing and re-shaping to become an organization that is committed to helping people achieve lifelong well-being. Humana is an organization where change is constant, and we always have our consumers in mind. We’re known as an innovator in our industry, with a history of being out front of where healthcare needs to go. We need people with a passion for helping others and making change happen. We don’t want to be like everyone else in the industry—we want to be better. And we’re looking for talent that wants to grow, be challenged and inspired to help make that happen.

Assignment Capsule Be a part of the Market Operations world focused on Quality and Stars to improve the health outcomes of our members and advance the care experience of our members and provider partners.

Humana is seeking a Market Management Consultant to support STARs execution and improvement initiatives. In this role you will: * Proactively develop and implement strategies and recommendations around CMS Stars and display measures through cross-functional collaboration.

  • Collaborate to develop and monitor an improvement plan for Stars measure performance.

  • Works between operational areas to ensure the implementation and execution of initiatives.

  • Monitor and evaluate member and provider initiatives.

  • Support Corporate strategy initiatives.

  • Organize cross functional teams of market staff to implement quality improvement projects.

  • Develop project for targeted messaging campaigns.

  • Work with the various areas: IT, Quality, Pharmacy, and others to enhance and improve processes.

  • Assists with compliance related concerns that impact quality and/or patient access to providers.

  • Lead the Stars Pharmacy Unit.

    Role Essentials:

  • Bachelor’s degree

  • Strong analytical and problem solving skills

  • Strong Proficiency on Microsoft Office (Word, Excel, Power Point)

  • Detail-oriented with ability to handle multiple tasks; ability to adapt to business needs

  • Able to meet deadline, work with tight schedules and manage multiple priorities under minimum supervision

  • Excellent written and verbal communication skills

  • Enthusiasm and motivation essential; a confident change-agent; strong selling and presentation skills (oral and written)

  • Informal Leadership Experience

  • Bilingual English/Spanish. Level Intermediate. Candidate selected will not be communicating in English with Members

    Role Desirables:

  • Master’s Degree in Business Administration or a related field

  • Stars or HEDIS experience

  • Process documentation and process improvement experience

  • Project Management experience

  • Experience in managed care or health care administration.

  • Formal Leadership Experience

    Reporting Relationship You will report to a Process Manager. This area is under the leadership of the SVP & Chief Operating Officer.

    Additional Information At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. If you share our passion for helping people, we likely have the right place for you at Humana. After applying, we encourage you to join our Talent Network as well, so you can stay informed and up to date on what’s happening around our organization in the changing world of healthcare.

Title: Market Management Consultant (Bilingual, Leadership exp. HEDIS, STARS, PM, Health Care industry a PLUS) - San Juan

Location: Puerto Rico-San Juan

Requisition ID: 178985