- 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
- Insight Global (Waterbury, CT)
- Job Description We are seeking a highly skilled and motivated Lead Data Scientist in our Medicare Member Experience Data Science Team. In this role, you will ... Platform (GCP) environment to improve the quality of our Medicare Stars program. As the Lead Data...learning models and solutions that drive improvements in healthcare member experience and operational performance metrics. You… 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