- Healthfirst (NY)
- …improvement opportunity and to make informed business decisions. + Leverage market and competitive intelligence reporting that summarizes and provides updates on ... the competitive landscape to help identify new opportunities based on market trends and changing regulations. + Identify key member cohorts and opportunities for… more
- LA Care Health Plan (Los Angeles, CA)
- …programs for all of LA Care's line of business (LOB) which includes Medicare Stars , Exchange Quality Rating Systems and MediCal's Managed Care Accountability ... Manager , Clinical Quality Analytics ( STARS , SQL)...Strong understanding of health care quality reporting programs, specifically Medicare Stars and HEDIS and health plan… more
- Elevance Health (Norfolk, VA)
- **Reporting and Analytics Director - CAHPS/ STARS ** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal candidates ... DE, Tampa, FL or Nashville, TN. The **Reporting and Analytics Director - CAHPS/ STARS ** is responsible for high-priority analytical projects for the Medicare … more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Product Solutions Manager III Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... to achieve that purpose. Job Summary The Product Solutions Manager III is responsible for assisting the product leadership...policy and product lines of business. Experience in improving Stars and Quality Measures. Experience in Medicare … more
- The Cigna Group (Maitland, FL)
- … is a key member of a cross-functional, collaborative organization (which includes Market Provider Performance, Sales, Health Services, Clinical, Stars & Risk ... All market team members contribute to the growth and profitability of the Medicare Advantage (MA) business in their market in the following aspects: +… more
- LA Care Health Plan (Los Angeles, CA)
- Medicare Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medicare Product Location: Los Angeles, CA, US, ... as well as strategic partnerships inclusive of entry onto the Covered CA market . Medicare : Required Medicare Advantage, with experience serving duals… more
- The Cigna Group (Denver, CO)
- …All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: **Growing the ... **Summary:** The Provider Performance External Representative is a key member of the market that assists in the growth and development of the provider network. The… more
- The Cigna Group (Bloomfield, CT)
- Pima County based - Medicare Provider Performance Enablement (PPE) Senior Analyst provides broad support to Sr. Supervisor, Sr. Manager , Director, and Other ... interaction with PPE staff as well as other Cigna Medicare departments. Position is exposed to all aspects of...key program performance metrics, such as utilization, coding, and STARs /quality performance + Assist in the STARS … more
- The Cigna Group (Atlanta, GA)
- …is an integral part of a cross-functional, collaborative organization (which includes Market Provider Performance, Sales, Clinical Operations, Stars & Risk ... All market team members contribute to the growth and profitability of the Medicare Advantage business in their market in the following aspects: **Growing the… more
- Blue Cross Blue Shield of Massachusetts (Hingham, MA)
- …continued education for internal teams on various pharmacy related topics including Stars . The primary functions will be to support the actionable pharmacy ... management staff and other associated teams + Supports and participates in Medicare Case Management rounds + Conduct comprehensive medication reviews for eligible… more