- 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
- 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 (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
- Prime Therapeutics (Hartford, CT)
- …revenue goals and administrative expenses are managed + Leads the development of clinical program enhancements and better practices + Identifies program ... initiatives, specifically those related to CMS Star and HEDIS measures for assigned health plan clients. This position...Develops and tracks the appropriate metrics to monitor the quality and impact of the client's program … more
- 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 (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
- Commonwealth Care Alliance (Springfield, MA)
- …are based on age, comorbidities, etc. + Identify and initiate a plan to meet quality , STAR, and HEDIS measures. + Conduct Annual Visits with patients, taking a ... the best possible care in a unique, comprehensive and quality focused model. We are a specialized interdisciplinary team...You'll Be Doing:** **Essential Duties & Responsibilities:** + Provide clinical care to your patients in clinic, through home… more