- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... outcomes and develop initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads… more
- 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 quality program for Allina Health...of strategic initiatives. + Comfortable presenting to and influencing senior leadership. **Preferred Qualifications** + Health plan experience. +… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …Solutions company seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In ... you will drive the strategic planning, development, and optimization of our Medicare Advantage Risk Adjustment solution, ensuring that our deliverables support the… more
- CVS Health (Sacramento, CA)
- …team in a key leadership role overseeing strategy and implementation of HEDIS and Medicare Stars measures. This position sits within the Aetna Clinical Services ... to the Lead Director of Healthcare Quality Management, the Senior Manager will lead a team responsible...improvement. This role requires deep expertise in HEDIS and Medicare Stars , strong project leadership, and the… more
- CVS Health (Lansing, MI)
- …we do it all with heart, each and every day. **Position Summary** : The Senior Manager , Market DSNP is accountable for overall performance of the DSNP product ... strategy, marketing and sales, network strategy and marketability, clinical outcomes, Stars , member experience and quality and financial performance for the MI… more
- CVS Health (Albany, NY)
- …hours. No nights, no weekends and no holidays. **Position Summary** The Senior Clinical Strategist works with assigned Aetna Medicare Provider Collaboration ... Projects will support population health and will primarily impact Stars and quality but will also focus on improvements...also focus on improvements in utilization and cost. The Senior Clinical Strategist works to drive clinical performance of… more
- Humana (Carson City, NV)
- …interventions and/or care management operations. + Prior experience or exposure to Medicare Stars Program. + Experience leading cross-functional group of ... help us put health first** Join Humana as a Senior Strategy Advancement Professional and play a pivotal role...pivotal role in shaping innovative strategies for our high-needs Medicare Advantage and SNP populations. In this impactful position,… more
- CenterWell (Hampton, VA)
- …responsible for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program. The Stars Improvement, Clinical ... and independent determination of the appropriate courses of action. The Stars Improvement Clinical Professional (RN): + Collaborates with market leadership, and… more
- CenterWell (Jacksonville, FL)
- …Administrator (CA) is a healthcare professional who leads the daily operations of our senior primary care centers and upholds our model of care that puts patients at ... to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, financial management, and employee and patient retention. Specific… more
- Humana (Springfield, IL)
- …and interventions and/or care management. + Prior experience or exposure to Medicare Stars Program. **Additional Information** + **Workstyle:** remote, work from ... you passionate about improving the health outcomes for the Medicare Advantage population? If so, you may be the...opportunities to improve member health outcomes, member and care manager experience, clinical quality, Stars program performance… more
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