• NCQA and CMS Star…

    UCLA Health (Los Angeles, CA)
    Description The NCQA and CMS Star Rating Program Manager will lead initiatives to drive the Medicare Advantage Plan's success in NCQA Health Plan ... the planning, implementation, and evaluation of programs to meet NCQA and CMS Star Ratings...program challenges proactively across departments. + Use advanced project management tools to monitor progress and optimize resources. +… more
    UCLA Health (12/17/25)
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  • Senior Network Performance Professional

    Humana (Olympia, WA)
    …with Medicare and/or managed care. + Understanding of NCQA HEDIS measures, PQA Measures, CMS Star Rating System , and CAHPS/HOS survey system . ... + Ability to drive interoperability and understanding of Consumer/Patient Experience. + Proven experience building relationships with physician groups and influencing execution of recommended strategies. + Strong communication and presentation skills, both… more
    Humana (12/19/25)
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  • Medicare Stars Analyst

    Blue Cross Blue Shield of Massachusetts (Boston, MA)
    …propose data driven solutions that facilitate improvement. + Provide subject matter expertise of the CMS Star Rating methodology, and act as a resource when ... We're Looking For + A deep understanding of the CMS Star rating methodology with...CMS ) Stars programs, National Committee for Quality Assurance ( NCQA ) programs, and Healthcare Effectiveness and Data Information Set… more
    Blue Cross Blue Shield of Massachusetts (11/19/25)
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  • AVP, Stars Improvement (HEDIS)

    Humana (Frankfort, KY)
    …as rated by the Centers for Medicare and Medicaid Services ( CMS ). The CMS Stars quality rating system evaluates Medicare Advantage and Prescription Drug ... + Serve as an internal expert on HEDIS technical specifications, regulatory changes, and NCQA and CMS guidance + Develop and execute an improvement strategy to… more
    Humana (12/18/25)
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