- Convey Health Solutions (Chicago, IL)
- …projects and teams in a healthcare setting. * Skills: * Strong understanding of the Medicare Advantage program and CMS Star Ratings framework. * Expertise in ... to lead initiatives that support and enhance the Medicare Advantage Star Ratings solutions and services....and project management best practices. Key Responsibilities: * Quality Star Solution Program Management: Lead and manage… more
- Molina Healthcare (NM)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... change management, program management and other processes related to Medicare Star Ratings * Plans and directs schedules Program initiatives, as… more
- CVS Health (Scottsdale, AZ)
- …do it all with heart, each and every day. **Position Summary** As the Medicare Pharmacy Audit Programs Project Manager you will be responsible for administering ... will be expected to familiarize yourself with all the Medicare Audit Programs and become a subject-matter-expert on assigned...plans in compliance with CMS requirements and maintain positive STAR ratings. As part of this you will also… more
- Fallon Health (Worcester, MA)
- … policies and processes + Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member education, outreach, and actions ... service, and clinical quality. Fallon Health's NaviCare is a program for people age 65 and older, who live...area, and who have MassHealth Standard, and may have Medicare . It combines MassHealth (Medicaid) and Medicare … more
- Corewell Health (Grand Rapids, MI)
- …interacting with members and providers + Perform other duties assigned by the Manager of Medicare Quality or preceptor Qualifications Required + Currently ... status through December. Job Summary Under the direct supervision of the Medicare Quality pharmacist, the pharmacy intern will engage Priority Health Medicare… more
- Prime Healthcare (Weslaco, TX)
- …in the United States in the various areas we serve: + Centers For Medicare & Medicaid Services (CMS) Five- Star Quality Rated + LeapFrog Hospital Safety ... a row + Certified by The Joint Commission as an Advanced Primary Stroke Center + Five- Star Recipient for Hip Fracture Treatment for 6 years in a row + Recipient of a… more
- BAYADA Home Health Care (Orlando, FL)
- …requirement.** BAYADA Home Health Care is hiring a full time OASIS Review and Coding Manager . The OASIS and Coding Review Manager provides support to all BAYADA ... Home Health Care Medicare service offices by monitoring Outcome and Assessment Information...401k with company match, direct deposit, and employee assistance program + To learn more about BAYADA Benefits, click… more
- Virtua Health (Camden, NJ)
- …into our communities through our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings, ... and ensuring that all staff members are performing to policy and STAR standards. Manages day-to-day operations of office/practice. Coordinates work flow to support… more
- BAYADA Home Health Care (Orlando, FL)
- …Health Care has an immediate opening for a **Full Time,** OASIS and Coding Review Manager with OASIS and Coding certification to work remotely. RN, PT, OT, and SLP's ... 401k with company match, direct deposit, and employee assistance program **Responsibilities:** + Review clinical information for appropriateness, congruency, and… more
- Central Maine Medical Center (Lewiston, ME)
- …change. Ensures the organization meets Joint Commission and Centers for Medicare and Medicaid Services (CMS) standards and regulatory requirements related to ... key stakeholders in leading necessary improvement work. + Reviews program results with Director prior to submission. + Provides...center. Both Bridgton and Rumford Hospitals are four (4) star accredited acute care hospitals, and our Medical Group… more
- Fallon Health (New Bedford, MA)
- …strive to be the leading provider of government-sponsored health insurance programs-including Medicare , Medicaid, and PACE ( Program of All-Inclusive Care for the ... and LinkedIn. **Brief summary of purpose:** The Nurse Case Manager (NCM) is an integral part on an interdisciplinary...processes o Knowledge of and compliance with HEDIS and Medicare 5 Star measure processes, performing member… more
- Virtua Health (Marlton, NJ)
- …into our communities through our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings, ... Rd - Suite 360, Westampton, NJ Job Information: The Practice Manager will oversee 3 Neurosciences Practice Locations: Marlton, Washington Twp and… more
- Virtua Health (Centennial, CO)
- …into our communities through our Eat Well food access program (https://www.virtua.org/about/eat-well) , telehealth, home health, rehabilitation, mobile screenings, ... ensuring that all staff members are performing according to policy and STAR standards. Payroll management including oversight of leaves, temp staffing requests… more
- CVS Health (Chicago, IL)
- …unique focus on defining meaningful moments for those we serve. Our north star is creating heartfelt, personalized moments by listening to feedback to remove ... and agile environment. **Position Summary** Seeking an experienced Insights Manager with great research, organizational and communication skills. The Aetna… more
- Bluestone Physician Services (Orlando, FL)
- …overall savings per Medicare beneficiary. Position Overview: The Behavioral Health Care Manager / Dementia Case Manager (Part-time 24 hrs./week) is a core ... life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 12th year...Managers and other medical professionals. The Behavioral Health Care Manager is a patient-focused role, primarily working with a… more
- St. Luke's Health System (Meridian, ID)
- …for nursing excellence. In addition, we're the only Idaho hospital system to receive five- star Centers for Medicare and Medicaid Services (CMS) ratings and we've ... to our community. We are seeking a **Patient Care Manager ** for our **Meridian Emergency Department** . We strive...as: on-site massages, on-site counseling via our Employee Assistance Program , access to the Virgin Pulse Wellness tool, as… more
- Bluestone Physician Services (Sarasota, FL)
- …medicare -26-6-million/) as measured by the overall savings per Medicare beneficiary. Position Overview : The Territory Manager ... life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 12th year...addition to fostering relationships with external stakeholders, the Territory Manager will work closely with internal stakeholders to coordinate… more
- Genesis Healthcare (Clovis, NM)
- …results to position the Market for Quality Measure success and improved Star Ratings *Identify MDS opportunities and partners with Nursing Home Administrators to ... Nurse or equivalent professional license (ie Physical Therapist) *Must have Medicare and State-specific Medicaid experience (as applicable). *Must be willing to… more
- Northern Light Health (Brewer, ME)
- …to, MIPS, eCQMs, HEDIS and CGCAHPS for ambulatory quality and IQR, QHIP, Leapfrog, Medicare Star Ratings, and HCAHPS for inpatient quality. The coordinator will ... + Independent travel to various sites required. + Collaborates with Quality Program Manager to create individual self-development plan. + Sound analytical… more
- HCA Healthcare (Aledo, TX)
- …care like family! Jump-start your career as a(an) Billing Specialist today with Lone Star Medical Group. **Benefits** Lone Star Medical Group, offers a total ... assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off,… more