- The Cigna Group (Bloomfield, CT)
- …developing advanced Stars reporting and dashboards related to the Medicare Stars program focused on Part D clinical, administrative, and customer ... **Summary** The Part D Stars Business...**Summary** The Part D Stars Business Analytics Senior Advisor...of technical and analytical enhancements to further improve Cigna's Medicare Part D Star ratings.… more
- The Cigna Group (Houston, TX)
- The Pharmacy Technician in the Stars Pharmacy Call Center will work within the Part D Medication Adherence area of the Cigna Medicare Stars ... Star rating system was developed by the Centers for Medicare & Medicaid Services (CMS) to measure the quality...This call center role performs telephonic outreach to Cigna Medicare customers, pharmacies, and providers for the purpose of… more
- Humana (Miami, FL)
- …commuting distance of an office in Tampa, Orlando, or Miami, Florida.** This dedicated Part D Stars Pharmacist will be facilitating effective communication ... on the overall performance, trends, and opportunities within the Part D Stars market performance...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
- Medical Mutual of Ohio (OH)
- …a fully remote opportunity_** . **_Eastern & Central Time Zones preferred. Extensive Medicare Part D experience is highly sought after._** ... to moderately complex daily operations in compliance with the Medicare Part D (pharmacy) and...tracking software. . Collaborates with Clinical Intervention Pharmacists on Medicare Stars and other quality initiatives, with… more
- Elevance Health (Columbus, OH)
- … members. -Understanding of the benefit design and formularies, specifically for Part D . -Experience in a pharmacy benefit management organization leading ... member-centered, lasting pharmacy care. In this pivotal role on our CarelonRx Medicare Sales and Account Management team, the Pharmacy Account Director is tasked… more
- Humana (Stevens Point, WI)
- **Become a part of our caring community and help us put health first** The Regional VP, Health Services will provide medical leadership and strategy for the Health ... Services Operations, which includes: Care Management for D -SNP, BadgerCare+, and SSI contracts; Quality and Population Health functions; Prior Auth and Utilization… more
- VNS Health (Manhattan, NY)
- …one of the following VNS Health Plans product lines - Managed Long Term Care (MLTC), Medicare Advantage (MA), Part D , or Select Health to ensure compliance ... staff handling grievances and appeals across our Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health product lines. * Ensure Compliance: Stay… 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