- CVS Health (Hartford, CT)
- …Medicare , Medicaid, IFP, Duals). This leader will focus on HEDIS Hybrid, STARS , Performance Improvement Plans, provider & member enablement, regulatory and ... experience in healthcare/managed care leadership roles with experience in HEDIS/Medicaid/ Medicare /Duals/IFP Quality program performance management,… more
- Highmark Health (Hartford, CT)
- …projects for timely review with the Director, Clinical Pharmacy. + Participate in Medicare Stars performance measures to drive contribution to excellence (5 ... sampling, pharmacy policy review and development and/or review of member specific information to improve individual outcomes as an...Stars ). + Other duties as assigned or requested. **QUALIFICATIONS**… more
- Humana (Hartford, CT)
- …& Improvement (HQRI) delivers integrated risk adjustment (RA) and quality ( Stars ) solutions that leverage data and technology to empower members, providers, ... organization dedicated to technical solutions that help support and connect across these member and provider focused efforts. HTA's Member & Provider Analytics… more
- Humana (Hartford, CT)
- …courses of action. + Ability to handle multiple priorities. **Preferred Qualifications** + Medicare Risk Adjustment experience . + Experience using Microsoft ... an organization responsible for improving health outcomes and advancing the care experience of our members and provider partners through integrated risk adjustment… more