- Humana (Tallahassee, FL)
- **Become a part of our caring community and help us put health first** The Senior Stars Improvement , Clinical Professional responsible for the ... management oversight of the company's Medicare/Medicaid Stars Program. The Senior Stars Improvement , Clinical Professional work assignments involve… more
- Humana (Dunedin, FL)
- …results of programs. The Quality Improvement Clinical Professional (RN) ( Senior Stars Improvement , Clinical Professional (RN)) represents the ... with travel to provider offices within region The Quality Improvement Senior Clinical Professional (RN)...Strong understanding of Stars measures and quality improvement initiatives + Proven ability to influence clinical… more
- Humana (Gainesville, FL)
- …South Florida area and Panhandle. Far north Florida limit would be Jacksonville The Senior Stars Improvement Clinical Professional (RN) + Develops ... visits up to 40% of the time and is not fully remote. The Senior Stars Improvement , Clinical Professional (RN) is responsible for the development,… more
- Banner Health (Phoenix, AZ)
- …Shift:** Day **Job Category:** General Operations Join Banner Plans & Networks as a Senior Director of Stars and Quality and lead the charge in transforming ... including HEDIS, CAHPS, HOS, Health Plan Operations, Pharmacy (Rx), and overall Quality Improvement . The Senior Director acts as a catalyst and Medicare… more
- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager Medicare Stars Quality Improvement Manages the Quality and Senior Quality Improvement Specialists and their work. Responsible for ... of the Quality Department projects and the formation of clinical improvement teams. This work includes the...change through internal team building. Essential Functions -Manager Medicare Stars Quality Improvement + Supports quality … more
- CVS Health (St. Louis Park, MN)
- …And we do it all with heart, each and every day. **Position Summary** As the ** Senior Manager of Stars ** , you will lead the market-wide strategy, performance ... improvement , and execution of the Medicare Stars ...across all eligible contracts by driving measurable improvements in clinical quality, member experience, medication adherence, and operational performance.… more
- CenterWell (Houston, TX)
- … Professional 1 will support clinicians and staff, working collaboratively with the Stars Clinical Quality RN/s, to support staffed clinical and ... Provide support, make recommendations and assist with implementing quality improvement best practice initiatives designed to improve Medicare quality measures… more
- Health Care Service Corporation (Chicago, IL)
- …**Job Summary** This position is responsible for managing and directing clinical quality improvement and population health oversight activities, driving ... remain current with best practices and innovations in the areas of quality improvement , population health and clinical quality measurement, and provide guidance… more
- Centene Corporation (Jefferson City, MO)
- …unusual provider practice patterns, and adequacy of benefit/payment components. + Identify clinical quality improvement studies to assist in reducing unwarranted ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Subaru of America (Camden, NJ)
- ROLE SUMMARY The Senior Risk Management Analyst helps keep Subaru safe and protected by supporting our insurance, claims, and safety programs. You'll manage claim ... partners to ensure timely resolution. Contributes to the continuous improvement of claims workflows, documentation standards, and reporting templates. Exercises… more
- MyFlorida (Pensacola, FL)
- SENIOR CLERK - 64067995 Date: Dec 16, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 866863 Agency: Department of Health Working Title: SENIOR CLERK - 64067995 Pay Plan: Career Service Position Number: 64067995… more
- Atlantic Health System (Morristown, NJ)
- The Senior Vice President (SVP), Clinical Data Analytics is the senior executive responsible for defining, leading, and executing the enterprise-wide ... analytics strategy that drives clinical excellence, operational performance, population health, and value‑based care outcomes across Atlantic Health. This leader… more
- CenterWell (Columbia, SC)
- …by staffing levels throughout the year + Support clinical quality performance improvement in areas such as MRA, Stars , and prevention of unnecessary ... such as Medical Risk Adjustment (MRA), budgeting, staffing, operational excellence, and clinical initiatives + Champion our senior -focused primary care strategic… more
- CenterWell (Carson City, NV)
- …and help us put health first** The Associate Operations Director (AOD) leads Senior Focused Primary Care clinical operations in a multi-physician office or ... change, ensures adherence to policies, and procedures, and collaborates with their clinical dyad partner to achieve optimal patient outcomes and company initiatives,… more
- Rochester Regional Health (Rochester, NY)
- …organization to enhance patient outcomes and quality performance. RESPONSIBILITIES: Quality Improvement : + Collaborate with clinical and operational leaders to ... performance improvement projects. + Participate and collaborate with performance improvement teams. + Provide recommendations to senior leadership on quality… more
- Cedars-Sinai (Los Angeles, CA)
- …at nationally-ranked Cedars-Sinai. This is an outstanding opportunity for an accomplished clinical leader to oversee innovation and the highest quality clinical ... . The chair manages all aspects of the department, including administrative, clinical , research, and educational initiatives. + **Patient care and quality … more
- CenterWell (Salt Lake City, UT)
- …such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding, ... HEDIS and STARs performance, operational improvements and other areas as they...managing value-based contracts, population health, or other healthcare performance improvement + Proven planning, preparation and presenting skills, with… more
- University of Pennsylvania (Philadelphia, PA)
- …has a 40-year track record of using health information technology to support clinical practice, quality improvement , and research, starting with the adoption of ... Philadelphia (CHOP) seeks applicants for the role of a senior physician informatics leader to oversee the ambulatory EHR...the outcomes of this work (health IT implementation, quality improvement projects, and collaboration with clinical &… more
- Highmark Health (Pittsburgh, PA)
- …following lines of business: Medicaid, Federal Segments - Individual, ACA and Senior Markets, Group and Direct Pay Medicare Advantage, Direct Pay Medicare ... to achieve financial objectives. + **Market Development & Margin Improvement :** Develop and execute comprehensive market development strategies, including annual… more
- Henry Ford Health System (Troy, MI)
- …Officer AVP, Population Health Management AVP, Quality Improvement and Management Senior Director Medicare Stars , HEDIS, and Reporting HAP Medical Directors ... Development, Provider Relations Vice President, Medicare/MMP Operations Various HFHS Executives/ Clinical Leaders and non-HFHS network leaders PRINCIPLE DUTIES AND… more