Principal, Stars Enterprise Activation – Insurance Operations
Humana
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $138,900 - $191,000 per year
Job Level
Lead
About the role
- Coordinate, implement, and manage oversight of the company’s Medicare/Medicaid Stars Program
- Serve as the primary liaison for Stars initiatives within Insurance Operations
- Collaborate with each Insurance Operations function to align Stars-related business strategies and objectives
- Evaluate business processes to identify synergies and operational risks related to Stars performance and compliance
- Maintain a comprehensive inventory of Stars initiatives and identify gaps for collaboration
- Lead the design, implementation, and optimization of Stars-related programs and processes
- Develop and deliver regular reports on Stars operational performance to executive leadership
Requirements
- Bachelor’s degree
- 8-9+ years of quality improvement, developing & advancing enterprise strategy, insurance operations experience (e.g., claims, UM, CM, call center, enrollment)
- 5 years or more of CMS Stars program experience
- Medicare Advantage experience
- Previous leadership experience as a people leader, leading through influence, or leading complex projects
- Strong executive presence
- Comprehensive knowledge of Microsoft Office applications (Word, Excel, PowerPoint)
- Ability to navigate business intelligence tools to review data insights and make data-driven decisions
Benefits
- Medical, dental, and vision benefits
- 401(k) retirement savings plan
- Paid time off, including personal holidays and volunteer time off
- Paid parental and caregiver leave
- Short-term and long-term disability
- Life insurance
- Additional opportunities for personal wellness and smart healthcare decisions
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
quality improvemententerprise strategy developmentinsurance operationsCMS Stars programMedicare Advantagedata-driven decision making
Soft skills
leadershipinfluenceexecutive presencecollaborationcommunication
Certifications
Bachelor's degree