- 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 (Clearwater, 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
- 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
- UCLA Health (Los Angeles, CA)
- Description UCLA Health is seeking an experienced Senior Project Manager to lead critical healthcare quality initiatives, including CMS Star Ratings and HEDIS ... submission, audits, and hybrid chart abstraction + Collaborate with clinical , operations, and compliance stakeholders + Facilitate cross-functional workgroups to… more
- Blue KC (Kansas City, MO)
- …a provider office + Registered Nurse and/or medical licensure + Knowledge base of clinical standards of care, preventive health, and Stars measures + Experience ... relationships, ensure effective education and reporting, proactively identify performance improvement opportunities through analysis and discussion with subject matter… more
- CenterWell (Hampton, VA)
- …interpretation and independent determination of the appropriate courses of action. The Stars Improvement Clinical Professional (RN): + Collaborates with ... caring community and help us put health first** The Stars Improvement , Clinical Professional 2...insurance and many other opportunities. **About Us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care… more
- CenterWell (Tampa, FL)
- **Become a part of our caring community and help us put health first** The Stars Improvement , Clinical Professional (RN) is responsible for the development, ... Stars Program in the North Florida market. The Stars Improvement , Clinical Professional (RN)...insurance and many other opportunities. **About Us** About Conviva Senior Primary Care: Conviva Senior Primary Care… more
- Banner Health (Phoenix, AZ)
- …with BPN's organizational objectives. The role involves close collaboration with BPN clinical and business leaders, including participation on the BPN Executive Team ... meetings, to identify performance improvement opportunities and drive innovation in analytics supporting value-based care initiatives and population health… more
- CenterWell (Covington, LA)
- …interpretation and independent determination of the appropriate courses of action. The Stars Improvement Clinical Professional (RN) collaborates with market ... and help us put health first** The Quality RN Professional/ Stars Improvement , Clinical Professional 2...insurance and many other opportunities. **About Us** About CenterWell Senior Primary Care: CenterWell Senior Primary Care… more
- ChenMed (Margate, FL)
- …+ Knowledge and experience in a managed care delivery system. + Knowledge of clinical outcomes and quality improvement processes. + Experience of population risk ... center. The incumbent in this role is accountable for maximizing overall clinical value while engaging physicians to improve clinical quality, efficiency,… 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
- Beth Israel Lahey Health (Beverly, MA)
- …and Patient Safety, and is responsible for Patient Experience measurement and improvement , the Patient Complaint process and oversight of the Patient Relations ... and applicability. This position will facilitate Patient & Family Experience improvement initiatives, including those associated with PEX health equity. As part… 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
- 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
- RWJBarnabas Health (Toms River, NJ)
- …to the RWJBH system for Medical Education. The CAO will serve as the senior research administrator and coordinate clinical research activities at their campus. ... Quality Improvement : + Work closely with quality improvement teams to integrate academic advancements into clinical...directors. + Participate in the Leapfrog Group, Vizient, CMS stars , US News and World Report and other institutional… more
- Humana (Nashville, TN)
- …of 1 year of experience working with provider groups on HEDIS and/or Stars performance improvement + Proficiency in analyzing and interpreting financial trends ... such areas as financial performance, incentive programs, quality and clinical management, population health, data sharing, connectivity, documentation and coding,… more
- CVS Health (Tallahassee, FL)
- …heart, each and every day. **Primary Responsibilities:** * Responsible for clinical oversight of DSNP/MMP complex populations (Dual-Eligible Special Needs Plan / ... Medicare-Medicaid Plan) * Develop and lead clinical strategy and objectives for the DSNP/FIDE populations, including...with data interpretation. * Effectively communicate these finding to Senior Management and staff at all levels. * Develop… more
- Mount Sinai Health System (New York, NY)
- **Job Description** The Data Science Analyst III is a senior role, collaborating with stakeholders from across the organization to develop sophisticated analytics to ... State Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS ,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience… more