STARS Quality Improvement Specialist Associate

Associate Medicare Star Ratings Quality Improvement Specialist

This position is available for hire in our east or west regions. Must be able to come on site at least two times per week.

Job Summary

The Associate Medicare Star Ratings Quality Improvement Specialist will support the execution of quality improvement strategies and reporting requirements for Priority Health's Highly Integrated Dual Eligible Special Needs Plan (HIDE-SNP) contract. This role plays a key part in ensuring compliance with Michigan Department of Health and Human Services (MDHHS) and Centers for Medicare and Medicaid Services quality metrics and advancing CMS Star Ratings performance. The specialist will also manage and coordinate quality-related projects, collaborating across departments to drive measurable improvements in member outcomes and plan performance. Supports routine/fewer complex projects that are smaller in scope throughout the organization including both clinical and non-clinical areas to accomplish measurable quality improvement. Assists with analysis to measure the effectiveness of existing quality processes and helps to develop sustainable, repeatable, and quantifiable quality improvements.

Essential Functions

• Supports and drives improvement activities for accountable areas based on organizational priorities (project management, measurable deliverables, milestones, and data informed strategy).
• Serves as a liaison between various departments across the Corewell Health System. Communicates, collaborates, networks with and acts as a change agent to key stakeholders. Also ensures continuity and coordination of services with appropriate utilization of resources. Responsible for stakeholder management across collaboration within dept and organizational resources.
• Drives continuous assessment and improvements using appropriate tools and methodology within the business, assists stakeholders and process owners in prioritizing improvement opportunities.
• Beginner at improvement science to drive quality performance in regulatory, accreditation and publicly-reported programs.
• Analyze, interpret, and communicate benchmarked quality data and trends to improve outcomes.
• Continuously develops quality improvement knowledge and skills.
• Support strategic quality goal setting to influence strategic priorities.

Qualifications

Required

• Associate's degree or equivalent in a healthcare-related field

Preferred

• Bachelor's degree or equivalent in a healthcare-related field
• 1 year of relevant experience in quality improvement, performance improvement, project management, or a similar role
• CRT - At least one certification from the Institute for Healthcare Improvement (IHI)

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.

• On-demand pay program powered by Payactiv

• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!

• Optional identity theft protection, home and auto insurance, pet insurance

• Traditional and Roth retirement options with service contribution and match savings

• Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Priority Health - 1239 E Beltline - Grand Rapids

Department Name

PH - Quality - Medicare

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

40

Hours of Work

8:00 a.m. to 5:00 p.m.

Days Worked

Monday to Friday

Weekend Frequency

N/A