services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical... concerns. Provides analysis of initial health evaluation and comprehensive assessment of the member/family psychosocial status...
STARS and clinical program performance for VNS Health Plan. Ensures regulatory compliance with CMS and DOH standards..., with a focus on Medicare STARS, HEDIS/QARR, and clinical audits required Knowledge of health care delivery systems, patient care...
work in close collaboration with Clinical Services, Market Access, Marketing, Medical Affairs and Legal. The.... Additionally, high priority is placed on depth of knowledge in the oncology market and functional knowledge in the clinical...