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Role Description

Become a part of our caring community and help us put health first. The Pharmacy Stars Improvement Lead will be a part of a collaborative Pharmacy Stars team which is accountable for Humana’s Stars patient safety measure performance. The Pharmacy Stars Improvement Lead will autonomously develop, implement, and manage clinical program strategies to improve Medicare members' medication adherence and appropriate medication use with specific focus on telehealth and in-home methods of care delivery. The Pharmacy Stars Improvement Lead exercises independent judgment and decision making on complex issues regarding job duties and related tasks, works under minimal supervision, and analyzes variable factors to determine the best course of action.

Qualifications

• Bachelor's Degree in Business, Finance, Health Care or a related field
• 2 or more years of project leadership experience
• Prior Medicare/Medicaid experience
• Strategic thinking and planning capabilities; organized and detail-oriented
• Excellent communication skills
• Enthusiasm and motivation essential; a confident change-agent; strong presentation skills (oral and written)
• Ability to operate under tight deadlines
• Successful track record in facilitating and consulting across teams and managing projects
• Ability to learn quickly, work under pressure and timeline, work with ambiguity, and make complex decisions as necessary to meet business need
• Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data
• Comprehensive knowledge of all Microsoft Office applications, including Word, Excel and PowerPoint

Requirements

• Master's Degree in Business Administration, Health Administration or a related field (Preferred)
• Provider relations experience (Preferred)
• Prior managed care experience (Preferred)
• Understanding of metrics, trends and the ability to analyze and identify gaps in care (Preferred)
• Proven organizational and prioritization skills and ability to collaborate with multiple departments a plus (Preferred)
• Understanding of CMS Stars and performance measure knowledge and experience a plus (Preferred)
• Background working in quality improvements (Preferred)

Benefits

• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance
• Many other opportunities

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$104,000 - $143,000 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Application Deadline

03-19-2026