- CenterWell Senior Primary Care (North Charleston, SC)
- …for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program. The Quality RN Professional work assignments ... following areas: Quality/clinical management and population health HEDIS and Stars performance Operational improvements Financial performance and incentive programs… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... outcomes and develop initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads… more
- CVS Health (St. Louis Park, MN)
- …And we do it all with heart, each and every day. **Position Summary** As the ** Senior Manager of Stars ** , you will lead the market-wide strategy, ... performance improvement, and execution of the Medicare Stars quality program for Allina Health...of strategic initiatives. + Comfortable presenting to and influencing senior leadership. **Preferred Qualifications** + Health plan experience. +… more
- CVS Health (Springfield, IL)
- …Qualifications: + 7+ years experience in 7+ years of experience in Medicare / Stars or Healthcare/Pharmacy Quality, Program Management, or Strategy Preferred ... existing opportunities. + Drives the success of projects in collaboration with senior management, stakeholders, and senior individual contributors. + Attends… more
- Convey Health Solutions (Fort Lauderdale, FL)
- …Solutions company seeks a highly skilled and results-driven Senior Product Manager to lead our Medicare Advantage Risk Adjustment solution portfolio. In ... you will drive the strategic planning, development, and optimization of our Medicare Advantage Risk Adjustment solution, ensuring that our deliverables support the… more
- CVS Health (Raleigh, NC)
- …improve outcomes, manage costs, and offer an unmatched experience for our patients. As a Senior Product Manager , you will be a key leader in our organization, ... have the needed support from specialist. You'll work with senior business and engineering leaders to lead a product...digital health solutions + 4+ years as a Product Manager + Experience with data analytics and core healthcare… more
- CVS Health (Concord, NH)
- …in new and exciting ways every day. Aetna is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products ... budget of the Medicare plans within the Market. + Direction of senior leaders of specific functional areas as assigned. Functional areas may include operations,… more
- Erickson Living (Tinton Falls, NJ)
- Location: Seabrook Village by Erickson Senior Living We are hiring a Medicare Sales Agent, also known as our Health Insurance Resource Manager (HIRM). The ... of our communities, has earned 5 out of 5 stars from the Centers for Medicare and...a timely manner. + Provide feedback and escalations to senior management regarding necessary member care or coverage issues.… more
- Highmark Health (Buffalo, NY)
- …right candidate for this role will have a foundational knowledge of the Medicare Stars program.** **ESSENTIAL RESPONSIBILITIES** + Work with business and ... degree **EXPERIENCE** **Required** + 4 years of experience in a project manager role **Preferred** + PMP certification or equivalent training + Healthcare Insurance… more
- CVS Health (Harrisburg, PA)
- …hours. No nights, no weekends and no holidays. **Position Summary** The Senior Clinical Strategist works with assigned Aetna Medicare Provider Collaboration ... Projects will support population health and will primarily impact Stars and quality but will also focus on improvements...also focus on improvements in utilization and cost. The Senior Clinical Strategist works to drive clinical performance of… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …works closely with CPR's Director and Clinical Lead, Operations Lead, Senior Credentialing Manager / Compliance Consultant, Risk Specialist, Exception Review ... Specialists and Project Manager . This position is eligible for our Resident, Mobile,...+ Medical Directors + Member Appeals Grievance Programs (Commercial, Medicare Advantage, and InterPlan Program) + Physician Review Units… more
- CenterWell (Jacksonville, FL)
- …Administrator (CA) is a healthcare professional who leads the daily operations of our senior primary care centers and upholds our model of care that puts patients at ... to achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, financial management, and employee and patient retention. Specific… more
- CenterWell (Hampton, VA)
- …responsible for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program. The Stars Improvement, Clinical ... and independent determination of the appropriate courses of action. The Stars Improvement Clinical Professional (RN): + Collaborates with market leadership, and… more
- CenterWell (Jupiter, FL)
- …responsible for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program. The Stars Improvement, Clinical ... following areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Data sharing and connectivity +… more
- CenterWell (North Charleston, SC)
- …for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program. The Quality RN Professional work assignments ... areas: + Quality/clinical management and population health + HEDIS and Stars performance + Operational improvements + Financial performance and incentive programs… more
- CenterWell (Clarksville, IN)
- …put health first** CenterWell (TM) represents our payer-agnostic healthcare services for senior primary care, home health and pharmacy. Launched in spring 2021, ... to them - we can help them lead happier, healthier lives. CenterWell Senior Primary Care (TM) provides proactive, preventive care to seniors, including wellness… more
- CenterWell (Anderson, SC)
- …+ Participates in the local primary care "on-call" program of CenterWell Senior Primary Care. + Ensures personal compliance with licensing, certification, and ... Patient Care:** responsible, internally, for completing/closing all quality metrics (HEDIS, STARS , EDAPS) for their panel of patients. + **Participate and Lead… more
- CenterWell (Columbia, SC)
- …staffing, operational excellence, and clinical initiatives + Champion our senior -focused primary care strategic vision and initiatives and foster stakeholder ... (KPIs), such as patient experience via Net Promoter Score (NPS) and Medicare clinical quality via HEDIS, meeting local and organizational goals + Personally… more
- CenterWell (Frankfort, KY)
- …part of our caring community and help us put health first** The Manager , Clinic/Center Administration, is a healthcare professional who leads the daily operations of ... our senior primary care centers and upholds our model of...achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, financial management, and employee and patient retention.… more
- CenterWell (Slidell, LA)
- …part of our caring community and help us put health first** The Manager , Clinic/Center Administration Float, is a healthcare professional who leads the daily ... operations of our senior primary care centers and upholds our model of...achieve optimal patient outcomes and company initiatives, including Quality, HEDIS/ STARs , AHCA, financial management, and employee and patient retention.… more
