- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... outcomes and develop initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads… more
- CVS Health (St. Louis Park, MN)
- …And we do it all with heart, each and every day. **Position Summary** As the ** Senior Manager of Stars ** , you will lead the market-wide strategy, ... performance improvement, and execution of the Medicare Stars quality program for Allina Health...of strategic initiatives. + Comfortable presenting to and influencing senior leadership. **Preferred Qualifications** + Health plan experience. +… more
- CVS Health (Harrisburg, PA)
- …all with heart, each and every day. **Position Summary** Located within the Medicare Stars Program Management team, this individual contributor role will provide ... processes. **Preferred Qualifications** + 2+ years of experience within Medicare Part D Stars Program Management, Medicare / Medicaid HEDIS measurement… more
- CVS Health (Phoenix, AZ)
- …Qualifications: + 7+ years experience in 7+ years of experience in Medicare / Stars or Healthcare/Pharmacy Quality, Program Management, or Strategy Preferred ... existing opportunities. + Drives the success of projects in collaboration with senior management, stakeholders, and senior individual contributors. + Attends… more
- CVS Health (Harrisburg, PA)
- …all with heart, each and every day. **Position Summary** **Position Summary** The Senior Manager Health Care Quality Management will be responsible for managing ... + Experience presenting to leaders and/or leadership teams + Experience with Medicare Stars , HEDIS, or NCQA reporting. + Excellent time management, planning and… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …Solutions company seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In ... you will drive the strategic planning, development, and optimization of our Medicare Advantage Risk Adjustment solution, ensuring that our deliverables support the… more
- Erickson Living (Tinton Falls, NJ)
- Location: Seabrook Village by Erickson Senior Living We are hiring a Medicare Sales Agent, also known as our Health Insurance Resource Manager (HIRM). The ... of our communities, has earned 5 out of 5 stars from the Centers for Medicare and...a timely manner. + Provide feedback and escalations to senior management regarding necessary member care or coverage issues.… more
- Humana (Salt Lake City, UT)
- …our caring community and help us put health first** Job Description Summary The Senior Product Manager Conceives of, develops, delivers, and manages products for ... customer use. The Senior Product Manager work assignments involve moderately...+ Bachelors Degree + Knowledge and/or experience within the Stars Organization, Risk Adjustment and/or Provider + PMP or… more
- CVS Health (Albany, NY)
- …hours. No nights, no weekends and no holidays. **Position Summary** The Senior Clinical Strategist works with assigned Aetna Medicare Provider Collaboration ... Projects will support population health and will primarily impact Stars and quality but will also focus on improvements...also focus on improvements in utilization and cost. The Senior Clinical Strategist works to drive clinical performance of… more
- CenterWell (Covington, LA)
- …responsible for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program. The Stars Improvement, Clinical ... and independent determination of the appropriate courses of action. The Stars Improvement Clinical Professional (RN) collaborates with market leadership, and quality… more
- CenterWell (Hampton, VA)
- …responsible for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program. The Stars Improvement, Clinical ... and independent determination of the appropriate courses of action. The Stars Improvement Clinical Professional (RN): + Collaborates with market leadership, and… more
- CenterWell (Jacksonville, FL)
- …Administrator (CA) is a healthcare professional who leads the daily operations of our senior primary care centers and upholds our model of care that puts patients at ... to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, financial management, and employee and patient retention. Specific… more
- CenterWell (Jupiter, FL)
- …responsible for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program. The Stars Improvement, Clinical ... following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Data sharing and connectivity +… more
- CenterWell (Clarksville, IN)
- …put health first** CenterWell (TM) represents our payer-agnostic healthcare services for senior primary care, home health and pharmacy. Launched in spring 2021, ... to them - we can help them lead happier, healthier lives. CenterWell Senior Primary Care (TM) provides proactive, preventive care to seniors, including wellness… more
- CenterWell (Anderson, SC)
- …+ Participates in the local primary care "on-call" program of CenterWell Senior Primary Care. + Ensures personal compliance with licensing, certification, and ... Patient Care:** responsible, internally, for completing/closing all quality metrics (HEDIS, STARS , EDAPS) for their panel of patients. + **Participate and Lead… more
- CenterWell (Peoria, AZ)
- …part of our caring community and help us put health first** The Manager , Clinic/Center Administration, is a healthcare professional who leads the daily operations of ... our senior primary care centers and upholds our model of...achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, financial management, and employee and patient retention.… more
- CenterWell (Columbia, SC)
- …staffing, operational excellence, and clinical initiatives + Champion our senior -focused primary care strategic vision and initiatives and foster stakeholder ... (KPIs), such as patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally… more
- CenterWell (Fort Worth, TX)
- …part of our caring community and help us put health first** The Manager , Clinic/Center Administration plans and directs the work of professional and support ... provide outpatient care to patients in a clinical setting. The Manager , Clinic/Center Administration works within specific guidelines and procedures; applies… more
- CenterWell (Durham, NC)
- …part of our caring community and help us put health first** The Manager , Clinic/Center Administration plans and directs the work of professional and support ... provide outpatient care to patients in a clinical setting. The Manager , Clinic/Center Administration works within specific guidelines and procedures; applies… more
- CenterWell (Frankfort, KY)
- …part of our caring community and help us put health first** The Manager , Clinic/Center Administration, is a healthcare professional who leads the daily operations of ... our senior primary care centers and upholds our model of...achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, financial management, and employee and patient retention.… more