- Highmark Health (Harrisburg, PA)
- …and outcomes strategic plan development + Experience with Medicare STARS, Medicaid HEDIS , risk revenue value streams, and population health management ... skilled subject matter expert (SME) in Medicare STARS, Medicaid HEDIS and risk revenue streams and provides strategic, hands-on,...Experience in Lean, Six Sigma, TQI, TQC or other quality management certification + Experience in health … more
- Centene Corporation (Harrisburg, PA)
- …Purpose:** Functions as a program development manager in collaboration with Quality , Health Services and Operations business owners or cross-functional ... implementation of programs relevant to the organization's strategic initiatives involving Health Services, clinical and operational quality administration. +… more
- CenterWell (Harrisburg, PA)
- …leader will play a critical role in ensuring optimal patient care, high quality health outcomes, and improved cost and utilization in pharmacy-related care, ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more… more
- The Cigna Group (Pittsburgh, PA)
- …several health -related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, ... payer or provider operations, CMS Risk Adjustment and HCC coding process and quality including Medicare Star Ratings and HEDIS + Strongly preferred experience… more