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Medicare STAR Program Coordinator

Company: Highmark Health
Location: Baton Rouge
Posted on: January 27, 2023

Job Description:

Company :Highmark Inc.Job Description :JOB SUMMARYThis position serves as a critical resource in supporting, managing and driving strategic projects and initiatives that support the goal of improving quality of care and service to our Medicare Advantage membership, and maintaining a 4.0+ Medicare Star rating for the organizations Medicare Advantage contracts. Working closely with the Medicare Star analytical team, this position is responsible for supporting the oversight and monitoring of the Medicare Star ratings program. This position works within the Medicare Star Department team and collaborates with analysts and other internal departments to provide consultative support, insight and guidance on the overall strategic direction and opportunities for the Medicare Start ratings program.ESSENTIAL RESPONSIBILITIES

  • Serves as a critical resource and subject matter expert in supporting, monitoring, managing and driving strategic projects and initiatives for the organizations Medicare Star ratings program. (25%)
  • Works to ensure the organization meets the overall Medicare Star rating objective for each Medicare Advantage/Prescription Drug Plan contract. (25%)
  • Leads diverse teams in matrix organizations to achieve desired Medicare Star rating outcomes. (15%)
  • Builds strong cross-functional relationships to implement Medicare Star strategies; consults with and influences business partners at various levels within and outside the organization. (15%)
  • Collaborates with other departments to assure activities and strategies align with Medicare Star ratings. (5%)
  • Collaborates with the Pharmacy department to assure pharmacy strategy alignment with Medicare Star Ratings. (5%)
  • Works collaboratively with the clinical analytic team and Star measure coordinators/owners in monitoring Medicare Star performance and determining approach to address identified quality issues. (5%)
  • Other duties as assigned or requested. (5%)EXPERIENCERequired
    • 3 years in Improvement, Project Management, Program Development, Member Services, Product Development or Marketing preferred.Preferred
      • NoneSKILLS
        • Excellent verbal and written communication skills
        • Excellent organizational skills and attention to detail
        • Strong Interpersonal skills and demonstrated ability to build relationships in fast-paced environments.
        • Ability to work effectively and manage multiple projects with minimal supervision
        • Must be able to work in a fast-paced environment with daily work processing deadlines
        • High degree of business maturity and demonstrated confidentiality
        • Demonstrated personal accountability
        • Problem SolvingEDUCATIONRequired
          • Bachelors in Business Admin., Healthcare Administration, Related area of study OR 6 years of relevant experience in lieu of BachelorsPreferred
            • NoneLICENSES or CERTIFICATIONSRequired
              • NonePreferred
                • NoneLanguage (Other than English) :NoneTravel Requirement:0% - 25%PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONSPosition TypeOffice- or Remote-basedOffice BasedTeaches / trains othersOccasionallyTravel from the office to various work sites or from site-to-siteRarelyWorks primarily out-of-the office selling products/services (sales employees)NeverPhysical work site requiredYesLifting: up to 10 poundsConstantlyLifting: 10 to 25 poundsNeverLifting: 25 to 50 poundsNeverDisclaimer : The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies ._As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Companys Handbook of Privacy Policies and Practices and Information Security Policy._Furthermore, it is every employees responsibility to comply with the companys Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.Pay Range Minimum:$57,700.00Pay Range Maximum:$106,700.00Base pay is determined by a variety of factors including a candidates qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.EEO is The LawEqual Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( )We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.orgCalifornia Consumer Privacy Act Employees, Contractors, and Applicants NoticeReq ID: J220256

Keywords: Highmark Health, Baton Rouge , Medicare STAR Program Coordinator, Other , Baton Rouge, Louisiana

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