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Humana's Stars is an organization that improves health outcomes and improves the care experience of our members and provider partners through quality solutions. Stars is committed to caring for our customers and delivering high plan quality as rated by the Centers for Medicare and Medicaid Services (CMS). One key element of this quality rating is the operational execution and performance of the Healthcare Effectiveness Data and Information Set (HEDIS) measures.
The Stars Team is seeking a Lead, Data Quality/Integrity for Clinical Abstraction Vendor Operations. The Lead is responsible for driving excellence in medical record data management and clinical abstraction processes, supporting Humana’s HEDIS initiatives and broader enterprise data integrity goals. This role manages relationships with clinical abstraction vendors, oversees medical record review activities, and serves as a subject matter expert for clinical data initiatives. The Le...