- Blue KC (Kansas City, MO)
- …experience + Strong knowledge of Medicare Advantage and Qualified Health Plans ( ACA ) including Stars and Risk Adjustment + Experience in consulting ... programs focused on improving the quality of care for Medicare Advantage & Qualified Health Plan ( ACA )...and monitor provider metrics to identify risk adjustment , HEDIS or educational opportunities for the Medicare… more
- Molina Healthcare (San Diego, CA)
- …**Job Duties** + Establishes strategy and operational direction for engaging providers on risk adjustment & quality improvement in collaboration with the Plan ... President, AVP of Quality & Risk Adjustment , and Network team. + Leads...performance through provider engagement or practice transformation for Medicaid, Medicare , and/or ACA Marketplace programs To all… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …identify risks and opportunities for improvement. * Collaborate with Pharmacy, Risk Adjustment , Network Management, Care Management, Member Experience, Medical ... operational leadership for all enterprise quality performance programs across the organization's Medicare , Medicaid, ACA , and Commercial lines of business. This… more