- Banner Health (Phoenix, AZ)
- …Day **Job Category:** General Operations Join Banner Plans & Networks as a Senior Director of Stars and Quality and lead the charge in transforming member ... rating domains, including HEDIS , CAHPS, HOS, Health Plan Operations , Pharmacy (Rx), and overall Quality Improvement. The Senior Director acts as a… more
- CenterWell (Phoenix, AZ)
- …relationship environment. + Knowledge of Medicare guidelines and coverage. + Knowledge of HEDIS quality indicators + Good understanding of best practice coding ... space and equipment and center needs. + Oversee daily operations of physician services. + Build strong relationship with...and other providers to form a narrow network of quality service focused on senior population health… more
- CommonSpirit Health (Phoenix, AZ)
- …dashboards, financial risk reports, and contract performance monitoring. Ensure systems support HEDIS , STARS, CAHPS, and other regulatory and quality reporting ... systems and applications that support population health management, managed care operations , and end-user support services within a Population Health Services… more
- Humana (Phoenix, AZ)
- …clinical performance, risk adjustment, and stars. This CMO frequently interacts with the senior management team when representing Group MA with the Group MA SVP. In ... Pharmacy, Risk Adjustment, Stars, Product Design, Trend Bender, and Network operations leaders. The role monitors Groups clinical performance and to implement… more
- Molina Healthcare (Phoenix, AZ)
- …understanding health care operations (utilization management, disease management, HEDIS quality measures, claims processing, etc.) * Advanced understanding ... manages a team of medical economics team of professionals. * Collaborates with senior level clinicians and leaders from functional areas such as finance, health care… more