Professional, Medicare Stars Quality Program Manager 220 Alexander St, Rochester, NY 14607, USA • 303 S Broadway... and continuous improvement. To achieve this, we're looking for a Medicare Stars Quality Program Manager to join #TeamMVP...
Blue Cross of Idaho (BCI) has opportunity for a Director, Medicare STARS Program. The Director is accountable.... This role sets the vision and creates the strategic direction for the STARS program working collaboratively with multiple...
to CMS. Medicare Advantage experience preferred. Ability to lead all aspects of a cross-functional program. Highly organized... and Dependent Tuition assistance benefits. Health and wellness programs and MORE! As a Star Ratings Sr. Program Manager , you'll...
Oversee, organize, and monitor Medicare Star Program projects while cultivating strong relationships with internal... Star program and support organizational goals. The Medicare Provider Relations Star Specialist will report to the...
assigned by Medicare Quality Manager and/or Director How Corewell Health cares for you Comprehensive benefits package... experience Knowledge of CMS Stars, HEDIS, CAHPS, Drug Adherence, and Member Experience Experience with Medicare Advantage...
, and Medicare and Medicaid members. SHP operates a portfolio of health plan products under several different legal structures...; Samaritan Health Plans, Inc. offers Medicare Advantage, Commercial Large Group, and Commercial Large Group PPO and EPO plans...
Reporting to VP of Network, the Director, Contracting and Network Management is responsible for leading the development... and other departments to ensure contracted network support of operating goals, including STARS, HEDIS, RAF, and other initiatives...
healthcare, payer-provider collaboration, and CMS Part D Stars Program Experience utilizing a metrics-driven approach...Description Company: Oak Street Health Title: Sr. Director, Pharmacy Location: Various Role Description: The...
measurement systems (e.g., Medicare Stars, HEDIS). Established contacts and networks within leading US healthcare payers... - We do what we promise for each other and our customers. Here's what that would mean for you in the Senior Director, Client Sales Payer...
and pharmacy), appeals, medical policy (development and maintenance), and quality improvement (Medicare Stars, NCQA). The Medical...; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Health Plan is seeking a Director...
The Senior Director, Network Management, is accountable for the development, growth, and performance of their assigned... geography and/or health delivery networks. Working closely with the regional executive teams, the Sr. Director will lead the...
The Senior Director, Network Management, is accountable for the development, growth, and performance of their assigned... geography and/or health delivery networks. Working closely with the regional executive teams, the Sr. Director will lead the...
to improve HEDIS/Stars performance Collaborate with VP of Population Health, Medical Director, and market leadership to meet... Experience with Medicare and/or Managed Care In-depth knowledge of NCQA/HEDIS, CMS Stars, and Clinical Quality Improvement...
to improve HEDIS/Stars performance Collaborate with VP of Population Health, Medical Director, and market leadership to meet... Experience with Medicare and/or Managed Care In-depth knowledge of NCQA/HEDIS, CMS Stars, and Clinical Quality Improvement...
Purchasing (VBP) and Medicare Part D stars Program. Other responsibilities include oversight of the P&T Committee, Corrective...Job Summary The Director of Pharmacy is responsible for providing clinical responsibility of all pharmacy programs...
or arrange for all of our patients' healthcare needs, and partner with Medicare Advantage plans that fully cover primary care... within a global capitation budget provided by Medicare Advantage plans, our only concern and motivation is to keep our seniors healthy...
and projects are aligned to divisional and corporate strategic objectives and direction. The incumbent maintains the Medicare Stars...Company : Highmark Inc. Job Description : JOB SUMMARY This job manages the enterprise wide Medicare/Medicaid...
Job Summary Under the supervision of the Area Director, the Office Manager oversees the day-to-day operations of the..., but are not limited to, patient lists, provider panels, profit and loss, budget, utilization, quality measures, STARS/HEDIS...
the federal STARS system that provides client contact data and other information to the federal Centers for Medicare... and Medicaid Services (CMS). Work with the Assistant Director and Deputy Director of the Division to supervise and oversee the...
, regulations, standards and laws such as but not limited to Joint Commission, Centers for Medicare and Medicaid Services (CMS.... Participates on or leads nursing service committees as appointed by Director of Home Care. Plans, develops, implements...