- Healthfirst (NY)
- …Operations, Provider Performance, Medical and Pharmacy Part D cost savings, and Medicare Star Ratings/member experience. + Active analysis of complex financial ... Provider performance + Medical and Pharmacy Part D cost savings + Medicare Star Ratings/member experience. **Compliance & Regulatory Responsibilities:** Noted… more
- Centene Corporation (Jefferson City, MO)
- …the defined partnership agreemen + Orchestrates all elements of the population health strategy for the business + Drives HBR initiatives locally through strong ... for our 28 million members. **Position Purpose:** In partnership with the Chief Medicare Officer, serve as a key stakeholder, decision maker, and catalyst, for all… more
- CVS Health (New Albany, OH)
- …a strong business performance, ensuring all Quality Incentive Award (QIA), STAR performance objectives including P4P targets, growth, retention, and STAR ... and affordable. **Position Summary** At Aetna, our health benefits business , we are committed to helping our members achieve...every day. Aetna is recruiting for an AVP, Quality Strategy & Initiatives who is accountable for the achievement… more
- Humana (Frankfort, KY)
- …community and help us put health first** The Customer Data for Consumer Strategy Lead is responsible for understanding the intersect between data sources and ... to production, by managing data and analytics to meet business needs through the development of core experiences. The...models to enhance the member experience while improving Humana's STAR ratings. **Use your skills to make an impact**… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …project management resources as needed to support and ensure that the enterprise technology strategy is consistency with Medicare Product Strategy . The VP ... leads the development and implementation of the Employer group Medicare product strategy to meet market needs....of and/or influence of product, marketing, sales, and operations business plans + Lead Medicare Integrated … more
- Elevance Health (Norfolk, VA)
- …analytical software (Excel, SAS, SQL) strongly preferred. + Deep expertise of CMS's Medicare STAR Ratings system strongly preferred. + Prior leadership or ... CAHPS/STARS** is responsible for high-priority analytical projects for the Medicare CAHPS Organization by leading the planning, direction, and...of our culture. They are how we achieve our strategy , power our business outcomes and drive… more
- Elevance Health (Columbus, OH)
- …in medication use quality improvement programs, analyzing pharmacy spend and trends, and Medicare Star Part D measures strongly desired. + Experience working ... improve pharmacy quality by staying up to date on STAR and HEDIS measures. + Provider education to support...of our culture. They are how we achieve our strategy , power our business outcomes and drive… more
- Molina Healthcare (San Bernardino, CA)
- …is an Equal Opportunity Employer (EOE) M/F/D/V. Key Words: CHIP, Medi-Cal, Medicare , Medicaid, Duals, Covered California, Star Plus, community, health coach, ... goals improving Molina's enrollment growth objectives encompassing all lines of business . You will work collaboratively with key departments across the enterprise… more
- Hartford HealthCare (Southington, CT)
- …restorative nursing services complement the full spectrum of therapy. Medicare /Medicaid certified, we offer premier physical, occupational and speech therapies. ... of budgets for each assigned facility * Promotes and oversees growth strategy by expanding and managing new and existing contracts, programs, and services… more