Stars Quality Specialist

Mass General Brigham Health Plan Holding Company, Inc.

Remote, US
Base: $63,648.00 - $90,750.40/annual; bonus/equity...
Fully remote
Cms star ratings performance monitoring
Hedis cahps hos measure analysis
Quality improvement initiative execution
Mass General Brigham Health Plan is seeking a Stars Quality Specialist to support its clinical health plan's CMS Star Ratings performance. The position focuses on data monitoring, quality improvement initiatives, and cross-functional collaboration aimed at enhancing member experiences and outcomes. This fully remote role offers competitive compensation and a comprehensive benefits package

Job Summary

  • The Quality STARS Specialist supports the clinical health plan's CMS Star Ratings performance by translating data into actionable insights to improve care delivery and outcomes.
  • This role involves collaborating with clinical, pharmacy, and operational teams to identify performance gaps and execute initiatives that close care gaps across HEDIS, CAHPS, and HOS measures.
  • Mass General Brigham offers competitive salaries, flexible work options, and career growth opportunities within one of the world's leading integrated healthcare systems.

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. The position focuses on data monitoring, quality improvement initiatives, and cross-functional collaboration aimed at enhancing member experiences and outcomes. This fully remote role offers competitive compensation and a comprehensive benefits package.

Salary

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

Skills & Requirements

Must-have

  • CMS Star Ratings performance monitoring
  • HEDIS CAHPS HOS measure analysis
  • Quality improvement initiative execution
  • Provider and member outreach support
  • Regulatory compliance and audit readiness

Nice-to-have

  • Lean Six Sigma certification preferred
  • Experience with SDOH screening tools
  • Community health partnership experience
  • Strong critical thinking skills
  • Familiarity with cloud storage systems

Key Requirements

  • Bachelor's degree required (experience may substitute)
  • 2-3 years of experience in CMS STARs role
  • 2-3 years managing STARs data and validation
  • 5-7 years in health plan quality preferred
  • Knowledge of HIPAA and CMS regulations

Work Rights

Not specified

Tailored Resume

Cover Letter