- Highmark Health (Salem, OR)
- …facing STARs Provider Strategy, supporting and developing technology and data strategies to support STARs performance, and developing provider incentive ... stakeholders, vendors and various cross-functional teams, locations and departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across… more
- Providence (Portland, OR)
- …assessing anticipated impact of industry and organization specific concepts including: + Stars performance + Medicare Advantage Bids and Benefit Modifications + ... + Direct commercial group pricing, individual (both ACA and Medicare ) rate setting, valuation (eg reserves), forecasting, budgeting, projecting...are using strong controls with a high degree of data quality and integrity. + Ensure that teams are… more
- CareOregon (Portland, OR)
- …achieving better quality of care for a special needs, dually eligible Medicare population by understanding and applying D-SNP Medicare regulatory requirements, ... to improve population health, coordinate care, and meet CMS STARS measures. Job Summary This position is responsible for...Aim. Direct support may be focused on Medicaid or Medicare lines of business in a Coordinated Care Organization… more
- CareOregon (Portland, OR)
- …analytic strategies + Knowledge of healthcare quality metrics (eg CCO incentive measures, Medicare Stars measures, HEDIS or other measure sets) + Knowledge of ... the listed 9 states. Job Summary This position performs data analysis and data visualization at an...for use at the staff, program manager, director, and senior leadership levels to assess the effect of key… more