• Program Director, Medicare Stars

    Molina Healthcare (Columbus, OH)
    …senior management and other departments on Stars/Quality strategies and initiatives. + Supports Star Program strategy development and ongoing execution for ... existing healthcare quality improvement initiatives and education programs; supporting Medicare Star Ratings improvement. Responsible for planning, developing… more
    Molina Healthcare (01/21/25)
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  • Senior Manager, Medicare Member Experience…

    CVS Health (Hartford, CT)
    …convenient and affordable. **Position Summary** The Senior Manager, Medicare Member Experience Consultation will design enterprise-wide and/or cross-functional ... solutions to address opportunities to improve our Medicare Advantage member experience. This work results in initiatives that significantly impact organizational … more
    CVS Health (01/18/25)
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  • Population Health Program Development…

    Independent Health (Buffalo, NY)
    …and quality of care and health outcomes as measured by HEDIS, Medicare Star , and QARR. + Ensure that program research, development and design is consistent ... attention to detail and ability to meet project deadlines. + Knowledge of Medicare STAR , QARR, HEDIS, NCQA quality measures. + Knowledge of… more
    Independent Health (01/14/25)
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  • Mgr, Growth & Comm Engagement (Must reside…

    Molina Healthcare (Amherst, NY)
    …is primarily in the Medicaid space, however, will cross over to Marketplace and Medicare . This role will lead by example, working alongside their team. There may be ... Works closely with the AVP/Director to develop and execute the enrollment growth strategy for a specific area, while also being accountable to achieve assigned… more
    Molina Healthcare (10/31/24)
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  • Program Manager (GUIDE Model), LSW or RN

    Bluestone Physician Services (St. Paul, MN)
    medicare -26-6-million/) as measured by the overall savings per Medicare beneficiary. Position Overview : The Program Manager ... life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 12th year...collaboratively with the Director to ensure alignment with company strategy and forecast. The GUIDE Program Manager… more
    Bluestone Physician Services (12/22/24)
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  • Nurse Leader RN, Maternity/L& D, NICU

    Central Maine Medical Center (Lewiston, ME)
    …interpret financial data as a means to determine appropriate intervention strategy . Maintains awareness and understanding of financial tools available.�� Assesses ... compliance and survey readiness with The Joint Commission (TJC), Centers for Medicare Services (CMS) and other regulatory bodies.i) Identifies and reports sentinel… more
    Central Maine Medical Center (12/15/24)
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  • Nurse Leader RN - Endoscopy

    Central Maine Medical Center (Lewiston, ME)
    …to interpret financial data as a means to determine appropriate intervention strategy . Maintains awareness and understanding of financial tools available. + Assesses ... compliance and survey readiness with The Joint Commission (TJC), Centers for Medicare Services (CMS) and other regulatory bodies. + Identifies and reports sentinel… more
    Central Maine Medical Center (10/31/24)
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  • Temporary Hedis Abstraction & Review Specialist

    Commonwealth Care Alliance (Boston, MA)
    …and directly contributes to the plan's achievement of quality incentives such as the Medicare Star Rating system and the recovery of the Quality Withhold. Major ... 011370 CCA-Population Health Strategy **Position Summary:** Reporting to the Manager of...Communicate all significant findings and project issues to the Program Manager of Quality Measurement and Reporting in a… more
    Commonwealth Care Alliance (12/31/24)
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