Quality Stars Program Coordinator

The Health Plan (THP) - Wheeling, WV

Hiring: Quality Stars Program Coordinator Company: The Health Plan (THP) Location: Wheeling, WV Job Posted Time: 2026-09-14 07:38:56 Target Skills & Keywords : C About the job Required Skills: •Works with VP, Quality Improvement and Clinical Quality Stars Program Manager to learn and apply the Medicare Part C&D Star Ratings Technical Notes. •Communicates with the Medical Economics Department and the Clinical Quality Stars Program Manager to obtain ongoing HEDIS and Stars data collections to support SMART goals. •Works with internal departments to identify opportunites for improvement, gap closure and facilitates the development of member and provider clinical data driven initiatives to promote optimal member outcomes and provider best practices. •Assists with tracking systems for reporting KPIs for the evaluation of activities and the effectiveness related to program initiatives and other performance/quality improvement projects. •Interfaces with the Provider Operations and Provider Experience teams for quality provider initaitives and provider education. •Using the PDSA cycle, identifies barriers and opportunities for improvement related to Star ratings, NCQA, CAHPS and HOS surveys and other member experience or quality metrics. •Assists to development training and educational material that directly impacts quality initiatives. •Participates in quality improvement meetings and committees/subcommittees and focus groups. Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!