Stars Quality Specialist

Mass General Brigham Health Plan Holding Company, Inc.

Remote, United States
Base: $63,648.00 - $90,750.40/annual; bonus/equity...
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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 CMS Star Ratings performance by analyzing data and improving care delivery. The role requires collaboration with various teams to identify performance gaps and implement quality improvement initiatives. **

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 offers competitive salaries, flexible work options, and career growth opportunities within one of the world's leading integrated healthcare systems.
  • This role requires collaboration with clinical, quality, pharmacy, and operational teams to identify performance gaps and support care gap closure initiatives.

Matching Summary

Match Score: 75

** Mass General Brigham Health Plan is seeking a Stars Quality Specialist to support its CMS Star Ratings performance by analyzing data and improving care delivery. The role requires collaboration with various teams to identify performance gaps and implement quality improvement initiatives. **

Salary

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

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 (experience can substitute)
  • 2-3 years CMS STARs role experience
  • 2-3 years managing STARs data and outcomes
  • 5-7 years in managed care quality preferred
  • CPHQ or Lean Six Sigma certification preferred

Work Rights

Not specified

Tailored Resume

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