• HEDIS Clinical Quality

    Elevance Health (Wallingford, CT)
    JR132653 HEDIS Clinical Quality Program Manager **Location:** This position requires you to reside within 50 miles (and 1 hour commute) of any open, ... to work from your local office location a minimum of 1 day/week. The ** HEDIS ** ** Clinical Quality Program Manager** is responsible for serving as a… more
    Elevance Health (10/25/24)
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  • Clinical Pharmacist - Huntsville, AL

    The Cigna Group (Bloomfield, CT)
    …utilizing available data to implement health plan pharmacy initiatives, such as HEDIS /Star measures and Medication Therapy Management Program (MTMP). + Utilize ... Clinical Pharmacist - Cigna Medicare The Embedded ...development and execution of numerous initiatives that improve the quality or cost effectiveness of drug therapy in coordination… more
    The Cigna Group (10/01/24)
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  • Business Analytics Advisor (Medicare STARS…

    The Cigna Group (Bloomfield, CT)
    …strategy for Cigna Healthcare, performing research and analysis within the Medicare Stars program with a focus on HEDIS Stars measures. This position is ... Business Analytics Advisor will analyze data including healthcare claims, clinical outcomes and Stars quality measures to...and developing advanced Stars reporting and dashboards focusing on HEDIS measures within the Medicare Stars program more
    The Cigna Group (10/29/24)
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  • LPN or RN Nurse Case Manager (Onsite at Providers…

    The Cigna Group (Bloomfield, CT)
    …manage relationships with participating provider practices. Maintain detailed understanding of HEDIS / STAR performance measures. Develop and maintain a process to ... ensure all customers in participating provider practices meet all quality metrics. Responsible for coordinating the delivery of cost-effective, quality -based… more
    The Cigna Group (10/10/24)
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  • Pharmacist Care Navigator - 32 hours/week…

    The Cigna Group (Bloomfield, CT)
    …their impact on overall health outcomes. + Previous experience with pharmacy quality HEDIS measures. + Previous experience in Medicaid and/or ... advisor to our provider partners, including interventions and recommendations to address quality measures and other clinical pharmacy concerns based on… more
    The Cigna Group (09/11/24)
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