- Molina Healthcare (Kearney, NE)
- **Job Description** **Job Summary** Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality ... change management, program management and other processes relative to the Medicare Stars Program + Leads and manages team in planning and executing… more
- Molina Healthcare (Phoenix, AZ)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 4-6 years of Medicare Stars Program and project management experience Demonstrated knowledge… more
- CVS Health (CT)
- …And we do it all with heart, each and every day. **Position Summary** Senior Program Manager for Resources for Living is a high impact role, and we ... for professional to lead programs, projects and initiatives within Medicare business unit, and particularly those related to ... Star Ratings, quality improvement, and compliance. The Senior Program Manager will perform varied activities and… more
- Humana (Louisville, KY)
- …executives and senior leadership to develop functional strategies that broadly impact the Medicare Stars program . This role will also develop partnerships ... first** Humana seeks a strategic and results-driven Lead Product Manager to oversee the end-to-end lifecycle of the Patient...leadership to develop functional strategies that broadly impact the Medicare Stars program . This role… more
- Aveanna Healthcare (Tomah, WI)
- Home Health Clinical Manager La Crosse ApplyRefer a FriendBack Job Details Requisition #: 205899 Location: Tomah, WI 54660 Category: Clinical Care and Support ... Participates in a 10% Incentive Bonus Position Overview: TheClinical Manager - Home Healthworks under the direction and guidance...of our home health locations are rated as 4+ stars for quality and satisfaction + Directly impact the… more
- Aveanna Healthcare (Hendersonville, TN)
- Home Health RN Clinical Manager Full Time ApplyRefer a FriendBack Job Details Requisition #: 207591 Location: Hendersonville, TN 37077 Category: Nursing Salary: ... $85,000.00 - $95,000.00 per year Position Details TheRN Clinical Manager - Home Healthworks under the direction and guidance...of our home health locations are rated as 4+ stars for quality and satisfaction + Directly impact the… more
- Aveanna Healthcare (Huntsville, AL)
- Home Health RN Clinical Manager Full Time ApplyRefer a FriendBack Job Details Requisition #: 205928 Location: Huntsville, AL 35806 Category: Nursing Salary: ... a Real Difference-One Patient at a Time TheRN Clinical Manager - Home Healthworks under the direction and guidance...of our home health locations are rated as 4+ stars for quality and satisfaction + Directly impact the… more
- Humana (Springfield, IL)
- …and coaching associates. + Prior experience with healthcare quality measures STARS , HEDIS, etc. and/or clinical program monitoring/evaluation. + Knowledge ... and behavioral health professionals responsible for care management. The Manager , Care Management, works within specific guidelines and procedures; applies… more
- CenterWell (Las Vegas, NV)
- …to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, financial management, and employee and patient retention. Specific ... Job is considered patient facing and is part of Humana's Tuberculosis (TB) screening program . Candidates selected for this job will be required to be screened for… more
- CVS Health (Albany, NY)
- …**Position Summary** The Senior Clinical Strategist works with assigned Aetna Medicare Provider Collaboration groups to drive improved performance by leading ... through to implementation. Projects will support population health and will primarily impact Stars and quality but will also focus on improvements in utilization and… more
- Medical Mutual of Ohio (OH)
- …insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. **Supports corporate and ... lifecycle processes for all lines of business (Commercial, Marketplace, Medicare Advantage, and Medicaid), including HEDIS audit submission, Consumer Assessment… more
- CenterWell (Anderson, SC)
- …within the Center. + Participates in the local primary care "on-call" program of CenterWell Senior Primary Care. + Ensures personal compliance with licensing, ... Patient Care:** responsible, internally, for completing/closing all quality metrics (HEDIS, STARS , EDAPS) for their panel of patients. + **Participate and Lead… more
- CenterWell (Clarksville, IN)
- …administrators. Nearly 250,000 total patients served in 2022, including those in Medicare Advantage, value-based arrangements or other Medicare programs. As a ... and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control standards **Use your… more
- CenterWell (Fort Worth, TX)
- …part of our caring community and help us put health first** The Manager , Clinic/Center Administration plans and directs the work of professional and support ... provide outpatient care to patients in a clinical setting. The Manager , Clinic/Center Administration works within specific guidelines and procedures; applies… more
- CenterWell (Decatur, GA)
- …part of our caring community and help us put health first** The Manager , Clinic/Center Administration, is a healthcare professional who leads the daily operations of ... to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, financial management, and employee and patient retention. Specific… more
- Elderwood (North Creek, NY)
- …with a dedicated team in a positive and respectful atmosphere. Proudly Rated 4 Stars by CMS! Elderwood at North Creek has earned a 4-star rating from the ... Centers for Medicare and Medicaid Services (CMS)-exceeding both the New York...11% more with our Pay in Lieu of Benefits Program (higher base pay) + Employee Referral Bonus -… more
- CenterWell (Columbia, SC)
- …(KPIs), such as patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally ... + Support clinical quality performance improvement in areas such as MRA, Stars , and prevention of unnecessary utilization through provider education and coaching +… more
- CenterWell (San Antonio, TX)
- …population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to ... performance **Preferred Qualifications** + Bachelor's Degree + Comprehensive knowledge of Medicare policies, processes and procedures + Value based care knowledge… more
- Trinity Health (Albany, NY)
- …overall functions including but not limited to: NYPORTS, NIMRS, Justice Center, STARS /ClearSight, Centers for Medicare and Medicaid Services (CMS) death ... visitors, vendors, various regulatory and professional agencies. **SUPERVISED BY:** Manager of Risk Management **SUPERVISES:** none **CAREER PATH:** Management… more