- Corewell Health (Grand Rapids, MI)
- Job Summary - Manager Medicare Stars Quality Improvement Manages the Quality and Senior Quality Improvement Specialists and their work. ... initiatives and for facilitating change through internal team building. Essential Functions - Manager Medicare Stars Quality Improvement + Supports … more
- CVS Health (St. Louis Park, MN)
- …** , you will lead the market-wide strategy, performance improvement, and execution of the Medicare Stars quality program for Allina Health | Aetna ... improvement strategies. **Required Qualifications** + 7-10 years of experience with ** Medicare Stars ** programs. + Strong analytical and project management… 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 * Adept at problem solving and decision making skills * Adept at collaboration and teamwork * Adept at growth mindset (agility and developing yourself and others) skills * Adept at execution and delivery (planning, delivering, and supporting) skills… more
- Excellus BlueCross BlueShield (Rochester, NY)
- … objectives across the organization to ensure success within the framework of the Medicare STARS ranking system and deliver value to enrollees. + Creates and ... apply! Job Description: This pharmacist clinician is a program manager , who is responsible for all Medicare ...upcoming contract years. This individual creates and executes the Medicare Part D formulary, delivering value and quality… 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 ... sales, marketing, provider relations, network development, utilization management, and/or STARS /HEDIS quality improvement, and Revenue Integrity efforts.… more
- CenterWell (Houston, TX)
- …implementing quality improvement best practice initiatives designed to improve Medicare quality measures (HEDIS), patient safety and patient experience ... . Minimum of 2 years' experience working with CMS STARs quality measures. . Prior experience in...of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused on whole-person health by addressing… 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 ... projects and/or related activities within the constraint of scope, quality , time and budget. Includes the management of a...**Required** + 4 years of experience in a project manager role **Preferred** + PMP certification or equivalent training… more
- Humana (Canton, IL)
- …training, mentoring and coaching associates. + Prior experience with healthcare quality measures STARS , HEDIS, etc. and/or clinical program ... and behavioral health professionals responsible for care management. The Manager , Care Management, works within specific guidelines and procedures;...need it. These efforts are leading to a better quality of life for people with Medicare ,… 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 (Jacksonville, FL)
- …with clinicians to achieve optimal patient outcomes and company initiatives, including Quality , HEDIS/ STARs , AHCA, financial management, and employee and patient ... performing audits of clinical logs to ensure compliance and quality , manage MSDS and OSHA concerns, and address clinic...Basic knowledge of Population Health Strategy + Familiarity with Medicare + Experience managing a budget of $500,000 PLEASE… more