- The Cigna Group (Bloomfield, CT)
- …2+ years' experience in customer service, claims, and/or payor related experience + Demonstrated knowledge of contracting process, Medicare fee schedules, ... Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides...key program performance metrics, such as utilization, coding, and STARs /quality performance + Assist in the STARS … more
- The Cigna Group (Bloomfield, CT)
- …and systems. The ** Medicare Risk Adjustment Analytics Advisor** would be a member of the Risk Adjustment and Enablement team that provides support by leveraging ... an immediate need to strengthen our Risk Adjustment and Stars Enablement team. The Risk Adjustment and Stars...for all aspects of Risk Adjustment submissions** + **In-depth experience with various types and sources of Healthcare information;… more
- Highmark Health (Hartford, CT)
- …of Health Care Quality or other relevant experience **SKILLS** + Medicare Advantage - Expertise with CMS STARS Program + Quality Programs Implementation ... stakeholders, vendors and various cross-functional teams, locations and departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across… more
- 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
- Humana (Hartford, CT)
- …This role will focus on opportunities to improve member health outcomes, member and provider experience , clinical quality, and savings to medical costs. The ... identify and address business issues and opportunities related to the high-needs Medicare Advantage (MA) and Special Needs Plan (SNP) populations that benefit from… more
- Humana (Hartford, CT)
- …operational improvements and other areas as they relate to provider performance, member experience , market growth, provider experience and operational ... Health care or managed care with Provider Contracting, Network Management or Provider Relations experience + 2+ years of prior supervisory experience in a fast… more