- Providence (WA)
- **Description** **Quality Program Manager - Medicare Advantage Stars ** **The Quality Program Manager - Medicare Advantage Stars is tasked ... best-practice strategies that result in improved Star ratings.** **The Stars Quality Program Manager will:**...HEDIS) measures, CAHPS, HOS + Deep understanding of the Medicare Advantage Stars program , CMS… more
- Centene Corporation (Queens, NY)
- … Advantage with at least 2-3 years in a value-based care role overseeing Medicare VBP program implementation or performance preferred. 1-3 years of managerial or ... outcomes, advancing quality and ensuring equity in healthcare delivery today. The Manager , Value-Based Payments Initiatives (VBP) will lead and support the expansion… more
- Aveanna Healthcare (Tomah, WI)
- Home Health Clinical Manager La Crosse ApplyRefer a FriendBack Job Details Requisition #: 205899 Location: Tomah, WI 54660 Category: Clinical Care and Support ... Participates in a 10% Incentive Bonus Position Overview: TheClinical Manager - Home Healthworks under the direction and guidance...of our home health locations are rated as 4+ stars for quality and satisfaction + Directly impact the… more
- Aveanna Healthcare (Huntsville, AL)
- Home Health RN Clinical Manager Full Time ApplyRefer a FriendBack Job Details Requisition #: 205928 Location: Huntsville, AL 35806 Category: Nursing Salary: ... a Real Difference-One Patient at a Time TheRN Clinical Manager - Home Healthworks under the direction and guidance...of our home health locations are rated as 4+ stars for quality and satisfaction + Directly impact the… more
- CenterWell (Greer, SC)
- …responsible for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program . The Quality RN Professional work ... + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and...facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… more
- CenterWell (Myrtle Beach, SC)
- …achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, optimal patient scheduling, financial management, patient engagement, ... for growing and expanding the IPA network by recruiting providers and growing the Medicare Advantage population of the IPA. In addition, would represent the scope of… more
- Highmark Health (Phoenix, AZ)
- …projects for timely review with the Director, Clinical Pharmacy. + Participate in Medicare Stars performance measures to drive contribution to excellence (5 ... drug benefit strategies, drug formularies, and programs specifically for the Medicare Advantage (MA) market. The incumbent will contribute to recommendations for… more
- CenterWell (New Albany, IN)
- …administrators. Nearly 250,000 total patients served in 2022, including those in Medicare Advantage, value-based arrangements or other Medicare programs. As a ... and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards **Use your… more
- CenterWell (Hammond, LA)
- …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 ... to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, financial management, and employee and patient retention. Specific… more
- Elderwood (North Creek, NY)
- …with a dedicated team in a positive and respectful atmosphere. Proudly Rated 4 Stars by CMS! Elderwood at North Creek has earned a 4-star rating from the ... Centers for Medicare and Medicaid Services (CMS)-exceeding both the New York...11% more with our Pay in Lieu of Benefits Program (higher base pay) + Employee Referral Bonus -… more
- CVS Health (Madison, WI)
- …population health platform to support the delivery of high quality care to the Medicare population. As a Senior Technical Product Manager , you will be ... responsible for driving the strategic direction of our Stars data. Through partnership with senior business and engineering...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- CVS Health (Indianapolis, IN)
- …and every day. This is an individual contributor role The Senior Manager of Value-Based Contracting is responsible for establishing and maintaining productive ... terms in the context of provider contracting + Familiar with CMS Stars and HEDIS technical specifications and various measurable percentiles associated with the… more
- CenterWell (Savannah, GA)
- …to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, financial management, and employee and patient retention. Specific ... Job is considered patient facing and is part of Humana's Tuberculosis (TB) screening program . Candidates selected for this job will be required to be screened for… more
- Trinity Health (Albany, NY)
- …overall functions including but not limited to: NYPORTS, NIMRS, Justice Center, STARS /ClearSight, Centers for Medicare and Medicaid Services (CMS) death ... visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** none **CAREER PATH:** Management… more
- CenterWell (San Antonio, TX)
- …population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to ... performance **Preferred Qualifications** + Bachelor's Degree + Comprehensive knowledge of Medicare policies, processes and procedures + Value based care knowledge… more