- 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 ... initiatives and for facilitating 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 quality program for Allina Health...of strategic initiatives. + Comfortable presenting to and influencing senior leadership. **Preferred Qualifications** + Health plan experience. +… 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 * ... to expand existing opportunities. + Supports initiatives in collaboration with senior management, stakeholders, and senior individual contributors. + Attends… more
- CVS Health (Austin, TX)
- …improve outcomes, manage costs, and offer an unmatched experience for our patients. As a Senior Product Manager , you will be a key leader in our organization, ... have the needed support from specialist. You'll work with senior business and engineering leaders to lead a product...digital health solutions + 4+ years as a Product Manager + Experience with data analytics and core healthcare… 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 ... budget of the Medicare plans within the Market. + Direction of senior leaders of specific functional areas as assigned. Functional areas may include operations,… more
- Erickson Living (Tinton Falls, NJ)
- Location: Seabrook Village by Erickson Senior Living We are hiring a Medicare Sales Agent, also known as our Health Insurance Resource Manager (HIRM). The ... of our communities, has earned 5 out of 5 stars from the Centers for Medicare and...a timely manner. + Provide feedback and escalations to senior management regarding necessary member care or coverage issues.… 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 ... degree **EXPERIENCE** **Required** + 4 years of experience in a project manager role **Preferred** + PMP certification or equivalent training + Healthcare Insurance… more
- CenterWell (Phoenix, AZ)
- …of our caring community and help us put health first** The Senior Provider Engagement Professional develops and grows positive, long-term relationships with ... within the contracted working relationship with the health plan. The Senior Provider Engagement Professional work assignments involve moderately complex to complex… more
- CenterWell (Jacksonville, FL)
- …Administrator (CA) is a healthcare professional who leads the daily operations of our senior primary care centers and upholds our model of care that puts patients at ... to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, financial management, and employee and patient retention. Specific… 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 (Houston, TX)
- …Professional 1 will support clinicians and staff, working collaboratively with the Stars Clinical Quality RN/s, to support staffed clinical and operations teams ... implementing quality improvement best practice initiatives designed to improve Medicare quality measures (HEDIS), patient safety and patient experience (CAHPS-HOS).… more
- CenterWell (Salt Lake City, UT)
- …population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to ... to operate independently in support of this market. + STARS experience + Proven success in managing Value Based...+ Experience in MSO, Payor Org. + Experience in Medicare Risk Adjustment, Cost Management, Utilization Management. + Advanced… more
- CenterWell (Clarksville, IN)
- …put health first** CenterWell (TM) represents our payer-agnostic healthcare services for senior primary care, home health and pharmacy. Launched in spring 2021, ... to them - we can help them lead happier, healthier lives. CenterWell Senior Primary Care (TM) provides proactive, preventive care to seniors, including wellness… more
- CenterWell (Olympia, WA)
- …population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to ... based care + Data analysis experience + Database care experience + Experience with HEDIS/ STARS + MSO and Payor experience + Must be highly service oriented + Travel… more
- CenterWell (Anderson, SC)
- …+ Participates in the local primary care "on-call" program of CenterWell Senior Primary Care. + Ensures personal compliance with licensing, certification, and ... Patient Care:** responsible, internally, for completing/closing all quality metrics (HEDIS, STARS , EDAPS) for their panel of patients. + **Participate and Lead… more
- CenterWell (Corpus Christi, TX)
- …Patient Care** **:** responsible, internally,forcompleting/closingall quality metrics (HEDIS, STARS , EDAPS)for their panel of patients. + **Participate and** ... be screened for TB. **Preferred Qualifications** + Experience managing Medicare Advantagepanelsof patients with understanding ofbestpractice incoordinatedcare environment in… more
- CenterWell (Columbia, SC)
- …staffing, operational excellence, and clinical initiatives + Champion our senior -focused primary care strategic vision and initiatives and foster stakeholder ... (KPIs), such as patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally… 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 clinical ... achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, optimal patient scheduling, financial management, patient engagement,… more
- CenterWell (Atlanta, GA)
- …Center Administration is a healthcare professional who leads the daily operations of our senior primary care centers and upholds our model of care that puts patients ... to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, financial management, and employee and patient retention. Specific… more
- CenterWell (Tallahassee, FL)
- …population health, data sharing, connectivity, documentation and coding, HEDIS and STARs performance, operational improvements and other areas as they relate to ... performance **Preferred Qualifications** + Bachelor's Degree + Comprehensive knowledge of Medicare policies, processes and procedures + Value based care knowledge… more