- 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
- 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 * ... to expand existing opportunities. + Supports initiatives in collaboration with senior management, stakeholders, and senior individual contributors. + Attends… more
- CVS Health (Denver, CO)
- …improve outcomes, manage costs, and offer an unmatched experience for our patients. As a Senior Product Manager , you will be a key leader in our organization, ... have the needed support from specialist. You'll work with senior business and engineering leaders to lead a product...digital health solutions + 4+ years as a Product Manager + Experience with data analytics and core healthcare… 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 ... budget of the Medicare plans within the Market. + Direction of senior leaders of specific functional areas as assigned. Functional areas may include operations,… more
- Erickson Living (Tinton Falls, NJ)
- Location: Seabrook Village by Erickson Senior Living We are hiring a Medicare Sales Agent, also known as our Health Insurance Resource Manager (HIRM). The ... of our communities, has earned 5 out of 5 stars from the Centers for Medicare and...a timely manner. + Provide feedback and escalations to senior management regarding necessary member care or coverage issues.… 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 ... degree **EXPERIENCE** **Required** + 4 years of experience in a project manager role **Preferred** + PMP certification or equivalent training + Healthcare Insurance… more
- CenterWell (Phoenix, AZ)
- …of our caring community and help us put health first** The Senior Provider Engagement Professional develops and grows positive, long-term relationships with ... within the contracted working relationship with the health plan. The Senior Provider Engagement Professional work assignments involve moderately complex to complex… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …works closely with CPR's Director and Clinical Lead, Operations Lead, Senior Credentialing Manager / Compliance Consultant, Risk Specialist, Exception Review ... Specialists and Project Manager . This position is eligible for our Resident, Mobile,...+ Medical Directors + Member Appeals Grievance Programs (Commercial, Medicare Advantage, and InterPlan Program) + Physician Review Units… 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