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Job Profile Summary

The Supervisor, Stars Improvement, Clinical is responsible for supporting the development, implementation and oversight of the Primary Care Organization’s in-clinic Stars Program. The Supervisor, Stars Improvement, Clinical works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach.

Job Description

The Supervisor, Stars Improvement, Clinical This work focuses on areas of clinical emphasis. Decisions are typically related to schedule, plans and daily operations. Performs escalated or more complex work of a similar nature and supervises a group of support and technical associates; coordinates and provides day-to-day oversight to associates (7-10 FTEs). Ensures consistency in execution across team. Holds team members accountable for following established policies.

The Supervisor, Stars Improvement, Clinical represents the scope of provider relationships across the following areas:

+ Quality/clinical management and population health

+ HEDIS and Stars performance

+ Operational improvements

+ Financial performance and incentive programs

+ Data sharing and connectivity

+ Documentation and coding

+ Additional areas related to provider performance, member experience, market growth, provider experience and operational excellence

Use your skills to make an impact

Required Qualifications

+ Licensed Registered Nurse (RN) without restriction in applicable state

+ 5+ years of clinical nursing experience

+ Strong knowledge of HEDIS/Stars/CMS

+ Excellent presentation and communication skills, both oral and written

+ Strong relationship building skills as this is a provider-facing role

+ Strong attention to detail with a focus on process and quality

+ Comprehensive knowledge of Microsoft Office applications

Preferred Qualification

+ Bachelor's degree in nursing

+ 3+ years of managed care experience

+ 3+ years of leadership experience or equivalent

Additional Information

+ **Hours for the role** **are:** **Monday-Friday 8am-5pm EST**

+ **This role will be based within the assigned region. Rotation to various local centers, with** **approximately 10%** **- 15% overnight travel, as necessary to meet with leadership in covered markets.**

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$78,400 - $107,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources