Stars Quality Specialist

Mass General Brigham Health Plan Holding Company, Inc.

Remote, United States
Base: $63,648.00 - $90,750.40/annual; bonus/equity...
Fully remote
Cms star ratings program execution
Hedis cahps hos measure analysis
Data validation and gap closure
Mass General Brigham Health Plan is seeking a Stars Quality Specialist to support its clinical health plan's CMS Star Ratings performance, focusing on quality improvement initiatives, data analysis, and cross-functional collaboration. The position is fully remote and offers competitive salaries, flexible work options, and opportunities for career growth

Job Summary

  • The Quality STARS Specialist supports a clinical health plan's CMS Star Ratings performance by monitoring quality measures and translating data into actionable insights.
  • Mass General Brigham is a not-for-profit organization striving to provide exceptional care through high-performing teams and innovative solutions.
  • This remote role offers competitive salaries, flexible work options, and comprehensive benefits including career growth opportunities.

Matching Summary

Match Score: 85

Mass General Brigham Health Plan is seeking a Stars Quality Specialist to support its clinical health plan's CMS Star Ratings performance, focusing on quality improvement initiatives, data analysis, and cross-functional collaboration. The position is fully remote and offers competitive salaries, flexible work options, and opportunities for career growth.

Salary

Base: $63,648.00 - $90,750.40/Annual; Bonus/Equity: Not specified; Benefits: Comprehensive package with flexible work options and career growth

Skills & Requirements

Must-have

  • CMS Star Ratings program execution
  • HEDIS CAHPS HOS measure analysis
  • Data validation and gap closure
  • Provider outreach campaign support
  • Regulatory compliance and audit readiness

Nice-to-have

  • Lean Six Sigma certification preferred
  • SDOH screening tool experience
  • Community health partnership background
  • Strong critical thinking skills
  • Experience with diverse communities

Key Requirements

  • Bachelor's Degree required or equivalent experience
  • 2-3 years CMS STARs role experience
  • 5-7 years managed care quality experience preferred
  • CPHQ or Lean Six Sigma certification preferred

Work Rights

Not specified

Tailored Resume

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