10 Medicare Star Ratings experts

Experience: Director of Stars and Risk Adjustment · Humana

Director of Stars and Risk Adjustment at Humana since 2022. The profile says this person leads a multidisciplinary team including Stars Improvement professionals, Risk Adjustment Educators, Retrieval Specialists and a Regional Manager across the Pacific Northwest. Former Director of Quality Improvement at Humana (2021–2022).

Experience: VP Quality Operations and Medicare Stars · Clover Health

Former VP Quality Operations and Medicare Stars at Clover Health (2015–2016), where the profile says this person managed the development, implementation and completion of Medicare quality improvement projects including Medicare Stars Ratings, HEDIS, Health Outcomes Survey and CAHPS. Vice President, Provider Performance Team at Optum since 2021.

Experience: Director HEDIS & Medicare Star Analytics · SCAN

Director HEDIS & Medicare Star Analytics at SCAN since 2012. The profile says this person oversees and manages the HEDIS reporting operation, the HEDIS compliance audit, administrative rate generation, medical record pursuit and abstraction, and submission of HEDIS results. Former Informatics QI Analyst Sr. at SCAN (2011–2012).

Experience: Director, Medicare Stars · Longevity Health

Former Director, Medicare Stars at Longevity Health (2024–2025), and Sr.Director, HEDIS, Stars and Quality Partneships there since 2025, where the profile says this person directs enterprise Medicare Stars, HEDIS and quality strategy across multiple Medicare Advantage plans. Former Sr. Manager Stars Program Leader, Medicare Stars at Medica (2020–2024).

Experience: Medicare Star Rating Manager · Blue Cross Blue Shield Arizona Advantage Plan

Former Medicare Star Rating Manager at Blue Cross Blue Shield Arizona Advantage Plan (2016–2018), where the profile says this person was held accountable to develop the Medicare Star Program on both Part C and D, including CAHPS and HOS, and collaborated on improvement programs with cross-functional departments. Former HEDIS Operations Director at Western Sky Community Care (2018–2019).

Experience: Associate Vice President, Stars Quality Improvement and Operations · Humana

Associate Vice President, Stars Quality Improvement and Operations at Humana since 2019, a role the profile describes as leadership and strategic direction for Stars Improvement and Operations, driving initiative execution and measure management. Former Director, Stars Improvement, Medicare, PDP, Commercial at Humana (2016–2019).

Experience: Star Ratings Operations Director at Cigna HealthSpring of Florida · Cigna Healthcare

Former Star Ratings Operations Director at Cigna HealthSpring of Florida at Cigna Healthcare (2017–2022), where the profile says this person developed and managed Florida market Stars Operations strategy and tactics. Vice President Stars & Risk Adjustment at Capital Blue Cross since 2024, and former Director of Stars and Quality-Government Business there (2022–2023).

Experience: Associate Vice President Stars and Consumer Experience · CareSource

Former Associate Vice President Stars and Consumer Experience at CareSource (2021–2025) and former Associate Vice President of CAHPS and HOS Strategy at Alignment Health (2025–2026), a role the profile describes as leading provider engagement CAHPS and HOS strategy. Sr Director of Risk Adjustment and Stars at Clever Care Health Plan since 2026.

Experience: Associate Vice President Medicare Star Ratings Execution & Operations · Aetna, a CVS Health Company

Associate Vice President Medicare Star Ratings Execution & Operations at Aetna, a CVS Health Company since 2026. Former Executive Director Medicare Stars Member Experience (2018–2026) and Senior Director of Medicare Stars Member Experience (2017–2018) at Aetna, a CVS Health Company.

Experience: Vice President, Stars Improvement & Operations · Humana

Vice President, Stars Improvement & Operations at Humana since 2025. Other Humana roles listed are Associate Vice President, Stars Program Delivery (2023–2026), Director, Stars Innovation Portfolio Strategy (2020–2023) and Director, Stars Operations (2015–2020).