- Commonwealth Care Alliance (Boston, MA)
- **Why This Role is Important to Us:** As a Stars Senior Data Analyst, your main focus will be to improve publicly reported rates and close the gaps in Stars ... of data analytics, technology, and reference material. Reporting directly to the Director of Population Health and Quality Analytics, you will closely collaborate… more
- CVS Health (Columbus, OH)
- …that are evidence-based* Work collaboratively with the Behavioral Health, Pharmacy , member outreach, Care Management, National Quality Management, Utilization ... data interpretation. * Be able to effectively communicate these finding to Senior Management and staff at all levels.* Develop and deliver conference presentations… more
- Providence (Portland, OR)
- …anticipated impact of industry and organization specific concepts including: + Stars performance + Medicare Advantage Bids and Benefit Modifications + Medical ... and Pharmacy Trends + RAF (Risk Adjustment) Performance + Network...key analyses with appropriate level of detail analysis for senior leaders. + Manage vendor and consulting relationships. +… more
- Centerwell (Atlanta, GA)
- …caring community and help us put health first** The Associate Operations Director , Clinic/Center Administration, plans and directs the work of professional and ... outpatient care to patients in a clinical setting. The Associate Director , Clinic/Center Administration requires a solid understanding of how organization… more
- Highmark Health (Columbus, OH)
- …Manage individual projects for timely review with the Director , Clinical Pharmacy . + Participate in Medicare Stars performance measures to drive contribution ... and duration edits, quantity limits, step-care edits, generic sampling, pharmacy policy review and development and/or review of member...to excellence (5 Stars ). + Other duties as assigned or requested. **QUALIFICATIONS**… more