• Stars Quality Data…

    Humana (Harrisburg, PA)
    …and resources to deliver exceptional value to our HOS program. Location: remote The Data Collection & Insights Delivery HOS Program Delivery Lead will work to ... Proficiency with Excel **Preferred Qualifications** + Master's degree + Experience designing data collection strategy + Experience with Medicare CAHPS and/or HOS… more
    Humana (09/25/25)
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  • Senior Data Quality /Integrity…

    Humana (Harrisburg, PA)
    …Humana's Health Quality and Stars organization is seeking a Senior Data Quality /Integrity Engineer to deliver quality and value in a fast-paced, ... Risk Adjustment, as well as vended partners. The Senior Data Quality /Integrity Engineer is accountable for engaging...for each successful season, ensuring all regulatory submissions of data collection and reporting are accurate, complete… more
    Humana (10/02/25)
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  • Director Risk Adjustment, Coding & Quality

    Highmark Health (Pittsburgh, PA)
    …state and federal levels. Drives efficient operational functions to achieve established Quality measures, STARS and HEDIS performance ratings. Directs and ... of member profile. + HEDIS Abstraction:Primary liaison with Highmark's Quality / Stars team for retrieval and abstraction...team. + CMS Audits - RADV and IVA:Oversee the collection and validation of historical member clinical data… more
    Highmark Health (08/08/25)
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