- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager Medicare Stars Quality Improvement Manages the Quality and Senior Quality Improvement Specialists and their work. ... initiatives and for facilitating change through internal team building. Essential Functions - Manager Medicare Stars Quality Improvement + Supports … more
- CVS Health (St. Louis Park, MN)
- …** , you will lead the market-wide strategy, performance improvement, and execution of the Medicare Stars quality program for Allina Health | Aetna ... improvement strategies. **Required Qualifications** + 7-10 years of experience with ** Medicare Stars ** programs. + Strong analytical and project management… more
- CVS Health (Sacramento, CA)
- …and team development. **Required Qualifications** * 5-7 years work experience in Medicare / Stars or Healthcare/Pharmacy Quality , Program Management, or ... Strategy * Adept at problem solving and decision making skills * Adept at collaboration and teamwork * Adept at growth mindset (agility and developing yourself and others) skills * Adept at execution and delivery (planning, delivering, and supporting) skills… more
- Excellus BlueCross BlueShield (Rochester, NY)
- … objectives across the organization to ensure success within the framework of the Medicare STARS ranking system and deliver value to enrollees. + Creates and ... apply! Job Description: This pharmacist clinician is a program manager , who is responsible for all Medicare ...upcoming contract years. This individual creates and executes the Medicare Part D formulary, delivering value and quality… more
- CVS Health (Concord, NH)
- …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 ... sales, marketing, provider relations, network development, utilization management, and/or STARS /HEDIS quality improvement, and Revenue Integrity efforts.… more
- CenterWell (Houston, TX)
- …implementing quality improvement best practice initiatives designed to improve Medicare quality measures (HEDIS), patient safety and patient experience ... . Minimum of 2 years' experience working with CMS STARs quality measures. . Prior experience in...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… more
- Highmark Health (Buffalo, NY)
- …right candidate for this role will have a foundational knowledge of the Medicare Stars program.** **ESSENTIAL RESPONSIBILITIES** + Work with business and ... projects and/or related activities within the constraint of scope, quality , time and budget. Includes the management of a...**Required** + 4 years of experience in a project manager role **Preferred** + PMP certification or equivalent training… more
- Humana (Canton, IL)
- …training, mentoring and coaching associates. + Prior experience with healthcare quality measures STARS , HEDIS, etc. and/or clinical program ... and behavioral health professionals responsible for care management. The Manager , Care Management, works within specific guidelines and procedures;...need it. These efforts are leading to a better quality of life for people with Medicare ,… more
- BrightSpring Health Services (San Diego, CA)
- Our Company Apreva Hospice Overview The General Manager , Hospice, is responsible for overseeing all aspects of clinical care, business development, sales leadership, ... delivering care to 200+ patients. + Assures compliance with Medicare Conditions of Participation, state regulations, and accreditation standards...at all times. + Achieves CAHPS Rating of 4 stars or greater. + Financial & Operational Management +… more
- CenterWell (Jacksonville, FL)
- …with clinicians to achieve optimal patient outcomes and company initiatives, including Quality , HEDIS/ STARs , AHCA, financial management, and employee and patient ... performing audits of clinical logs to ensure compliance and quality , manage MSDS and OSHA concerns, and address clinic...Basic knowledge of Population Health Strategy + Familiarity with Medicare + Experience managing a budget of $500,000 PLEASE… more
- Aveanna Healthcare (Fort Lauderdale, FL)
- …outcomes for our patients + Most of our home health locations are rated as 4+ stars for quality and satisfaction + Directly impact the lives of patients in your ... Home Health RN Operations Manager 10K Sign On Bonus ApplyRefer a FriendBack...and Spanish) * Valid CPR As an employer accepting Medicare and Medicaid funds, employees must comply with all… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …plans. The consultants are in-house subject matter experts on coding accuracy and Quality programs such as including HEDIS and Stars . Your Responsibilities As ... Quality (CPHQ) or Certification in Health Care Quality and Manager (CHQM) * Registered Nurse... (CHQM) * Registered Nurse * Solid knowledge of Medicare Advantage Business Compensation and Benefits: Pay Range: $88,600.00… more
- CenterWell (Salt Lake City, UT)
- …interpreting financial trends for health care costs, administrative expenses, and quality /bonus performance + Comprehensive knowledge of Medicare policies, ... and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The… more
- CenterWell (Olympia, WA)
- …interpreting financial trends for health care costs, administrative expenses and quality /bonus performance + Comprehensive knowledge of Medicare policies, ... and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The… more
- CenterWell (Anderson, SC)
- … Quality and Improved Patient Care:** responsible, internally, for completing/closing all quality metrics (HEDIS, STARS , EDAPS) for their panel of patients. + ... Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. + **Board certification in geriatric medicine is highly desirable.** +… more
- CenterWell (Corpus Christi, TX)
- … Quality and Improved Patient Care** **:** responsible, internally,forcompleting/closingall quality metrics (HEDIS, STARS , EDAPS)for their panel of patients. ... of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators. + **Board certification in geriatric medicine is highly desirable.** **Scheduled… more
- CenterWell (Phoenix, AZ)
- …interpreting financial trends for health care costs, administrative expenses and quality /bonus performance + Comprehensive knowledge of Medicare policies, ... and healthcare systems in order to support and improve financial and quality performance within the contracted working relationship with the health plan. The… more
- Molina Healthcare (Tampa, FL)
- …and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality operations. * Ensures that ... strategy for optimization of medication related health care outcomes, and quality cost-effective member care. **Essential Job Duties** * Hires, trains, develops,… more
- CenterWell (Clarksville, IN)
- …(EHR) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures + Maintain established quality control ... administrators. Nearly 250,000 total patients served in 2022, including those in Medicare Advantage, value-based arrangements or other Medicare programs. As a… more
- Elevance Health (Tampa, FL)
- …programs. + Educates members on medication adherence-related topics to align closely with STARs Ratings and HEDIS quality measures. + Assists members with ... Pharmacy Care Center (CPCC)** is a clinical pharmacy call center that services Medicare , Medicaid, and the Commercial member populations. The members we reach out to… more