- Healthfirst (NY)
- …improvement opportunity and to make informed business decisions. + Leverage market and competitive intelligence reporting that summarizes and provides updates on ... the competitive landscape to help identify new opportunities based on market trends and changing regulations. + Identify key member cohorts and opportunities for… more
- LA Care Health Plan (Los Angeles, CA)
- …programs for all of LA Care's line of business (LOB) which includes Medicare Stars , Exchange Quality Rating Systems and MediCal's Managed Care Accountability ... Manager , Clinical Quality Analytics ( STARS , SQL)...Strong understanding of health care quality reporting programs, specifically Medicare Stars and HEDIS and health plan… more
- Elevance Health (Norfolk, VA)
- **Reporting and Analytics Director - CAHPS/ STARS ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates ... DE, Tampa, FL or Nashville, TN. The **Reporting and Analytics Director - CAHPS/ STARS ** is responsible for high-priority analytical projects for the Medicare … more
- The Cigna Group (Maitland, FL)
- … is a key member of a cross-functional, collaborative organization (which includes Market Provider Performance, Sales, Health Services, Clinical, Stars & Risk ... All market team members contribute to the growth and profitability of the Medicare Advantage (MA) business in their market in the following aspects: +… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... as well as strategic partnerships inclusive of entry onto the Covered CA market . Medicare : Required Medicare Advantage, with experience serving duals… more
- The Cigna Group (Denver, CO)
- …All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: **Growing the ... **Summary:** The Provider Performance External Representative is a key member of the market that assists in the growth and development of the provider network. The… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager , Director, and Other ... interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of...key program performance metrics, such as utilization, coding, and STARs /quality performance + Assist in the STARS … more
- The Cigna Group (Atlanta, GA)
- …is an integral part of a cross-functional, collaborative organization (which includes Market Provider Performance, Sales, Clinical Operations, Stars & Risk ... All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: **Growing the… more
- LA Care Health Plan (Los Angeles, CA)
- …(CMC) / D-SNP policy and product lines of business. Experience in improving Stars and Quality Measures. Experience in Medicare Advantage, with experience serving ... Product Solutions Manager III Job Category: Administrative, HR, Business Professionals...duals population. Direct experience in Medicare and Duals program administration including stars ,… more
- CVS Health (Columbus, OH)
- …plus. + Knowledge of health plan economics or healthcare quality, particularly for Medicare Stars program. + Experience in large healthcare corporations. + ... care more personal, convenient and affordable. **Position Summary** As the Senior Manager of Commercialization and Sales Enablement, part of the Health Care Delivery… more