• Senior Stars Improvement

    Humana (Dunedin, FL)
    …results of programs. The Quality Improvement Clinical Professional (RN) ( Senior Stars Improvement , Clinical Professional (RN)) represents the ... with travel to provider offices within region The Quality Improvement Senior Clinical Professional (RN)...Strong understanding of Stars measures and quality improvement initiatives + Proven ability to influence clinical more
    Humana (12/09/25)
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  • Senior Stars Clinical

    Humana (Gainesville, FL)
    …South Florida area and Panhandle. Far north Florida limit would be Jacksonville The Senior Stars Improvement Clinical Professional (RN) + Develops ... visits up to 40% of the time and is not fully remote. The Senior Stars Improvement , Clinical Professional (RN) is responsible for the development,… more
    Humana (12/07/25)
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  • Sr. Manager Medicare Stars Program

    CVS Health (St. Louis Park, MN)
    …And we do it all with heart, each and every day. **Position Summary** As the ** Senior Manager of Stars ** , you will lead the market-wide strategy, performance ... improvement , and execution of the Medicare Stars ...across all eligible contracts by driving measurable improvements in clinical quality, member experience, medication adherence, and operational performance.… more
    CVS Health (12/31/25)
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  • Senior Program Manager of HEDIS and CMS…

    UCLA Health (Los Angeles, CA)
    Description UCLA Health is seeking an experienced Senior Project Manager to lead critical healthcare quality initiatives, including CMS Star Ratings and HEDIS ... submission, audits, and hybrid chart abstraction + Collaborate with clinical , operations, and compliance stakeholders + Facilitate cross-functional workgroups to… more
    UCLA Health (11/19/25)
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  • Quality Improvement Professional

    CenterWell (Houston, TX)
    … Professional 1 will support clinicians and staff, working collaboratively with the Stars Clinical Quality RN/s, to support staffed clinical and ... Provide support, make recommendations and assist with implementing quality improvement best practice initiatives designed to improve Medicare quality measures… more
    CenterWell (12/19/25)
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  • Director, Quality Improvement

    Health Care Service Corporation (Chicago, IL)
    …**Job Summary** This position is responsible for managing and directing clinical quality improvement and population health oversight activities, driving ... remain current with best practices and innovations in the areas of quality improvement , population health and clinical quality measurement, and provide guidance… more
    Health Care Service Corporation (12/11/25)
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  • Senior Medical Director Appeals, National…

    Centene Corporation (Jefferson City, MO)
    …unusual provider practice patterns, and adequacy of benefit/payment components. + Identify clinical quality improvement studies to assist in reducing unwarranted ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
    Centene Corporation (01/06/26)
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  • Senior Risk Management Analyst

    Subaru of America (Camden, NJ)
    ROLE SUMMARY The Senior Risk Management Analyst helps keep Subaru safe and protected by supporting our insurance, claims, and safety programs. You'll manage claim ... partners to ensure timely resolution. Contributes to the continuous improvement of claims workflows, documentation standards, and reporting templates. Exercises… more
    Subaru of America (11/26/25)
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  • Senior Clerk

    MyFlorida (Pensacola, FL)
    SENIOR CLERK - 64067995 Date: Dec 16, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify Website ... . Requisition No: 866863 Agency: Department of Health Working Title: SENIOR CLERK - 64067995 Pay Plan: Career Service Position Number: 64067995… more
    MyFlorida (01/06/26)
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  • SVP, Clinical Data Analytics

    Atlantic Health System (Morristown, NJ)
    The Senior Vice President (SVP), Clinical Data Analytics is the senior executive responsible for defining, leading, and executing the enterprise-wide ... and other senior leaders on analytics opportunities, risks, and investments. Clinical Data & Epic Analytics Oversight + Oversee the extraction, integration, and… more
    Atlantic Health System (01/06/26)
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