- Molina Healthcare (Columbus, OH)
- **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
- Molina Healthcare (Caldwell, ID)
- null Pay Range: $77,969 - $171,058 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
- CVS Health (Harrisburg, PA)
- …it all with heart, each and every day. **Position Summary** Located within the Medicare Stars Program Management team, this individual contributor role will ... business processes. **Preferred Qualifications** + 2+ years of experience within Medicare Part D Stars Program Management, Medicare / Medicaid HEDIS… 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 (Phoenix, AZ)
- …Required Qualifications: + 7+ years experience in 7+ years of experience in Medicare / Stars or Healthcare/Pharmacy Quality, Program Management, or Strategy ... client-specific government programs action plan to ensure compliance with Star Ratings program . + Advises organizational teams to develop and execute government … more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …your true colors to blue. The Role The Clinical Pharmacist, Medicare Clinical Programs is responsible for providing comprehensive medication management services ... support care management with identifying and resolving drug-related problems for Medicare members. The Clinical Pharmacist will assist the Pharmacy Department in… more
- CVS Health (Harrisburg, PA)
- …+ Experience presenting to leaders and/or leadership teams + Experience with Medicare Stars , HEDIS, or NCQA reporting. + Excellent time management, ... heart, each and every day. **Position Summary** **Position Summary** The Senior Manager Health Care Quality Management will be responsible for managing the Quality… 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 (Hampton, VA)
- …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… more
- CVS Health (St. Paul, MN)
- … Medicare Stars Web team is an integral part of the Medicare Stars business. We are seeking a ** Manager , Business Analysis** , to join our team. This ... different levels of the organization + Demonstrated knowledge of Medicare Stars + Understanding and use of...for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Humana (Lansing, MI)
- …annual program description, work plan, and annual evaluation. The Manager , Quality Compliance works within specific guidelines and procedures; applies advanced ... a part of our caring community and help us put health first** The Manager , Quality Compliance will implement and monitor quality improvement program components,… 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
- Humana (Salt Lake City, UT)
- …and help us put health first** Job Description Summary The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior ... Product Manager work assignments involve moderately complex to complex issues...on track and delivers successfully. + Manages project and program interdependencies and potential roadblocks, establishes clear resolution paths,… more
- Aveanna Healthcare (Fort Lauderdale, FL)
- Home Health RN Operations Manager 10K Sign On Bonus ApplyRefer a FriendBack Job Details Requisition #: 209128 Location: Fort Lauderdale, FL 33326 Category: Nursing ... of our home health locations are rated as 4+ stars for quality and satisfaction + Directly impact the...achievement and to determine areas needing cost reduction and program improvement * Consistently meet reporting deadlines * Branch… more
- Molina Healthcare (WA)
- **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and ... + 4+ years managed care experience + Experience participating in value-based program & contract design and implementation for marketplace, Medicaid and/or … more
- CenterWell (Jacksonville, FL)
- …to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, financial management, and employee and patient retention. Specific ... facing and is part of Humana's Tuberculosis (TB) screening program . Candidates selected for this job will be required...Basic knowledge of Population Health Strategy + Familiarity with Medicare + Experience managing a budget of $500,000 PLEASE… more
- Vatica Health (Springfield, MA)
- …as Power BI (Preferred) + Strong knowledge/experience with Quality, Risk Adjustment and Medicare HEDIS/ Stars Programs (Preferred) + Experience working in a CRM ... The Provider Engagement Manager (PEM I), is an integral role at...quality and risk adjustment performance in the Vatica Health program , thus impacting overall patient outcomes. This individual should… more
- CenterWell (Orlando, FL)
- …2 responsible for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program . The Stars Improvement, ... + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Data sharing and...facing and is part of Humana's Tuberculosis (TB) screening program . If selected for this role, you will be… 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
- CVS Health (New York, NY)
- …day. **Position Summary** The Lead Director, Technology Product Management for Medicare Messaging Orchestration and STARs optimization will define strategic ... outcomes. You will work closely with the Business General Manager (GM), Design, Engineering, and Data/Analytics as part of...tech-ops, security, etc. to ensure overall cohesion for the Medicare technology product line. You will develop and lead… more