- Medical Mutual of Ohio (OH)
- …**Responsibilities** **Health Plan Quality Program Manager** + Facilitates projects to increase Star Ratings involving one or more cross-functional teams through ... measures analytics and industry insights to identify opportunities to improve Star Ratings . + Collaborates and builds relationships throughout the organization… more
- Elevance Health (Norfolk, VA)
- …analytical software (Excel, SAS, SQL) strongly preferred. + Deep expertise of CMS's Medicare STAR Ratings system strongly preferred. + Prior leadership ... and trains junior analysts in conducting analysis with the STAR rating system specifically with CAHPS. + Obtains resources...Capabilities, and Experiences:** + 4+ years of experience in Medicare CAHPS Ratings Analytics strongly preferred. +… more
- Medical Mutual of Ohio (OH)
- …supporting documentation to enhance NCQA, Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare Star ratings as well as data analysis to ... stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Applies process ...and Control (DMAIC). + Knowledge of NCQA, HEDIS and Medicare Star rating, health plan accreditation standards,… more
- Nuvance Health (Poughkeepsie, NY)
- …the Center for Medicare & Medicaid Services Value Based Purchasing and Star Ratings programs, Leapfrog Patient Safety program, commercial pay for performance ... improve processes, and provide follow-up & monitoring to evaluate progress and ensure process changes are hardwired. 4. Manages and organizes the work of the Quality… more
- Insight Global (Chicago, IL)
- …domains, with knowledge of Medicare programs and clinical quality measures (eg, HEDIS, STAR ratings ) null We are a company committed to creating diverse and ... The Lead Data Scientist/Engineer plays a pivotal role in supporting the Medicare Clinical Stars program by providing technical expertise in data engineering,… more
- Northern Light Health (Brewer, ME)
- …to, MIPS, eCQMs, HEDIS and CGCAHPS for ambulatory quality and IQR, QHIP, Leapfrog, Medicare Star Ratings , and HCAHPS for inpatient quality. The coordinator ... Hospital Quality knowledge * 3 years' experience of clinical process and quality improvement + Achieves Results: Sets high...willingness to relieve the suffering of others. + Seeks Process Improvement & Applies System Thinking: Possesses and gains… more
- The Cigna Group (Bloomfield, CT)
- …well-being and to provide accurate data for HCC (Hierarchical Condition Categories) coding, STAR ratings and reimbursement. + ENHB In Home Primary Care Program ... of adequate automobile insurance; + Must be able to be credentialed by Medicare , Medicaid, and other Private Insurance Companies + Experience with electronic medical… more