- Martin's Point Health Care (Portland, ME)
- …or non-dispensing role (ambulatory care, managed care, quality management). Knowledge + Knowledge of Medicare Part D , Stars , and HEDIS quality measures. ... daily/weekly reports to identify patients with care gaps related to Medicare Stars , HEDIS, or value-based care measures. + Conducts telephonic outreach calls… more
- Health Care Service Corporation (Nashville, TN)
- …of Healthcare industry - mainly pharmacy related claims. + Experience with Medicare Part D and CMS STARS medication adherence measures. + Experience with ... and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in...presentation skills. + Ability to work independently and as part of a team. + Performance excellence in championing… more
- Excellus BlueCross BlueShield (Rochester, NY)
- …Description: This pharmacist clinician is a program manager, who is responsible for all Medicare Part D formulary creation and submissions, which includes ... upcoming contract years. This individual creates and executes the Medicare Part D formulary, delivering...organization to ensure success within the framework of the Medicare STARS ranking system and deliver value… more
- Centene Corporation (Little Rock, AR)
- …regarding quality initiatives and key quality performance indicators. Shares HEDIS, CAHPS, HOS, Part D and Administrative Operations reports and gap lists with ... and Systems), HOS (Health Outcomes Survey), CTMs (Complaints to Medicare ), Disenrollments, Appeals, and Grievances. Collaborates with Provider Relations and… more
- Mount Sinai Health System (New York, NY)
- …Medicaid and CMS Medicare regulations and related reporting requirements, such as STARS ,QARR, MMCOR, MEDS, RAPS and HEDIS is a strong plus. + Experience working ... methodologies. c. Collects, organizes, integrates, analyzes and interprets data. d . Leverages advanced statistical analysis methods to create insightful… more