• Stars Operations Strategy

    Humana (Harrisburg, PA)
    …issues and opportunities. The role provides strategic planning support for the organization. The Stars Operations Strategy Lead requires an in-depth ... . **Location:** remote of hybrid if close to Louisville Reporting to the AVP, Stars Operations , the Stars Operations Strategist provides evidence-based… more
    Humana (09/06/25)
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  • Stars Program Delivery Lead - HEDIS…

    Humana (Harrisburg, PA)
    …key functions with strategic and analytical thinking: + Requires a general understanding of Stars operations and ability to effectively communicate the Stars ... strategy and implement comprehensive solutions to drive overall Stars performance: + Accountability for performance and operational excellence of comprehensive… more
    Humana (09/03/25)
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  • Stars Program Delivery Senior Professional…

    Humana (Harrisburg, PA)
    …management will be imperative. + Work closely with the condition management team, Stars Operations organization and other business partners to understand goals ... and help us put health first** Health Quality and Stars (HQS) is an organization that is responsible for...and how initiatives support long-term strategy + Lead initiatives through ideation, working… more
    Humana (09/03/25)
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  • Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …Inc. **Job Description :** **JOB SUMMARY** This job develops and implements long-term strategy to achieve continuous improvements as it relates to Quality and Coding ... federal levels. Drives efficient operational functions to achieve established Quality measures, STARS and HEDIS performance ratings. Directs and manages team of ~75… more
    Highmark Health (08/08/25)
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  • Value-Based Reimbursement Specialist

    Highmark Health (Harrisburg, PA)
    …often plays a central role in the development and execution of the strategy for a given initiative for transformation of workflows resulting in outstanding ... a supportive role in planning, communicating, and managing the market strategy . **ESSENTIAL RESPONSIBILITIES** + Participate in the development of strategic plans… more
    Highmark Health (08/20/25)
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  • VP Reimbursement, Provider & Network Programs

    Highmark Health (Pittsburgh, PA)
    …in the domains of reimbursement and network programs. Specifically, the incumbent will lead the strategy and creation of value-based reimbursement (VBR) & risk ... organization competitively based on market trends and forecasting. + Lead the team that builds, updates, and maintains and...Responsible for creating on a holistic incentive and payment strategy , including RPM, STARS , and Quality programs.… more
    Highmark Health (07/12/25)
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  • Associate Professor, Academic Clinician, Associate…

    University of Pennsylvania (Philadelphia, PA)
    …and Excellence. The ACHIO is responsible to align the structure, design, and strategy for the ambulatory EHR with the enterprise goals of Efficient and Effective ... healthcare value and clinician satisfaction. CHOP informaticists conduct groundbreaking research, lead our EHR program governance, and participate in projects to… more
    University of Pennsylvania (09/02/25)
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  • CAPEX Contracts & Logistics Specialist V

    United States Steel (Pittsburgh, PA)
    …of innovation and industry leadership. With over $15 billion in annual revenue and operations in the US and Slovakia our Global Procurement team plays a critical ... the direct and indirect materials, capex, and services that power our operations . Position Summary: We are searching for a dynamic and accomplished Procurement… more
    United States Steel (09/10/25)
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  • VP Risk Adjustment Accuracy Management

    Highmark Health (Blue Bell, PA)
    …returns in a fully compliant manner. Develop a Risk Management governance strategy for the Enterprise to appropriately manage CMS audit risk. **ESSENTIAL ... and the network as a whole 3. Analytics + Lead a team that develops and oversees analysis of...analytics related to government quality programs such as Medicare STARS and the ACA Quality Rating System. + Utilize… more
    Highmark Health (07/30/25)
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