Overview
Stars Quality Specialist – (Remote – New York) Jobs in New York, NY at Jobgether
Title: Stars Quality Specialist – (Remote – New York)
Company: Jobgether
Location: New York, NY
Jobgether has ALL remote jobs globally. We match you to roles where you’re most likely to succeed and provide feedback on every application to help you learn. No more guesswork, application black holes, or recruiter ghosting in your job search.
For one of our clients, we are looking for a Stars Quality Specialist, working remotely from New York, USA.
As a Stars Quality Specialist, you will play a critical role in improving quality performance and maximizing Star ratings by supporting medication adherence, HEDIS-related functions, and other key quality initiatives. This role requires a keen eye for detail, strong communication skills, and the ability to analyze data to drive decision-making. You will collaborate with internal teams, healthcare providers, and pharmacies to close care gaps, ensure accurate documentation, and contribute to continuous quality improvement efforts. This position is ideal for someone passionate about healthcare quality and patient-centered care.
Accountabilities:
Support various Star rating measures, including medication adherence, portable device monitoring, and quality improvement initiatives
Conduct detailed chart reviews and audits to ensure accurate documentation and identify opportunities for performance improvement
Leverage data and reporting tools to prioritize work, track quality metrics, and optimize outcomes
Engage in telephonic outreach to members, providers, pharmacies, and internal teams to resolve quality-related issues
Work closely with cross-functional teams to address member concerns and ensure a seamless care experience
Maintain organized records of completed work efforts and adhere to established processes for documentation
Assist in tracking, monitoring, and reporting Stars-related activities while contributing to workflow improvements
Requirements
Understanding of the Medicare Star ratings program and strategies to influence performance
Experience in the healthcare industry and/or health insurance sector
Proficiency in Microsoft Word, Excel, Outlook, and PowerPoint
Ability to work within an electronic health record (EHR) system
Bachelor’s degree preferred
Completion of an accredited Pharmacy Technician Program is a plus
Benefits
Competitive salary ranging from $20.00 to $25.00 per hour, plus annual bonus opportunities
Comprehensive healthcare coverage, including medical, dental, and vision plans
401(k) with company match to support your long-term financial goals
Flexible work environment, offering a fully remote position
Professional growth opportunities through training and career development
