Job Overview
Location
Remote Florida
Job Type
Full-time
Category
HR & Recruiting
Date Posted
July 17, 2026
Full Job Description
đź“‹ Description
- • The Senior Stars Improvement, Clinical Professional will focus on areas of clinical emphasis, influencing department’s strategy and making decisions on moderately complex to complex issues regarding technical approach for project components.
- • Continuously focus efforts and identify opportunities on performance improvement for assigned providers.
- • Actively engage providers during virtual visits to facilitate education, HEDIS outcomes, care of members, and bi-directional feedback.
- • Attend JOCs with providers and participate in active discussions on HEDIS, member care, and clinical/quality outcomes.
- • Communicate clinical quality initiatives to assigned providers.
- • Educate and assist providers in reducing potential preventable events.
- • Educate providers and staff about Medicaid Consume Assessment of Healthcare Providers and Systems (CAHPS) survey.
🎯 Requirements
- • FL RN License
- • Must reside in the state of Florida
- • Bachelor’s degree in nursing
- • Experience with Medicare, Medicaid, or dual eligible populations
- • Prior experience in a fast-paced insurance or health care setting
- • Understanding of healthcare quality measures STARS, HEDIS, etc.
- • Experience collaborating with cross-functional teams
- • Comprehensive knowledge of Microsoft Office Word, Excel, and PowerPoint
- • Proven analytical skills
- • Excellent communication skills, both oral and written
🏖️ Benefits
- • Competitive benefits that support whole-person well-being
- • Medical, dental, and vision benefits
- • 401(k) retirement savings plan
- • Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- • Short-term and long-term disability
- • Life insurance
- • Bonus incentive plan
Skills & Technologies
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About Humana Inc.
Humana Inc. is a for-profit health and well-being company headquartered in Louisville, Kentucky. Founded in 1961, it provides health insurance, Medicare Advantage plans, Medicaid services, pharmacy benefit management, and clinical care through primary care centers. Serving millions of members across the United States, Humana focuses on integrated care delivery, home health, and wellness programs aimed at improving health outcomes and reducing costs for individuals, employers, and government partners.
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