Business Project Specialist

STARS Business Project Specialist

Responsible for coordinating Stars activities at the regional level within the Market. Assist Stars Manager in leading in-market cross functional teams for collaboration on HEDIS, CAHPS, HOS, Pharmacy and Enterprise metrics. Responsible for tracking and reporting Stars Measure data to the Stars Director. This includes working with Network Operations, Partnership for Quality, Coding and market leadership to track initiative for improvement on Stars metrics under the guidance of the Stars Director. Serve as a Subject Matter Expert on all Stars metrics. Conducts analysis and runs ad-hoc reporting as needed on initiatives designed to impact Star ratings to provide insight to future projects. Responsible for pulling, reviewing, and ensuring accuracy of metric level reporting at market level. Responsible for completing projects on time, on budget, and to requirements. Must be comfortable with public speaking; provide education and training for internal and external customers. Must be self-motivated and able to work in a matrix environment. Works under the direction of the Market Star Lead. Works at acquiring the knowledge and skills to become a Senior Specialist

Key success factors include:

§ Ability to assist the Star Director in leading cross functional teams for collaboration on measure improvement

§ Drive strategy based on established targets and also aligning with the Company strategy for achieving the membership goals for 4 Star plans and above

§ Analytical and have the ability to create, monitor, quality check dashboards and data for tracking and reporting performance on Star metrics

§ Lead in market Stars Operational Review meetings

§ Attend market Stars Operational Review meetings as necessary

§ Organize and document meeting minutes and action items during Star related meetings

§ Ability to deal with and manage vendor relationships – including participating in RFP's, contracting and training of the vendors


§ Bachelor's degree strongly preferred. LPN or RN preferred. At least two years related experience in healthcare or related field.

§ Excellent communication and written skills

§ Analytical and problem solving skills

§ Organized and able to meet tight deadlines

§ Works well on a team and possesses good interpersonal skills