- Molina Healthcare (Columbus, OH)
- **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 (NM)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 4-6 years of Medicare Stars Program and project management experience Demonstrated knowledge… more
- CenterWell (San Antonio, TX)
- …2 responsible for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program . The Stars Improvement, ... and independent determination of the appropriate courses of action. The Stars Improvement Clinical Professional (RN) collaborates with market leadership, and quality… more
- Centene Corporation (Queens, NY)
- … Advantage with at least 2-3 years in a value-based care role overseeing Medicare VBP program implementation or performance preferred. 1-3 years of managerial or ... outcomes, advancing quality and ensuring equity in healthcare delivery today. The Manager , Value-Based Payments Initiatives (VBP) will lead and support the expansion… more
- CVS Health (Trenton, NJ)
- …in new and exciting ways every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products ... of medical costs management, compliance, and revenue integrity efforts for all Medicare Advantage products (inclusive of collaborating with the Employer Group team… more
- Providence (WA)
- …strategies to enhance the Medicare Advantage line of business and the Medicare Stars program , focusing on clinical quality, member experience, and ... the best people, we must empower them.** **The Quality Program Manager is tasked with developing and...in Medicare Advantage quality improvement and the Stars program **Providence welcomes 100% remote work… more
- CenterWell (Covington, LA)
- …2 responsible for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program . The Stars Improvement, ... and independent determination of the appropriate courses of action. The Stars Improvement Clinical Professional (RN) collaborates with market leadership, and quality… more
- CenterWell (Arlington, TX)
- …CenterWell is a subsidiary of Humana, seeking a Primary Care Clinic Manager , that develops and leads implementation for staffing plans, policies and procedures ... and company initiatives including but not limited to Quality, HEDIS / STARs , AHCA, financial management and employee and patient retention. Must be passionate… more
- Sharp HealthCare (San Diego, CA)
- …for Quality Assurance (NCQA); AlignMeasurePerform (AMP); Pay for Performance (P4P) metrics; Medicare Stars ; HEDIS; Performance Guarantees and metrics; and other ... quality measurement program measures. The manager prepares, plans and is accountable for all aspects of the Population Health program for services that meet… more
- CVS Health (Woonsocket, RI)
- …this role you will: + Drive product growth through identifying potential clients for Medicare Stars solutions and help build compelling offers to win new ... lead our client acquisition and retention strategy for our Medicare specific products. The Senior Manager will...+ Three (3) or more years of experience with Medicare Stars ; possession of industry knowledge including… more
- Vatica Health (Hartford, CT)
- …Care arrangements (Preferred) + Strong knowledge/experience in Risk Adjustment and Medicare HEDIS/ Stars Programs (Preferred) + Experience working in Salesforce ... The Provider Engagement Manager is an integral role at Vatica as...strategic recommendations, training, and coaching to provider groups on program implementation and barrier resolution. Passion for exceptional customer… more
- Insight Global (Woonsocket, RI)
- …etc. Budgeting/financial experience Must be able to mitigate and report risks to Program Manager and upper level stakeholders Soft Skills: Team culture fit ... Job Description Insight Global is seeking a Senior AI Project Delivery Manager to assist a large healthcare client of ours. This resource will assists in Advancing… more
- Dignity Health (Bakersfield, CA)
- …dedicated LVNs/RNs in support of organizational quality improvement initiatives across Medicare , Medicaid and Commercial space. He/She will partner with other ... level in the population health space. **Position Summary:** The Manager , Clinical Quality Improvement, is responsible for leading multiple...3 years HEDIS measures reporting and experience in CMS Stars , P4P, ACO and Value Based Payment Programs. -… more
- Highmark Health (Harrisburg, PA)
- …to meet program targets across the practices' P4V programs such as ACA, Medicare STARS , HEDIS and risk revenue for all payers. (25%) + Collaborates with ... by the company in lieu of bachelor's degree + 2 years' experience with Medicare STARS , Medicaid HEDIS, GPRO, risk value streams or population health management… more
- Prime Healthcare (Gadsden, AL)
- …for patient safety. Riverview is also the areas highest rated hospital, receiving Four- Stars from the Centers for Medicare and Medicaid (CMS). Originally named ... + 401K Are you enrolled in a Respiratory Therapy program and want to earn some money while you...direction and authorization of the Medical Director and Cardiopulmonary Director/ Manager . The Student RT duties include, but are not… more
- CenterWell (Olathe, KS)
- …achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, optimal patient scheduling, financial management, patient engagement, ... facing and is part of Humana's Tuberculosis (TB) screening program . Candidates selected for this job will be required...a global risk primary care environment + Familiarity with Medicare and Risk model + Experience managing a budget… 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
- Prime Healthcare (Gadsden, AL)
- …for patient safety. Riverview is also the areas highest rated hospital, receiving Four- Stars from the Centers for Medicare and Medicaid (CMS). Originally named ... 13) other tasks or responsibilities may be assigned by the department manager /director. Qualifications Education and Work Experience 1. Current and Valid State… more
- Prime Healthcare (Port Huron, MI)
- …Group's grade "A" in hospital safety, Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned ... needs. Participates in PI/ QC activities. Assists in Maintaining Performance Improvement Program . Oversees radiology area and/or staff in Manager 's / Director's… more