- Highmark Health (Buffalo, NY)
- …the Organization are met or exceeded. Further, in a matrix management environment, the Medicare Advantage Quality Consultant is responsible for ... STARS, Medicaid HEDIS and risk revenue programs and clinical evidence-based guidelines.The Medicare Advantage Quality Consultant is expected to assess… more
- Humana (Albany, NY)
- …Insurance segment's highest priority projects and initiatives, with an emphasis on Medicare Advantage strategy development. As a Senior Strategy Advancement ... initiatives and business areas, evolving key facets of the Medicare Advantage growth strategy, leading the development...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- New York State Civil Service (Corinth, NY)
- …* Ensures that the assigned RN's coordinate appointments for primary visits, consultant services and required tests. * Ensures that medications and treatments are ... medical policies, and any other nursing or medical issues. * Provides quality assurance activities by ensuring that all applicable regulations are followed. *… more