Principal For Stars Care Coordination, Provider Strategy

CarePlus Health Plans Inc

Remote
Base: $166,700 - $229,200 py; bonus/equity: eligib...
Hybrid
Develop clinical solutions
Engage hospital systems
Improve performance on stars measures
The Principal for Stars Care Coordination, Provider Strategy is responsible for developing, executing, and optimizing strategies that engage hospital systems and provider groups to improve performance on key Stars Care Coordination measures

Job Summary

  • The Principal for Stars Care Coordination, Provider Strategy is responsible for developing, executing, and optimizing strategies that engage hospital systems and provider groups to improve performance on key Stars Care Coordination measures.
  • The role will design and implement financial incentive programs targeted at reducing Plan All-Cause Readmission rates and enhancing provider performance on metrics such as Post-Discharge Physician Visit Rate (PCR), Follow-Up after Mental Health Hospitalization (FMC), and Timely Receipt of Care (TRC).
  • Humana offers competitive benefits that support whole-person well-being, including medical, dental and vision benefits, 401(k) retirement savings plan, and various paid time off opportunities.

Matching Summary

The Principal for Stars Care Coordination, Provider Strategy is responsible for developing, executing, and optimizing strategies that engage hospital systems and provider groups to improve performance on key Stars Care Coordination measures.

Salary

Base: $166,700 - $229,200 per year; Bonus/Equity: eligible for bonus incentive plan; Benefits: medical, dental, vision, 401(k), time off, disability, life insurance

Skills & Requirements

Must-have

  • develop clinical solutions
  • engage hospital systems
  • improve performance on Stars measures
  • reduce Plan All-Cause Readmission rates
  • enhance provider performance
  • support performance management initiatives

Nice-to-have

  • strong data literacy
  • excellent communication skills
  • relationship-building skills
  • cross-functional collaboration
  • independent initiative management

Key Requirements

  • 2-3+ years strategy consulting experience
  • 5-7+ years total work experience
  • 2-5 years project/people leadership
  • Experience working with provider groups
  • Bachelor's degree

Work Rights

Not specified

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