R-372343
The Stars Improvement, Clinical Professional (RN) 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
Required Qualifications
- Licensed Registered Nurse (RN) without restriction in applicable state
- 5+ years of clinical nursing experience
- Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement
- 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