- Molina Healthcare (Des Moines, IA)
- **Job Description** **Job Summary** Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality ... change management, program management and other processes relative to the Medicare Stars Program + Leads and manages team in planning and executing… more
- CenterWell (Des Moines, IA)
- …and outcomes **Required Qualifications** + Expertise in value-based care, especially Medicare Advantage, with familiarity of HEDIS/ STARS , medical risk ... has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary… more
- Molina Healthcare (Des Moines, IA)
- … (adherence and statin starts), Adherence follow-up efforts to improve Part D STARS , Medicare /MMP LOB. Molina Pharmacy Services/Management staff work to ensure ... Medical Affairs staff, and Providers. + Reviews and analyzes pharmacy benefit manager reports to track general trends in drug utilization and identify potential… more
- Highmark Health (Des Moines, IA)
- …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