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
Qualifications
Required
Preferred
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
Quality Improvement Specialist • Grand Rapids, MI, US