- Martin's Point Health Care (Portland, ME)
- …experience working in a setting focused on value-based care initiatives Knowledge + Knowledge of Medicare Part D , Stars , and HEDIS quality measures ... + Runs daily/weekly reports to identify patients with care gaps related to Medicare Stars , HEDIS, or value-based care measures + Follows standard work related to… more
- Martin's Point Health Care (Portland, ME)
- …or non-dispensing role (ambulatory care, managed care, quality management). Knowledge + Knowledge of Medicare Part D , Stars , and HEDIS quality measures. ... daily/weekly reports to identify patients with care gaps related to Medicare Stars , HEDIS, or value-based care measures. + Conducts telephonic outreach calls… more
- Health Care Service Corporation (Chicago, IL)
- …payor, provider, pharmacy, public health, epidemiology, etc. + Experience with Medicare Part D and STARS + Experience with version control/collaborative ... and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in...presentation skills. + Ability to work independently and as part of a team. + Performance excellence in championing… more
- Molina Healthcare (Ridgeland, MS)
- …for partnering with MHI RQES and VP Stars in developing the local Medicare Stars work plan and executes on interventions that will improve CAHPS, HEDIS ... and HOS scores. Responsible for monitoring Part D and Operational health insurance metrics...+ Responsible for partnering with MHI RQES and VP Stars in managing MMP quality withhold revenue in MMP… more
- Molina Healthcare (Omaha, NE)
- …and federal QI compliance activities. The Quality AVP will be responsible for Medicare Stars strategies and performance improvement. If appropriate, based on ... for VBC contracts. + Responsible for developing the local Medicare Stars work plan and executing on...CAHPS, HEDIS and HOS scores. Also responsible for monitoring Part D and Operational health insurance metrics… more
- Centene Corporation (Little Rock, AR)
- …regarding quality initiatives and key quality performance indicators. Shares HEDIS, CAHPS, HOS, Part D and Administrative Operations reports and gap lists with ... Providers and Systems), HOS (Health Outcomes Survey), CTMs (Complaints to Medicare ), Disenrollments, Appeals, and Grievances. + Collaborates with Provider Relations… more
- Mount Sinai Health System (New York, NY)
- …Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS ,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience working ... methodologies. c. Collects, organizes, integrates, analyzes and interprets data. d . Leverages advanced statistical analysis methods to create insightful… more