Consultant

This is a fully remote position, open to applicants in Tennessee.

📋 Description

• Collaborate with client stakeholders utilizing Press Ganey and client data resources to address industry trends and pinpoint areas for improvement and growth.

• Work alongside health plans and medical groups to perform data analysis, interpret data, and design processes.

• Spearhead analysis across Stars measure domains, encompassing CAHPS, HEDIS, HOS, medication adherence, and operational metrics.

• Execute performance trending, cut point and gap analysis, and assess member experience drivers.

• Compile conclusions and formulate recommendations.

• Educate clients on best practices for Stars and member experience as well as process enhancements.

• Coordinate activities, assign tasks, and utilize both internal and client resources effectively.

• Oversee engagement scope, timelines, deliverables, budget, and project outcomes.

• Direct the preparation of client deliverables, which includes data analyses, assessments, quality reviews, training sessions, and presentations.

• Develop and maintain successful client relationships.

• Act as the primary point of contact for clients and cultivate strategic working relationships.

• Relay risks and recommendations to project management while influencing client stakeholders.

• Strategically plan, organize, and prioritize project activities using work plans and project management tools.

• Monitor CMS guidelines, rate announcements, and updates to technical specifications, summarizing their implications.

• Facilitate the integration of Stars consulting deliverables with Hyperlift analytics and insights from CAHPS/HOS surveys.

⛳️ Requirements

• Minimum of 2 years of prior experience in health plan quality, Star Ratings, and/or experience management.

• Practical exposure to Medicare Advantage.

• Proficiency in one or more areas: HEDIS operations and rate enhancement; CAHPS and member experience improvement; medication adherence and Part D measures; HOS and health outcomes measurement; Medicare Stars and NCQA government programs.

• Demonstrated success in driving quality or experience improvements with health plan stakeholders.

• Experience with Special Needs Plans, including D-SNP, C-SNP, or I-SNP, is highly preferred.

• Proven capability in implementing performance improvement initiatives.

• Strong data analytical skills utilizing Excel, Access, SQL, SAS, or similar tools.

• Advanced proficiency in MS Office applications, including Word, PowerPoint, and Excel.

• Capacity to work effectively under pressure, meet deadlines, and swiftly adapt to changing priorities.

• Bachelor’s degree required.

🏝️ Benefits

• Competitive benefits package.

• Discretionary bonus or commission based on achieved results.

• Flexible remote work arrangement.

• Up to 50% travel required.

• Reasonable accommodations available for qualified individuals with disabilities or disabled veterans.

• Commitment to a diverse, inclusive, and authentic workplace.