• Program Manager , Medicare

    Molina Healthcare (Lexington, KY)
    **Job Description** **Job Summary** Molina Medicare Stars Program Manager functions oversees, plans and implements new and existing health care quality ... change management, program management and other processes relative to the Medicare Stars Program + Leads and manages team in planning and executing… more
    Molina Healthcare (05/14/25)
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  • Sr Program Manager , Medicare

    Molina Healthcare (NM)
    **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 4-6 years of Medicare Stars Program and project management experience Demonstrated knowledge… more
    Molina Healthcare (04/17/25)
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  • STARS Improvement RN

    CenterWell (San Antonio, TX)
    …2 responsible for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program . The Stars Improvement, ... and independent determination of the appropriate courses of action. The Stars Improvement Clinical Professional (RN) collaborates with market leadership, and quality… more
    CenterWell (04/08/25)
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  • Manager , Provider Engagement - VBP…

    Centene Corporation (Queens, NY)
    … Advantage with at least 2-3 years in a value-based care role overseeing Medicare VBP program implementation or performance preferred. 1-3 years of managerial or ... outcomes, advancing quality and ensuring equity in healthcare delivery today. The Manager , Value-Based Payments Initiatives (VBP) will lead and support the expansion… more
    Centene Corporation (04/24/25)
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  • AVP, General Manager - Medicare - NY

    CVS Health (Trenton, NJ)
    …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 ... of medical costs management, compliance, and revenue integrity efforts for all Medicare Advantage products (inclusive of collaborating with the Employer Group team… more
    CVS Health (05/16/25)
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  • Quality RN

    CenterWell (Covington, LA)
    …2 responsible for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program . The Stars Improvement, ... and independent determination of the appropriate courses of action. The Stars Improvement Clinical Professional (RN) collaborates with market leadership, and quality… more
    CenterWell (04/08/25)
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  • Clinic Manager

    CenterWell (Arlington, TX)
    …CenterWell is a subsidiary of Humana, seeking a Primary Care Clinic Manager , that develops and leads implementation for staffing plans, policies and procedures ... and company initiatives including but not limited to Quality, HEDIS / STARs , AHCA, financial management and employee and patient retention. Must be passionate… more
    CenterWell (04/23/25)
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  • Care Management Product - Client Management

    CVS Health (Woonsocket, RI)
    …this role you will: + Drive product growth through identifying potential clients for Medicare Stars solutions and help build compelling offers to win new ... lead our client acquisition and retention strategy for our Medicare specific products. The Senior Manager will...+ Three (3) or more years of experience with Medicare Stars ; possession of industry knowledge including… more
    CVS Health (05/09/25)
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  • Provider Engagement Manager (Connecticut…

    Vatica Health (Hartford, CT)
    …Care arrangements (Preferred) + Strong knowledge/experience in Risk Adjustment and Medicare HEDIS/ Stars Programs (Preferred) + Experience working in Salesforce ... The Provider Engagement Manager is an integral role at Vatica as...strategic recommendations, training, and coaching to provider groups on program implementation and barrier resolution. Passion for exceptional customer… more
    Vatica Health (03/29/25)
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  • Manager Clinical Quality Improvements

    Dignity Health (Bakersfield, CA)
    …dedicated LVNs/RNs in support of organizational quality improvement initiatives across Medicare , Medicaid and Commercial space. He/She will partner with other ... level in the population health space. **Position Summary:** The Manager , Clinical Quality Improvement, is responsible for leading multiple...3 years HEDIS measures reporting and experience in CMS Stars , P4P, ACO and Value Based Payment Programs. -… more
    Dignity Health (05/11/25)
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